Elbow hemiarthroplasty using a "triceps-on" approach for the management of XXXX .

@entity1 @entity3165 @entity174 @entity14228 @entity158 @entity2736 @entity1349
BACKGROUND: Total elbow arthroplasty is an established option for the primary treatment of @entity174 , but there are sparse data regarding @entity14228 ( @entity14228 ) as an alternative. We present the outcome of @entity14228 performed with a modular anatomic prosthesis and a "triceps-on" surgical technique. METHODS: Eighteen consecutive @entity1 underwent @entity14228 for an acute @entity174 . Two @entity1 died, leaving a study group of 16 @entity1 with minimum 2-year follow-up. Clinical evaluation included range of motion; Mayo Elbow Performance Score; Quick Disabilities of the Arm, Shoulder, and Hand score; and Oxford Elbow Score. Radiographic assessment looked at alignment, evidence of loosening, ulnar and radial head wear, @entity2736 , and whether healing of the condyles had occurred. RESULTS: Mean follow-up was 35  months (24-79  months). The mean scores were as follows: Mayo Elbow Performance Score, 89.6; shortened Disabilities of the Arm, Shoulder, and Hand score, 11.2; and Oxford Elbow Score, 43.7. The mean flexion and pronation-supination arcs were 116   and 172   respectively. Radial head wear was absent in 13 @entity1 and mild in 3. Ulnar wear was absent in 6 @entity1 , mild in 8, and moderate in 2. Wear was not associated with @entity158 or inferior functional scores. There was no sign of @entity1349 , and complete condylar bone union occurred in 15 elbows. There was 1 complication, a transient @entity3165 that resolved without intervention. CONCLUSION: @entity14228 with a modular anatomic implant using a triceps-on approach is a reliable technique for the management of acute unreconstructible @entity174 in older @entity1 .
