Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report

INTRODUCTION: Elbow arthroplasty is relatively uncommon type of arthroplasty and remains a difficult therapeutic option for young patient with post traumatic arthritis. Distortion of normal anatomy because of previous trauma with relatively higher rate of complication and mechanical failure in young...

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Main Authors:	Khamis, Mohd Nurhasnol, Siron @ Baharom, Khairul Nizam
Format:	Article
Language:	English
Published:	Malaysian Orthopaedic Association (MOA) 2018
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/70156/ http://irep.iium.edu.my/70156/ http://irep.iium.edu.my/70156/1/EA17-Elbow-Arthroplasty-Arthritis.pdf

id	iium-70156
recordtype	eprints
spelling	iium-701562019-02-11T07:24:58Z http://irep.iium.edu.my/70156/ Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report Khamis, Mohd Nurhasnol Siron @ Baharom, Khairul Nizam RD701 Orthopedics INTRODUCTION: Elbow arthroplasty is relatively uncommon type of arthroplasty and remains a difficult therapeutic option for young patient with post traumatic arthritis. Distortion of normal anatomy because of previous trauma with relatively higher rate of complication and mechanical failure in young patient make this procedure surgically demanding. CASE REPORT: A 37 years old gentleman, left hand dominant, presented with left elbow pain with restricted range of motion. He had previous history of open fracture left distal humerus and olecranon complicated with non union. Examination over left elbow range of motion is 20-90 degrees of flexion-extension with 20 degrees of supination and pronation. Sensory and motor function was intact with no evidence of infection. Radiologically revealed joint space narrowing with step deformity over the articular surface of left ulna and subluxation of left radial head. Since, uncemented elbow arthroplasty is not available in Malaysia, cemented semi constrained total elbow arthroplasty was done on January 2018 as patient willing to accept the future physical limitation and understood high rate of revision of this procedure in future. Post-operative his pain reduces, and range of motion improved to 0-130 degrees. DISCUSSIONS:Elbow arthroplasty in post-traumatic arthritis is challenging because of deformity, bone defect and change in joint congruency. Besides, variance of the radiological finding in relation to clinical presentation. The age at the surgery is a risk factor for complication, hence patient selection should carefully consider. CONCLUSION: Elbow arthroplasty has a potential to improve pain, function and quality of life of patient with post traumatic arthritis but on the same time associated with high rate of complication and mechanical failure. Therefore, elbow arthroplasty should be done in specialized center. Malaysian Orthopaedic Association (MOA) 2018-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/70156/1/EA17-Elbow-Arthroplasty-Arthritis.pdf Khamis, Mohd Nurhasnol and Siron @ Baharom, Khairul Nizam (2018) Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report. Malaysian Orthopaedic Journal, 12 (Supplementary A). EA17-EA17. ISSN 1985-2533 http://www.morthoj.org/supplements/2018/EA17-Elbow-Arthroplasty-Arthritis.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Khamis, Mohd Nurhasnol Siron @ Baharom, Khairul Nizam Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
description	INTRODUCTION: Elbow arthroplasty is relatively uncommon type of arthroplasty and remains a difficult therapeutic option for young patient with post traumatic arthritis. Distortion of normal anatomy because of previous trauma with relatively higher rate of complication and mechanical failure in young patient make this procedure surgically demanding. CASE REPORT: A 37 years old gentleman, left hand dominant, presented with left elbow pain with restricted range of motion. He had previous history of open fracture left distal humerus and olecranon complicated with non union. Examination over left elbow range of motion is 20-90 degrees of flexion-extension with 20 degrees of supination and pronation. Sensory and motor function was intact with no evidence of infection. Radiologically revealed joint space narrowing with step deformity over the articular surface of left ulna and subluxation of left radial head. Since, uncemented elbow arthroplasty is not available in Malaysia, cemented semi constrained total elbow arthroplasty was done on January 2018 as patient willing to accept the future physical limitation and understood high rate of revision of this procedure in future. Post-operative his pain reduces, and range of motion improved to 0-130 degrees. DISCUSSIONS:Elbow arthroplasty in post-traumatic arthritis is challenging because of deformity, bone defect and change in joint congruency. Besides, variance of the radiological finding in relation to clinical presentation. The age at the surgery is a risk factor for complication, hence patient selection should carefully consider. CONCLUSION: Elbow arthroplasty has a potential to improve pain, function and quality of life of patient with post traumatic arthritis but on the same time associated with high rate of complication and mechanical failure. Therefore, elbow arthroplasty should be done in specialized center.
format	Article
author	Khamis, Mohd Nurhasnol Siron @ Baharom, Khairul Nizam
author_facet	Khamis, Mohd Nurhasnol Siron @ Baharom, Khairul Nizam
author_sort	Khamis, Mohd Nurhasnol
title	Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
title_short	Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
title_full	Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
title_fullStr	Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
title_full_unstemmed	Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report
title_sort	total elbow arthroplasty in a young post traumatic elbow arthritis. a case report
publisher	Malaysian Orthopaedic Association (MOA)
publishDate	2018
url	http://irep.iium.edu.my/70156/ http://irep.iium.edu.my/70156/ http://irep.iium.edu.my/70156/1/EA17-Elbow-Arthroplasty-Arthritis.pdf
first_indexed	2023-09-18T21:39:36Z
last_indexed	2023-09-18T21:39:36Z
_version_	1777413051254833152

Total elbow arthroplasty in a young post traumatic elbow arthritis. A case report

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