Journal of Medical Implants & Surgery
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  • Case Report   
  • J Med Imp Surg,

Nail-stem Construct Method for Periprosthetic Humeral Fractures with Recalcitrant Nonunion after Total Elbow Arthroplasty: A Surgical Technique

Yen S Chiang1, Shih H Chen2,4, Keng C Liu3, Chang C Yang4 and Jui Teng Chien4*
1Department of Orthopedics, National Chiayi University, Chiayi, Taiwan
2Department of Orthopedics, National Taichung University of Education, Taichung, Taiwan
3Department of Medical Sciences, Tzu Chi University, Hualien, Taiwan
4Departmehnt of Medicine, Tzu Chi University, Hualien, Taiwan
*Corresponding Author : Jui Teng Chien, Departmehnt of Medicine, Tzu Chi University, Hualien, Taiwan, Tel: 886988340350, Email: jtchien1025@gmail.com

Received Date: May 26, 2022 / Published Date: Aug 02, 2022

Abstract

Background: Implant loosening and periprosthetic fracture nonunion is the most challenging complications of total elbow arthroplasty. There is limited literature on how to treat these conditions. This study describes the surgical technique used in an innovative nail-stem construct and evaluates patient outcomes following this salvaging method.

Case presentation: We present four cases in this study between 2018 and 2019. All four patients (average age 78.7 years) achieved an optimal range of motion and secure stability with a painless elbow at the final follow-up.

Conclusion: Our innovative, low cost nail-stem construct procedure is a feasible alternative for revision total elbow arthroplasty in patients with implant loosening, periprosthetic humeral fractures, and recalcitrant nonunion.

Keywords: Implant loosening; Total elbow arthroplasty; Nail-stem construct; Revision surgery; Recalcitrant nonunion

Citation: Chiang YS, Chen SH, Liu KC, Yang CC, Chien JT (2022) Nail-stem Construct Method for Periprosthetic Humeral Fractures with Recalcitrant Nonunion after Total Elbow Arthroplasty: A Surgical Technique. J Med Imp Surg 7: 148.

Copyright: © 2022 Chiang YS, et al. This is an openaccess article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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