Posterior approach to the elbow for insertion of the internal joint stabilizer
Management of unstable injuries was revolutionized by the Internal Joint Stabilizer (IJS). When compared to long-term immobilization, transarticular pinning, and hinge external fixation, the IJS results in decreased complications and improved clinical outcomes. Historically, the IJS was applied via...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | JSES Reviews, Reports, and Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639121001139 |
| _version_ | 1811339332039999488 |
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| author | Gilberto A. Gonzalez Trevizo, MD Jordan T. Carter, MD Christopher Castagno, BA John B. Fuller, MD Miguel Pirela-Cruz, MD |
| author_facet | Gilberto A. Gonzalez Trevizo, MD Jordan T. Carter, MD Christopher Castagno, BA John B. Fuller, MD Miguel Pirela-Cruz, MD |
| author_sort | Gilberto A. Gonzalez Trevizo, MD |
| collection | DOAJ |
| description | Management of unstable injuries was revolutionized by the Internal Joint Stabilizer (IJS). When compared to long-term immobilization, transarticular pinning, and hinge external fixation, the IJS results in decreased complications and improved clinical outcomes. Historically, the IJS was applied via a lateral approach; however, this limited intraoperative visualization and, in some cases, resulted in increased operative times. This technical report describes a posterior approach, for IJS application. The posterior approach involves an 8- to 10-cm incision over the posterior elbow through the deep fascia before identifying the olecranon and lateral capitellum, then proceeding with IJS application through manufacturer instructions. The ulnar and radial nerves must be identified as they could be damaged in this approach. Using the posterior approach at our institution, we have noticed a possible decrease in operative times and an increase in intraoperative visualization of the elbow without a subsequent increase in complications. |
| first_indexed | 2024-04-13T18:24:49Z |
| format | Article |
| id | doaj.art-9456422f5fc6422b87dc6e96fb468d2f |
| institution | Directory Open Access Journal |
| issn | 2666-6391 |
| language | English |
| last_indexed | 2024-04-13T18:24:49Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj.art-9456422f5fc6422b87dc6e96fb468d2f2022-12-22T02:35:19ZengElsevierJSES Reviews, Reports, and Techniques2666-63912022-05-0122230237Posterior approach to the elbow for insertion of the internal joint stabilizerGilberto A. Gonzalez Trevizo, MD0Jordan T. Carter, MD1Christopher Castagno, BA2John B. Fuller, MD3Miguel Pirela-Cruz, MD4Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Science Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Science Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, USACorresponding author: Christopher Castagno, BA, Orthopaedics Elp, 4801 Alberta Avenue, El Paso, TX 79905-2707, USA.; Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Science Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Science Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Science Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, USAManagement of unstable injuries was revolutionized by the Internal Joint Stabilizer (IJS). When compared to long-term immobilization, transarticular pinning, and hinge external fixation, the IJS results in decreased complications and improved clinical outcomes. Historically, the IJS was applied via a lateral approach; however, this limited intraoperative visualization and, in some cases, resulted in increased operative times. This technical report describes a posterior approach, for IJS application. The posterior approach involves an 8- to 10-cm incision over the posterior elbow through the deep fascia before identifying the olecranon and lateral capitellum, then proceeding with IJS application through manufacturer instructions. The ulnar and radial nerves must be identified as they could be damaged in this approach. Using the posterior approach at our institution, we have noticed a possible decrease in operative times and an increase in intraoperative visualization of the elbow without a subsequent increase in complications.http://www.sciencedirect.com/science/article/pii/S2666639121001139Technical Note |
| spellingShingle | Gilberto A. Gonzalez Trevizo, MD Jordan T. Carter, MD Christopher Castagno, BA John B. Fuller, MD Miguel Pirela-Cruz, MD Posterior approach to the elbow for insertion of the internal joint stabilizer JSES Reviews, Reports, and Techniques Technical Note |
| title | Posterior approach to the elbow for insertion of the internal joint stabilizer |
| title_full | Posterior approach to the elbow for insertion of the internal joint stabilizer |
| title_fullStr | Posterior approach to the elbow for insertion of the internal joint stabilizer |
| title_full_unstemmed | Posterior approach to the elbow for insertion of the internal joint stabilizer |
| title_short | Posterior approach to the elbow for insertion of the internal joint stabilizer |
| title_sort | posterior approach to the elbow for insertion of the internal joint stabilizer |
| topic | Technical Note |
| url | http://www.sciencedirect.com/science/article/pii/S2666639121001139 |
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