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Interposition Arthroplasty of The Elbow and Continuous Mobilization With A Ilizarov Frame. Nuno Craveiro Lopes, Carolina Escalda, Carlo Villacreses

Carolina Escalda, M.D. Resident: Carlo Villacreses, M.D.

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Nuno Craveiro Lopes
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125 views22 pages

Interposition Arthroplasty of The Elbow and Continuous Mobilization With A Ilizarov Frame. Nuno Craveiro Lopes, Carolina Escalda, Carlo Villacreses

Carolina Escalda, M.D. Resident: Carlo Villacreses, M.D.

Uploaded by

Nuno Craveiro Lopes
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Interposition Arthroplasty of

the Elbow and Continuous


Mobilization with a Ilizarov
Frame
o Nuno Craveiro Lopes
o Carolina Escalda
o Carlo Villacreses
Elbow Arthroplasty

o >1885 – Ressection Arthroplasty

o >1947 – Substitution Arthroplasty

o >1900 – Interposition Arthroplastia (Murphy)

o >1975 – Articular Distraction (Volkov)


Substitution Arthroplasty

“Gold Standard”?

29 yo female - 25 years after TER for post-trauma


Pain & malfunction for 20 years
Substitution Arthroplasty

Revision TER
At 1 year FW 0-45-80º
Fixed pronation
Interposition Arthroplasty
Bibliographic Revision

o Morrey functional ROM = 0–30-130º


o Substitution ATP – 64-75% Exc+Good >
o Interposition ATP – 34–61% Exc+Good <
o Best for post-trauma > Rheuma
o Best if less than 60 years old
o Best in active, heavy work
Interposition Arthroplasty
(fascia,dermis)
Interposition Arthroplasty
(fascia,dermis)
Interposition Arthroplasty
(fascia,dermis)
Ilizarov Frame
Elbow Post-Traumatic Arthrosis
Elbow Post-Traumatic Arthrosis

Ext-Flx – 0º-47º-89º
Post-surgery
Final Result at 17 months
Final Result at 17 months

Ext-Flx – 0º-44º-110º
Final Result at 7 years
Final Result at 7 years
Final Result at 7 years
Final Result at 7 years

Ext-Flx – 0º-35º-125º
Comparative flexion Improvement

Before At 1.5 years At 7 years


89º 110º 125º
Final Result at 7 years

o No pain
o Good stability
o Good muscular strenght
o Usefull range of movement
o Ocasional ulnar parestesia
o Slight limitation of supination
Conclusions

o Post-trauma arthrosis
o Less than 60 years old
o Active, hard work
o Long lasting results
o Infection rate = 0
GARCIA DE ORTA HOSPITAL, EPE
Orthopedic & Traumatologic Dpt
Director: Craveiro Lopes, M.D.

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