total elbow arthroplasty in distal humerus fracture in patients older than 65 years.
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ID: 214819
2016
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Abstract
Objective
To report the clinical-functional results of the treatment of humeral distal fractures with a total elbow prosthesis in patients older than 65 years old.
Material and methods
This retrospective paper was performed in two surgical centers. Criteria inclusion were: patients with humeral distal fractures, > 65 years, operated on with Coonrad-Morrey prostheses, and with a follow-up of >1 year. Twenty-one patients were included. Twenty were women with an average age of 79 years old. According to AO classification, 13 fractures were type C3, 7 C2 and 1 A2. All patientes were operated on without desinsertion of the extensor mechanism. Average follow-up was 40 months.
Results
Flexo-extension was 123-17°, with a total arc of mobility of 106° (80 % of the contralateral side). Pain according to AVE was 1. The MEPI was 83 points: 8 patients had excellent results, 11 good, 1 regular and 1 bad. Average DASH score was 24 points.
Conclusion
Treatment of humeral distal fractures with total elbow arthoplasty in patients older than 65 years old, may lead to a good option of treatment, but indications must be limited to patients with complex fractures, bad bone quality, with osteoporosis and low functional demands.
| Reference Key |
gallucci2016revistatotal
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| Authors | ;Gerardo Gallucci;Warner Larrondo Calderón;Jorge Boretto;Juan Antonio Castellaro Lantermo;Julio Terán;Pablo De Carli |
| Journal | the making of the arab intellectual: empire, public sphere and the colonial coordinates of selfhood |
| Year | 2016 |
| DOI |
10.15417/521
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| URL | |
| Keywords |
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