Total elbow arthroplasty with massive composite allografts

Kevin J. Renfree, Paul C. Dell, Scott H. Kozin, Thomas W. Wright

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Total elbow arthroplasty is challenging when there is extensive bone loss. We studied retrospectively the long-term (mean, 6.5 years) clinical and radiographic results of 10 patients in whom 14 massive allograft-prosthetic composites were used in such clinical situations. The mean arc of active flexion/extension was 92°. The Bryan-Morrey and Hospital for Special Surgery elbow scoring systems were used and revealed a modest improvement in pain and stability but a disappointing return of function, with independent self-care possible in only 3 patients, household and employment activities in 2, and recreational pursuits in 2. Three patients claimed that they were unable to use the elbow. Multiple procedures (mean, 2.2) were sometimes required to optimize the result. The 79% rate of allograft-host union is similar to that of hip and knee arthroplasty. The use of massive allografts is a reasonable alternative in salvage situations involving total elbow arthroplasty with massive bone loss.

Original languageEnglish (US)
Pages (from-to)313-321
Number of pages9
JournalJournal of Shoulder and Elbow Surgery
Volume13
Issue number3
DOIs
StatePublished - May 1 2004

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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