Resection arthroplasty effective in treating infection after total elbow arthroplasty — 7 points

Written by Allison Sobczak | January 20, 2016 | Print  |

Infection after total elbow arthroplasty among low-demand patients was seen as effective in treatments using resection arthroplasty, according to a study published in the Journal of Shoulder and Elbow Surgery.

Researchers assigned nine patients (10 elbows) who underwent resection arthroplasty for treatment of infection after total elbow arthroplasty into one of the following groups based on the patients' remaining distal humerus bone stock:

 

  • A lateral column group
  • A medical column group
  • A both columns group

 

The patients had a mean follow-up of 52.4 months.

 

Here are seven points:

 

1. Results showed an average time of 6.8 days to resolution of symptoms of clinical infection following resection.

 

2. The average time to normalization of serologic marker levels was 68.5 days.

 

3. The mean Mayo Elbow Performance Score changed from 50 preoperatively to 73.5 at last follow-up.

 

4. DASH scores changed from 46.5 preoperatively to 53 at final follow-up.

 

5. Although the both column group experienced better functional outcomes compared with the lateral or medical column group, this finding was statistically insignificant, according to results.

 

6. At final follow-up, researchers noted a mean satisfaction score of 70, with just one case requiring additional surgeries to treat recurrent infection.

 

7. Overall, results showed no refractory infection, fractures or permanent nerve lesions.

 

More articles on orthopedics:
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Orthopedic surgeon to know: Dr. Jay Albright of Children's Hospital Colorado
Carilion Clinic to open Institute for Orthopaedics and Neurosciences — 4 highlights

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