of the Elbow

Abstract

ARTHRODESIS OF THE ELBOW: INDICATIONS Elbow arthrodesis (EA) is the most disabling arthrodesis that can be performed in the upper extremity. Once the elbow is in a fixed position, the remaining joints in the extremity are unable to compensate for the loss of motion. EA should only be performed when other motion-preserving interventions are not possible. Total elbow arthroplasty is reserved for functionally older patients without significant weight-bearing demands. Proposed indications for EA include chronic infection, acute traumatic nonreconstructible elbow injuries in the functionally young, posttraumatic arthritis or instabilityinthefunctionallyyoung,andfailedtotalelbow arthroplasty. The goal of EA should be to relieve pain and to retain function that would be lost with amputation. When planning for EA, the surgeon must have an understanding of how to approach elbow arthrodesis in the setting of acute and late reconstructive elbow trauma and to be able to anticipate and manage potential complications. Realistic patient expectations are paramount.