Endoprothetik des Ellenbogengelenks – Implantation am Beispiel der Latitude-Prothese (Tornier)

Zusammenfassung

Durch den technischen Fortschritt der Ellenbogenendoprothetik hat sich nicht nur deren Indikationsbereich erweitert, sondern auch der Anspruch an Funktionalität des künstlichen Ellenbogengelenks erhöht. Es handelt sich um ein anspruchsvolles Operationsverfahren. In diesem Lehrvideo stellen wir Schritt für Schritt die Implantation der Latitude-Ellenbogenprothese (Tornier) dar und gehen dabei ausführlich auf Besonderheiten der Zugangspräparation und der Prothesenimplantation sowie des anschließenden schichtweisen Wundverschlusses ein.

Abstract

Due to technical progress, the indication for total elbow arthroplasty could be expanded in recent years. As a result, the demand regarding functionality and mobility of the replaced joint has risen as well. Elbow arthroplasty has to be considered as technically demanding. Only with detailed knowledge of this surgical procedure and its possible intraoperative pitfalls can one provide the best possible results. In this instructional video we explain the implantation of the Latitude elbow prosthesis (Tornier) putting emphasis on the correct approach as well as implantation of the prosthesis and subsequent wound closure.

• Literatur

• 1 Morrey BF. Fractures of the distal humerus: role of elbow replacement. Orthop Clin North Am 2000; 31: 145-154
• 2 Morrey BF, Bryan RS, Dobyns JH et al. Total elbow arthroplasty. A five-year experience at the Mayo Clinic. J Bone Joint Surg Am 1981; 63: 1050-1063
• 3 Little CP, Graham AJ, Carr AJ. Total elbow arthroplasty: a systematic review of the literature in the English language until the end of 2003. J Bone Joint Surg Br 2005; 87: 437-444
• 4 Jenkins PJ, Watts AC, Norwood T et al. Total elbow replacement: outcome of 1,146 arthroplasties from the Scottish Arthroplasty Project. Acta Orthop 2013; 84: 119-123
• 5 Fevang BT, Lie SA, Havelin LI et al. Results after 562 total elbow replacements: a report from the Norwegian Arthroplasty Register. J Shoulder Elbow Surg 2009; 18: 449-456
• 6 Voloshin I, Schippert DW, Kakar S et al. Complications of total elbow replacement: a systematic review. J Shoulder Elbow Surg 2011; 20: 158-168
• 7 Ries C, Wegmann K, Hackl M et al. [Secondary total elbow arthroplasty after distal humeral fracture]. Obere Extremität 2014; 9: 156-162
• 8 Gay DM, Lyman S, Do H et al. Indications and reoperation rates for total elbow arthroplasty: an analysis of trends in New York State. J Bone Joint Surg Am 2012; 94: 110-117
• 9 Baghdadi YM, Veillette CJ, Malone AA et al. Total elbow arthroplasty in obese patients. J Bone Joint Surg Am 2014; 96: e70
• 10 Pope D, Scaife SL, Tzeng TH et al. Impact of diabetes on early postoperative outcomes after total elbow arthroplasty. J Shoulder Elbow Surg 2015; 24: 348-352
• 11 Dachs RP, Fleming MA, Chivers DA et al. Total elbow arthroplasty: outcomes after triceps-detaching and triceps-sparing approaches. J Shoulder Elbow Surg 2015; 24: 339-347