Undisplaced - Immobilization /soft tissue repair is sufficient to achieve fibrous union (Rigid fixation not required).
Displaced - ORIF with heavy nonabsorbable sutures or tension band wiring (if limited periprosthetic bone)
Revision arthroplasty using long-stem prosthesis ± strut allograft and impaction bone grafting. Locking plates / cerclage wires may be added for added stability.
May be performed in stages: Stage I - address fracture union with onlay iliac crest bone graft and LCDCP. Stage II (after fracture union) - revise implants with longer stem and impaction graft
If implants are well-fixed, immobilization for humerus and ORIF for ulna.
If implants are loose, treat as for Type II fractures.
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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
A 62-year-old female with history of rheumatoid arthritis presents with end-stage elbow arthritis. Regarding total elbow arthroplasty (TEA) for rheumatoid arthritis, which of the following implant survival results would be expected?
Poor survival results by 5 years
Good survival results at 5 years, poor results by 10 years
Good survival results at 10 years, poor results by 15 years
Good survival results at 15 years
Lack of long-term survival studies regarding TEA for rheumatoid arthritis
Select Answer to see Preferred Response
What is the preferred treatment for a propionibacterium acnes infection that has been symptomatic for 6 months after total elbow arthroplasty with well-fixed components, good bone stock, and a healthy patient?
Non-operative treatment with IV antibiotics for 6 weeks
Arthroscopic irrigation and debridement
Open irrigation and debridement with poly exchange
Single stage revision arthroplasty
Two stage revision arthroplasty