Interpositional elbow arthroplasty using fascia lata autograft in stiff elbow: Case series of 8 patients

Abhimanyu Kumar; Loveneesh G Krishna

doi:10.1016/j.jcot.2021.03.013

Interpositional elbow arthroplasty using fascia lata autograft in stiff elbow: Case series of 8 patients

J Clin Orthop Trauma. 2021 Mar 24:17:201-213. doi: 10.1016/j.jcot.2021.03.013. eCollection 2021 Jun.

Authors

Abhimanyu Kumar¹, Loveneesh G Krishna^{2

3}

Affiliations

¹ Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.
² Central Institute of Orthopedics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
³ Guru Gobind Singh Indraprastha University, New Delhi, India.

Abstract

Introduction: Constrain of a total elbow replacement and elbow arthrodesis are too much for the working population to bear. As such interpositional elbow arthroplasty using fascia lata autologous graft to reconstruct the elbow joint is a viable option in this age group.

Materials and method: 8 patients were operated for arthritic stiff elbow, and joint reconstruction was done using fascia lata autologous graft, with out the use of any hinged external fixator. Pre-operative and post-operative functional assessment was done using Mayo Elbow Performance Score (MEPS) and statistically measured using a paired t-test. Result There was significant improvement in range of motion in coronal (flexion-extension) and axial (supination-protonation) with p-value of <0.001. The mean pre-operative MEPI increased from 40.6 points to 91.9 points (p < 0.0001). All parameters of MEPI had statistically significant improvement with exception of stability (p-value = 0.0824).

Keywords: Bone stock preservation; Elbow arthritis; Elbow arthroplasty; Elbow interpositional arthroplasty; Fascia lata autograft; Stiff elbow.