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.
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 language | English |
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Title of host publication | Surgical Techniques for Trauma and Sports Related Injuries of the Elbow |
Editors | Gregory Bain, Denise Eygendaal, Roger P. van Riet |
Place of Publication | Berlin |
Publisher | Springer |
Chapter | 17 |
Pages | 155-160 |
Number of pages | 6 |
ISBN (Electronic) | 9783662589311 |
ISBN (Print) | 9783662589304 |
DOIs | |
Publication status | Published - 2020 |
Keywords
- elbow arthroplasty
- intramedullary cement
- canal perforation
- periprosthetic fracture