Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty
Periprosthetic fracture after total elbow replacement surgery is a difficult complication to manage, especially when it comes together with implant loosening. If stem revision and internal fixation of the periprosthetic fracture are performed simultaneously, this would be a very challenging procedur...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Shoulder and Elbow Society
2020-09-01
|
| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2020-00213.pdf |
| _version_ | 1797333637427888128 |
|---|---|
| author | Young-Hoon Jo Seung Gun Lee Incheol Kook Bong Gun Lee |
| author_facet | Young-Hoon Jo Seung Gun Lee Incheol Kook Bong Gun Lee |
| author_sort | Young-Hoon Jo |
| collection | DOAJ |
| description | Periprosthetic fracture after total elbow replacement surgery is a difficult complication to manage, especially when it comes together with implant loosening. If stem revision and internal fixation of the periprosthetic fracture are performed simultaneously, this would be a very challenging procedure. Most of total elbow replacement implants are cemented type. Cement usage at periprosthetic fracture site may interfere healing of fractured site. Authors underwent internal fixation with use of locking plate and cerclage wire for periprosthetic fracture, allogenous fibular strut bone inserted into the humerus intramedullary canal allowing the fractured site to be more stable without cement usage. At 10-month follow-up, the complete union and good clinical outcome was achieved. We present a novel technique for treating periprosthetic fracture with implant loosening after total elbow replacement surgery, using intramedullary allogenous fibula strut bone graft. |
| first_indexed | 2024-03-08T08:06:51Z |
| format | Article |
| id | doaj.art-bd91a709771e4f01ad3c3b1982931526 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T08:06:51Z |
| publishDate | 2020-09-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-bd91a709771e4f01ad3c3b19829315262024-02-02T10:29:08ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212020-09-0123315215510.5397/cise.2020.00213772Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplastyYoung-Hoon Jo0Seung Gun Lee1Incheol Kook2Bong Gun Lee3 Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, Korea Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, KoreaPeriprosthetic fracture after total elbow replacement surgery is a difficult complication to manage, especially when it comes together with implant loosening. If stem revision and internal fixation of the periprosthetic fracture are performed simultaneously, this would be a very challenging procedure. Most of total elbow replacement implants are cemented type. Cement usage at periprosthetic fracture site may interfere healing of fractured site. Authors underwent internal fixation with use of locking plate and cerclage wire for periprosthetic fracture, allogenous fibular strut bone inserted into the humerus intramedullary canal allowing the fractured site to be more stable without cement usage. At 10-month follow-up, the complete union and good clinical outcome was achieved. We present a novel technique for treating periprosthetic fracture with implant loosening after total elbow replacement surgery, using intramedullary allogenous fibula strut bone graft.http://www.cisejournal.org/upload/pdf/cise-2020-00213.pdfelbowperiprosthetic fracturearthroplasty |
| spellingShingle | Young-Hoon Jo Seung Gun Lee Incheol Kook Bong Gun Lee Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty Clinics in Shoulder and Elbow elbow periprosthetic fracture arthroplasty |
| title | Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| title_full | Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| title_fullStr | Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| title_full_unstemmed | Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| title_short | Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| title_sort | intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty |
| topic | elbow periprosthetic fracture arthroplasty |
| url | http://www.cisejournal.org/upload/pdf/cise-2020-00213.pdf |
| work_keys_str_mv | AT younghoonjo intramedullaryfibulastrutboneallograftinaperiprosthetichumeralshaftfracturewithimplantlooseningaftertotalelbowarthroplasty AT seunggunlee intramedullaryfibulastrutboneallograftinaperiprosthetichumeralshaftfracturewithimplantlooseningaftertotalelbowarthroplasty AT incheolkook intramedullaryfibulastrutboneallograftinaperiprosthetichumeralshaftfracturewithimplantlooseningaftertotalelbowarthroplasty AT bonggunlee intramedullaryfibulastrutboneallograftinaperiprosthetichumeralshaftfracturewithimplantlooseningaftertotalelbowarthroplasty |