Canis ISSN: 2398-2942

Arthrodesis: elbow

Introduction

  • To fuse the elbow joint, utilizing internal fixation, thereby preventing painful movement.
  • Treatment of choice: bone plate and screws along caudal aspect of humerus and ulna - high degree of technical difficulty.
  • Significant gait alterations post surgery.
  • See arthrodesis overview Arthrodesis: overview for more detail.

Uses

  • Degenerative joint disease (DJD).
  • Chronic luxation or subluxation (traumatic and congenital) Elbow: traumatic luxationElbow: congenital luxation.
  • Irrepairable articular fracture.
  • Non-union and malunion of fractures.
    Bilateral elbow arthrodesis is extremely disabling and should not be done.

Disadvantages

  • See arthrodesis overview Arthrodesis: overview.
  • High degree of technical difficulty.
  • Less than perfect outcome - gait abnormalities.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • A moderately disabling procedure - circumduction of limb when walking and carriage of limb at faster gaits to be expected.
    Bilateral elbow arthrodesis is extremely disabling and should NOT be done.

Further Reading

Publications

Refereed papers


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