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The Journal of Bone and Joint Surgery 81:1008-12 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Impaction Allograft Bone-Grafting for Revision Total Elbow Arthroplasty. A Case Report*

DONALD H. LEE, M.D.{dagger}, BIRMINGHAM, ALABAMA

Investigation performed at the Division of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham


   Introduction
 
A failed total elbow arthroplasty associated with extensive bone resorption as well as cortical expansion and thinning is a difficult reconstructive problem. Treatment methods such as elbow arthrodesis, interposition arthroplasty, and resection arthroplasty either result in a grossly unstable elbow or are technically difficult to perform5,14-16. When a failed elbow arthroplasty is associated with a limited area of bone loss, a standard long-stem semiconstrained implant can bypass the area of bone deficiency2,4,9,11,14,16. However, the bone deficiency may be so extensive that it is not possible to bypass the area of bone loss with a standard stem. If a standard-length implant is used in the presence of extensive bone loss, severe shortening of the extremity may result. Additionally, the proximal tip of the humeral implant would be placed in close proximity to the humeral head, which could, in the future, preclude the use of a shoulder prosthesis, if needed. . . . [Full Text of this Article]


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M. I. Loebenberg, R. Adams, S. W. O'Driscoll, and B. F. Morrey
Impaction Grafting in Revision Total Elbow Arthroplasty
J. Bone Joint Surg. Am., January 1, 2005; 87(1): 99 - 106.
[Abstract] [Full Text] [PDF]

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P. Mansat, R. A. Adams, and B. F. Morrey
Allograft-Prosthesis Composite for Revision of Catastrophic Failure of Total Elbow Arthroplasty
J. Bone Joint Surg. Am., April 1, 2004; 86(4): 724 - 735.
[Abstract] [Full Text] [PDF]