First-line management of distal humerus fracture by total elbow arthroplasty in geriatric traumatology: Results in a 21-patient series at a minimum 2 years’ follow-up - 16/09/17
, M. Chivot a, A. Caubere a, A. Galland b, J.N. Argenson a
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Abstract |
Introduction |
Total elbow arthroplasty (TEA) is one option in distal humerus fracture in elderly osteoporotic patients.
Hypothesis |
The study hypothesis was that, in patients aged 70years or more, TEA provides functional results and ranges of motion compatible with everyday activity, with a complications rate equal to or lower than with internal fixation, and no loss of autonomy or cognitive impairment.
Material and methods |
In this retrospective study, 21 patients receiving TEA for distal humerus fracture were included. Mean follow-up was 3.2years, with functional (Quick DASH and MEPS), cognitive (MMSE), autonomy-related (ADL) and radiological assessment (Morrey).
Results |
Mean MEPS was 84 and QuickDASH 32.4. Mean extension deficit was 22°, and mean flexion 125°. There was no loss of autonomy or cognitive impairment. The complications rate was 9.5%. There were no revision surgeries.
Discussion |
TEA proved reliable in comminuted distal humerus fracture in elderly patients. Functional results were comparable to those in the literature, and the complications rate was lower. Long-term implant survival needs confirmation to validate this option as a treatment of choice in these indications in geriatric traumatology.
Type of study |
Retrospective non-comparative, single-center.
Level of evidence |
4.
Le texte complet de cet article est disponible en PDF.Keywords : Distal humerusfracture, Total elbow arthroplasty, Osteoporotic fracture, Elderly
Plan
Vol 103 - N° 6
P. 891-897 - octobre 2017 Retour au numéro
Article précédent
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