The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence
Purpose: The goal of surgical management for unstable elbow injuries is the restoration of joint concentricity and stability. After internal fixation, concerns may exist regarding instability or durability of the fixation construct. Historically, these scenarios were treated with options such as tra...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514123001652 |
| _version_ | 1797350510435500032 |
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| author | John J. Heifner, MD Lori R. Chambers, MD Abby L. Halpern, DO Deana M. Mercer, MD |
| author_facet | John J. Heifner, MD Lori R. Chambers, MD Abby L. Halpern, DO Deana M. Mercer, MD |
| author_sort | John J. Heifner, MD |
| collection | DOAJ |
| description | Purpose: The goal of surgical management for unstable elbow injuries is the restoration of joint concentricity and stability. After internal fixation, concerns may exist regarding instability or durability of the fixation construct. Historically, these scenarios were treated with options such as transarticular pinning or external fixation. Recently, an internal joint stabilizer (IJS) that allows postoperative mobilization was introduced. Our objective was to systematically review the literature to aggregate the clinical and biomechanical evidence for the IJS of the elbow. Methods: A systematic review of the PubMed and Google Scholar databases was performed, following the PRISMA guidelines. The search results were narrowed from 2015 through 2023 to coincide with the inception of the device being reviewed. Results: A total of nine retrospective reports on the IJS (N = 171) cases at a mean follow-up of 10.8 months were included. The pooled rate of implant failure was 4.4%, and recurrent instability was 4.1%. Additionally, the we included seven case reports and two biomechanical reports. Conclusions: The aggregate literature describes satisfactory clinical outcomes with low rates of recurrent instability and device failure for the IJS of the elbow. The limited biomechanical investigations conclude efficacy for stability profiles. Clinical relevance: Across a spectrum of unstable elbow cases, the IJS prevented recurrent instability during the early postoperative period. Notably, the device requires an additional procedure for removal, and the long-term impact of the retained devices is currently unclear. |
| first_indexed | 2024-03-08T12:46:58Z |
| format | Article |
| id | doaj.art-06031c9173b04ba082411c159cc60188 |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-03-08T12:46:58Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-06031c9173b04ba082411c159cc601882024-01-21T05:10:04ZengElsevierJournal of Hand Surgery Global Online2589-51412024-01-01616267The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical EvidenceJohn J. Heifner, MD0Lori R. Chambers, MD1Abby L. Halpern, DO2Deana M. Mercer, MD3Miami Orthopaedic Research Foundation, Coral Gables, FL; Corresponding author: John J. Heifner, Miami Orthopaedic Research Foundation, 11801 SW 90 Street Suite 201, Miami, FL 33186.Larkin Hospital Department of Orthopedic Surgery, Coral Gables, FLLarkin Hospital Department of Orthopedic Surgery, Coral Gables, FLDepartment of Orthopaedics, University of New Mexico, Albuquerque, NMPurpose: The goal of surgical management for unstable elbow injuries is the restoration of joint concentricity and stability. After internal fixation, concerns may exist regarding instability or durability of the fixation construct. Historically, these scenarios were treated with options such as transarticular pinning or external fixation. Recently, an internal joint stabilizer (IJS) that allows postoperative mobilization was introduced. Our objective was to systematically review the literature to aggregate the clinical and biomechanical evidence for the IJS of the elbow. Methods: A systematic review of the PubMed and Google Scholar databases was performed, following the PRISMA guidelines. The search results were narrowed from 2015 through 2023 to coincide with the inception of the device being reviewed. Results: A total of nine retrospective reports on the IJS (N = 171) cases at a mean follow-up of 10.8 months were included. The pooled rate of implant failure was 4.4%, and recurrent instability was 4.1%. Additionally, the we included seven case reports and two biomechanical reports. Conclusions: The aggregate literature describes satisfactory clinical outcomes with low rates of recurrent instability and device failure for the IJS of the elbow. The limited biomechanical investigations conclude efficacy for stability profiles. Clinical relevance: Across a spectrum of unstable elbow cases, the IJS prevented recurrent instability during the early postoperative period. Notably, the device requires an additional procedure for removal, and the long-term impact of the retained devices is currently unclear.http://www.sciencedirect.com/science/article/pii/S2589514123001652Coronoid fractureElbow dislocationElbow instabilityHinged external fixatorInternal joint stabilizerInternal stabilization |
| spellingShingle | John J. Heifner, MD Lori R. Chambers, MD Abby L. Halpern, DO Deana M. Mercer, MD The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence Journal of Hand Surgery Global Online Coronoid fracture Elbow dislocation Elbow instability Hinged external fixator Internal joint stabilizer Internal stabilization |
| title | The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence |
| title_full | The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence |
| title_fullStr | The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence |
| title_full_unstemmed | The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence |
| title_short | The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence |
| title_sort | internal joint stabilizer of the elbow a systematic review of the clinical and biomechanical evidence |
| topic | Coronoid fracture Elbow dislocation Elbow instability Hinged external fixator Internal joint stabilizer Internal stabilization |
| url | http://www.sciencedirect.com/science/article/pii/S2589514123001652 |
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