Total Elbow Arthroplasty in an Older Patient with a Forearm Amputation: A Case Report in a Spastic Elbow.
作者信息
Gerosa Thibault, Pierrart Jérôme, Lafosse Thibault, Masmejean Emmanuel H
机构信息
Department of Hand, Upper Limb and Peripheral Nerve Surgery, European Hospital Georges-Pompidou, University of Paris, 20 rue Leblanc, 75015 PARIS, France.
Cabinet Archimed, Clinique des Deux Caps 80 Avenue des Longues Pièces, 62231 Coquelles, France.
出版信息
J Orthop Case Rep. 2020 Oct;10(7):30-33. doi: 10.13107/jocr.2020.v10.i07.1906.
INTRODUCTION
Total elbow arthroplasty is a common procedure in older patients after comminuted distal humerus fractures. However, in patients with a forearm amputation, this treatment indication is less obvious.
CASE REPORT
We report the case of an older spastic patient with bilateral forearm amputation for whom we performed a total elbow arthroplasty for a complex left distal humerus fracture. At 1 year follow-up, our patient was satisfied with the outcome as she had recovered her previous range motion and autonomy. There was no sign of implant loosening or migration on radiographs.
CONCLUSIONS
Given that this treatment has the same benefits as in the typical target population and that any complications that may occur could be less devastating in a patient with forearm amputation. We think that elbow arthroplasty should be offered, in case of complex articular fracture, to all older patients with forearm amputation who has functional demands.
Zotero 插件