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Humeral and Ulnar Intramedullary Endoscopy with Total Elbow Arthroplasty

  • Gregory BainEmail author
  • Adam C. Watts
  • Vikas Singh
Chapter

Abstract

With revision elbow arthroplasty, extraction of intramedullary cement can be demanding, and there is an increased risk of canal perforation and periprosthetic fracture. We have performed humeral canal endoscopy, by introducing an arthroscope into the humeral or ulnar canal as a diagnostic and therapeutic tool in revision elbow arthroplasty. It allows visualization of the endosteal bone, cement, and granulation tissue.

The superior endoscopic visualization enables controlled biopsies and extraction of cement and debris. Importantly in cases of revision for infection, a more thorough debridement was possible, and we have found a humeral osteotomy is now rarely required.

Supplementary material

Video 17.1

Humeral canal endoscopy. This video demonstrates case examples of the technique and highlights its clinical value (M4V 116181 kb)

References

  1. 1.
    Phadnis J, Bain GI. Arthroscopic management of the painful total elbow arthroplasty. Shoulder Elbow. 2016;8(1):41–7.CrossRefGoogle Scholar
  2. 2.
    Reilly P, Rees J, Carr AJ. An aid to removal of cement during revision elbow replacement. Ann R Coll Surg Engl. 2006;88(2):231.CrossRefGoogle Scholar
  3. 3.
    Williams KE, MacLean S, Jupiter J, Bain GI. An articulating antibiotic cement spacer for first-stage reconstruction for infected total elbow arthroplasty. Tech Hand Up Extrem Surg. 2017;21(2):41–7.CrossRefGoogle Scholar
  4. 4.
    Phadnis J, Bain G. Dry arthroscopy of the elbow. Arthrosc Tech. 2015;4(4):e335–9.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  1. 1.Department of Orthopaedic and Trauma SurgeryFlinders University, Flinders Medical CentreAdelaideAustralia
  2. 2.Upper Limb UnitWrightington HospitalWiganUK

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