Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Elbow
Abstract number: 24526
FASCIAL INTERPOSITION ARTHROPLASTY - A DYING ART
RATNA JOHARI 1 , AMIT SWAMY 2 , SHALIN MAHESHWARI 1 , ABHIJEET SHROFF 2
1 Maheshwari Orthopaedic Hospital, Jamnagar (INDIA), 2 Dr. D. Y. Patil Medical
College, Jamnagar (INDIA)
Three patients with mean age of 13.6 yrs presented with neglected fractures around
the elbow were treated since 2008. All three presented with post-traumatic arthritis
with varying degree of ankylosis of the elbow joint & substantial loss in the elbow
ROM with mean delay in onset of treatment of 21 weeks. All patients were treated
with autologous fascial graft from ipsilateral tensor facia lata and radial head
excision. All three patients were subjected with supervised assisted physiotherapy
and showed immediate improvement in the elbow ROM initially with increased
strength eventually. Assessment of mid-term results after elbow arthroplasty yielded
good clinical and subjective results. Some instability of the joint was observed in the
early phase of rehabilitation. No bony resorption or loss of joint space was observed
at 2 yr follow up. Despite the functional deficits patient satisfaction was high and
quality of life could be regained significantly. It is relatively economical treatment for
patients in developing country and serves as an excellent option to delay elbow
replacement surgery.
3