Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Elbow
Abstract number: 26455
TREATMENT OF THE COMPLEX INTRAARTICULAR FRACTURE OF THE
DISTAL HUMERUS WITH THE LATITUDE-ELBOW-PROSTHESIS - A
RETROSPECTIVE STUDY WITH COMPLICATION ANALYSIS
Klaus BURKHART, Lars MÜLER, Stefan MATTYASOVSZKY, Pol ROMMENS
Department for Trauma Surgery of the Center for Musculosceletal Surgery, Johannes
Gutenberg-University Mainz, Germany, Mainz (GERMANY)
Purpose: ORIF of comminuted distal-humerus-fractures carries high risks of
complications as secondray loss of reduction and pseudarthrosis-especially in elderly
patients. Total elbow arthroplasty is gaining more importance. The Latitude total
elbow system is a modular, convertible implant allowing not only linked and unlinked
TEA with or without radial head replacement, respecting the flexion-extension axis
and three different humeral offsets. Methods: 17 Latitude elbow protheses (Tornier)
were implanted 2007 and 2008 due to the follwing indications: fracture (9),
pseudarthrosis (4), posttraumatic arthritis (3), and rheumatoid arthritis (1). 2 unlinked
and 8 linked prostheses and 7 hemiprostheses were implanted. The mean age was
67 years. For the treatment of acute fractures the indication was made only in elderly
patients: 77 years. Results: These patients were reexamined after 13.5 months (6-
23). The mean extension deficit was 22°, the mean f lexion 126°. The mean pronation
was 78°, the mean supination 79°. The mean Mayo-Sco re was 89.23. All patients
reached good and excellent results except one fair result. The mean DASH-Score
was 8.43. Complications: one humeral fissur, one ulnar nerve irritation, one
haemtoma that requierd a revision, two triceps insufficiencies and one flexion deficit
due to a coronoid-osteophyte. A secondary radial head resection had to be
performed. One early wound infection could be managed with
debridement.Conclusion: Our short-term results show that the aim of a painfree and
stable elbow can be reached with elbow arthroplasty. Results were mostly good to
excellent in our patients according to the Mayo- and DASH-Score.
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