Mechanical failure of the Coonrad-Morrey linked total elbow arthroplasty: A case report

被引：8
|
作者：
Pham, T. T. [1 ]
Bonnevialle, N. [1 ]
Rongieres, M. [1 ]
Bonnevialle, P. [1 ]
Mansat, P. [1 ]
机构：
[1] CHU Toulouse, Hop Pierre Paul Riquet, Dept Orthopedie & Traumatol, Inst Appareil Locomoteur, F-31059 Toulouse, France
来源：
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH | 2014年 / 100卷 / 07期
关键词：
Elbow; Prosthesis; Polyethylene wear; Hinge; Revision surgery; Axle mechanism; FOLLOW-UP; WEAR; COMPLICATIONS; ARTHRITIS;
D O I：
10.1016/j.otsr.2014.07.013
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Semiconstrained (linked design) total elbow arthroplasty is indicated in a wide variety of cases. Long-term survival is better than with non-linked prostheses. However, mechanical failure of the hinge mechanism is a complication that may occur during follow-up. We report a case of failure of the axle assembly of a Coonrad-Morrey elbow prosthesis 8 years after implantation for nonunion of a supracondylar distal humerus fracture. Initial revision surgery included changing the axle and the polyethylene bushings. Revision surgery was necessary 1 year later when the axle failed again. A custom-designed locking axle had to be used to stabilize the hinge mechanism. After 3 years follow-up, the hinge was intact, there was no loosening of the components and function of the elbow was good. (C) 2014 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：831 / 834
页数：4
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