Total Elbow Arthroplasty in the Context of a Nonunion of the Olecranon. Surgical Technique and Report of 3 Cases

  • Gerardo Gallucci Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0002-0612-320X
  • Ignacio Rellán Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0003-4045-339X
  • Jorge Boretto Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0001-7701-3852
  • Agustín Donndorff Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0002-6384-4820
  • Ezequiel Zaidenberg Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0002-1535-0586
  • Pablo De Carli Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina) https://orcid.org/0000-0002-9474-8129
Keywords: Total elbow prosthesis, olecranon nonunion, triceps deficiency, absorber-traction system

Abstract

The integrity of the extensor apparatus is essential for the correct functioning of an elbow prosthesis. Triceps deficiency has been considered a relative contraindication for arthroplasty, because it produces a flexion contracture and an active extension deficit. These limitations can significantly affect the functional improvement that total elbow arthroplasty produces. Faced with an olecranon nonunion, the placement of a total elbow prosthesis is presented as a complex problem to be solved. The objective of this article is to describe the surgical technique for the placement of a total elbow prosthesis in the context of an olecranon nonunion, and to report three cases.

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Author Biographies

Gerardo Gallucci, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Ignacio Rellán, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Jorge Boretto, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Agustín Donndorff, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Ezequiel Zaidenberg, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Pablo De Carli, Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Hand and Upper Limb Surgery Sector, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)

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Published
2021-06-15
How to Cite
Gallucci, G., Rellán, I., Boretto, J., Donndorff, A., Zaidenberg, E., & De Carli, P. (2021). Total Elbow Arthroplasty in the Context of a Nonunion of the Olecranon. Surgical Technique and Report of 3 Cases. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(3), 428-436. https://doi.org/10.15417/issn.1852-7434.2021.86.3.1183
Section
Postgraduate instruction

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