OKOJ

OKOJ, Volume 1, No. 3


Complex Elbow Instability Fracture-Dislocation

The elbow is the second most commonly dislocated joint in adults. Complex instability of the elbow represents a spectrum of injuries defined by disruption of the capsuloligamentous restraints and articular elements of the elbow. The mechanism of elbow dislocation has traditionally been felt to occur as a result of a hyperextension force across the elbow. This mechanism fails to fully explain the pattern of soft-tissue and bony injuries associated with elbow dislocations. The management of complex elbow instability requires a full understanding of the biomechanics of the elbow and the articular and soft-tissue contributions to elbow stability. The principles of nonsurgical and surgical management of complex elbow instability are reviewed extensively.

    • Keywords:
    • elbow fracture

    • broken elbow

    • elbow dislocation

    • dislocated elbow

    • fracture dislocation of the elbow

    • complex elbow dislocation

    • coronoid process fracture

    • olecranon fracture

    • radial head fracture

    • radial neck fracture

    • terrible triad of the elbow

    • ODriscoll classification

    • Reagan-Morrey classification

    • Mayo classification

    • Mason classification

    • Hotchkiss classification

    • extension block splinting

    • internal fixation

    • plate fixation

    • hinged external fixation

    • radial head excision

    • ligamentous repair

    • ligamentous reconstruction

    • Subspecialty:
    • Shoulder and Elbow

Removal of Polymethylmethacrylate Bone Cement During THA

Because of the intricacies of component removal, cement removal, and the ultimate reconstruction, the surgeon must be familiar with the more-extensile exposures that can be added to the standard exposure.

    • Keywords:
    • revision total hip arthroplasty

    • revision total hip replacement

    • PMMA

    • implant removal

    • stem removal

    • femoral component removal

    • cement removal

    • cemented implant

    • Subspecialty:
    • Adult Reconstruction

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