Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty

Gregory Bain, Adam C. Watts, Vikas Singh

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

With revision elbow arthroplasty, extraction of intramedullary cement can be demanding, and there is an increased risk of canal perforation and periprosthetic fracture. We have performed humeral canal endoscopy, by introducing an arthroscope into the humeral or ulnar canal as a diagnostic and therapeutic tool in revision elbow arthroplasty. It allows visualization of the endosteal bone, cement, and granulation tissue.
The superior endoscopic visualization enables controlled biopsies and extraction of cement and debris. Importantly in cases of revision for infection, a more thorough debridement was possible, and we have found a humeral osteotomy is now rarely required.
Original languageEnglish
Title of host publicationSurgical Techniques for Trauma and Sports Related Injuries of the Elbow
EditorsGregory Bain, Denise Eygendaal, Roger P. van Riet
Place of PublicationBerlin
PublisherSpringer Berlin Heidelberg
Chapter17
Pages155-160
Number of pages6
ISBN (Electronic)9783662589311
ISBN (Print)9783662589304
DOIs
Publication statusPublished - 2020

Keywords

  • elbow arthroplasty
  • intramedullary cement
  • canal perforation
  • periprosthetic fracture

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  • Cite this

    Bain, G., Watts, A. C., & Singh, V. (2020). Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty. In G. Bain, D. Eygendaal, & R. P. van Riet (Eds.), Surgical Techniques for Trauma and Sports Related Injuries of the Elbow (pp. 155-160). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_17