Periprosthetic Humeral Shaft Fracture about Total Elbow Arthroplasties Managed with Medial and Lateral Femoral Strut Allografts and Implant Retention: A Case Report
Recommended Citation
Ketelaar E, McDonald M, and Dietz J. Periprosthetic Humeral Shaft Fracture about Total Elbow Arthroplasties Managed with Medial and Lateral Femoral Strut Allografts and Implant Retention: A Case Report. J Orthop Case Rep 2025;15(9):240-244.
Document Type
Article
Publication Date
9-1-2025
Publication Title
J Orthop Case Rep
Abstract
INTRODUCTION: Expanding indications for total elbow arthroplasty in recent years have led to increased occurrence of complications, such as periprosthetic elbow fracture, which can occur in up to 12% of cases. Several management options for periprosthetic elbow fracture have been suggested in literature; however, there is currently no accepted guideline for treatment.
CASE REPORT: We present two cases of periprosthetic humerus fractures without implant loosening multiple years after the index procedures. They were treated with open reduction internal fixation (ORIF) utilizing a plate with medial and lateral cortical strut femoral allografting with implant retention.
CONCLUSION: Two cases of periprosthetic humerus fractures about total elbow arthroplasties were successfully treated with ORIF with medial and lateral cortical strut augmentation. Treatment for periprosthetic elbow fractures should be tailored to each patient based on factors, such as stability of implant, bone stock, and patient goals.
PubMed ID
40936861
Volume
15
Issue
9
First Page
240
Last Page
244
