TITLE:
Interest of the Total Elbow Arthroplasty in Pathological Fractures of the Distal Humerus
AUTHORS:
Mohamed Amine Mahraoui, Amine Belmoubarik, Haitam Abou Ali, Otmane Hiba, Abderrahim Rafaoui, Ricardo Da Silva, Eric Bacheville, Hani-Jean Tawil
KEYWORDS:
Distal Humerus, Pathological Fracture, Elbow Arthroplasty
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.12,
December
8,
2015
ABSTRACT: Fractures of the distal humerus account for 5% of osteoporotic fractures
in patients over 60 years. The osteoporotic field, comorbidities, and joint
comminutions make it difficult to support. The objective of our work is to show
the interest of the total elbow arthroplasty in pathological fractures of the
distal humerus. We report a unique case of a pathological fracture of the
distal end immediately treated by total elbow arthroplasty in a 82-year-old
patient whose biopsy reveals an evocative metastasis of clear cell adenocarcinoma
of renal origin. In fractures of the distal humerus disease in the elderly, the
absolute necessity of rapid recovery of daily life activities can move towards
a total joint arthroplasty or hemiarthroplasty. Total joint replacement is an
alternative to the trauma in the elderly elbow. It uses semi-constrained implants
allowing stable mounting and early mobilization through self-rehabilitation.