scholarly journals Cue Ball Arthroplasty With Humeroradial Total Elbow Arthroplasty (TEA) Revision: An Approach to Managing Infection and Severe Ulnar Bone Loss in TEA

2020 ◽  
Vol 4 ◽  
pp. 247154922096159
Author(s):  
Daniel E Gerow ◽  
Emily H Tan ◽  
H Brent Bamberger
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Distal Humerus ◽  
Deep Infection ◽  
Salvage Procedure ◽  
Joint Infections ◽  
Surgical Complexity ◽  
Periprosthetic Bone Loss ◽  
Antibiotic Spacer ◽  
Cement Arthroplasty

Total elbow arthroplasties (TEA) have become more prevalent as indications expand. However, TEA complications remain a treatment conundrum. One such complication, periprosthetic joint infections (PJIs) have been reported to occur in up to 12% of all TEA procedures. Irrigation and debridement with retention of hardware and antibiotic suppression has a high failure rate. Two stage revisions of TEA, while more morbid, is an effective approach with previous studies showing a 79% eradication rate. These cases are often associated with periprosthetic bone loss, adding to the surgical complexity. In our case report, we present the case of a 59 year old diabetic male with a primary TEA secondary to a distal humerus fracture who developed a deep infection and was successfully treated with explantation, cue ball antibiotic cement arthroplasty, and humeroradial revision. This case report will discuss the cue ball antibiotic spacer technique and humeroradial revision as a salvage procedure in TEA revisions in the setting of extensive ulnar bone loss.

scholarly journals First Metatarsal Phalangeal Joint Arthrodesis without the Use of Hardware after Failed Arthroplasty: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peter Adamson ◽  
Cory Janney ◽  
Jie Chen ◽  
Vinod Panchbhavi
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Screw Fixation ◽  
Hallux Rigidus ◽  
Allograft Bone ◽  
Salvage Procedure ◽  
High Failure Rate ◽  
Unique Case ◽  
First Metatarsal ◽  
First Ray

Introduction: First metatarsal phalangeal joint (MTPJ) arthroplasty has a high failure rate due to aseptic loosening, which leads to bone loss. The salvage procedure is conversion to an arthrodesis, but bone loss can make obtaining screw fixation difficult. Herein, we report a unique case of revision first-metatarsal arthrodesis without the use of hardware after a failed arthroplasty. Case Report: A 60-year-old women presented to us with first MTPJ pain in the setting of failed arthroplasty. We performed an arthrodesis; however, intraoperatively, hardware fixation could not be obtained due to bone loss. We utilized allograft bone struts to maintain first ray length and to hold the correct hallux position during arthrodesis maturation. Conclusion: Bone loss is a frequently encountered problem in revision surgery to a first MTPJ arthrodesis. An arthrodesis can be obtained without the use of hardware in scenarios where bone loss precludes screw fixation. Keywords: Hallux rigidus, revision, bone loss, arthrodesis

scholarly journals Severe bone disease caused by primary hyperparathyroidism: a case report and review of the literature

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096648
Author(s):  
Yu Wang ◽  
Jie Liu
Keyword(s):  
Case Report ◽  
Primary Hyperparathyroidism ◽  
Bone Disease ◽  
Distal Humerus ◽  
Left Lobe ◽  
Pathological Examination ◽  
Hypoechoic Mass ◽  
Brown Tumors ◽  
Restricted Mobility ◽  
The Right

Bone disease is an important complication of hyperparathyroidism. We herein report a rare case of severe bone disease caused by primary hyperparathyroidism. A 33-year-old man presented with pain and restricted mobility in his right upper limb and right hip due to a fall 3 days previously. X-ray examination showed a fracture of the proximal and distal humerus. Computed tomography examination showed a supracondylar fracture of the right humerus, a fracture of the right femoral neck, a fracture of the right sciatic branch, and multiple brown tumors. Ultrasonography showed a 3.5- × 1.6-cm hypoechoic mass below the left lobe of the thyroid. The patient was diagnosed with primary hyperparathyroidism based on increased serum calcium and parathormone concentrations, pathological fractures, and multiple brown tumors. He therefore underwent bilateral lower parathyroidectomy. Pathological examination revealed a parathyroid adenoma. The patient recovered well after surgery and was followed up for 6 months with no symptoms of hyperparathyroidism. This case report suggests that clinicians should be aware of the possibility of severe bone disease secondary to primary hyperparathyroidism. Active and early diagnosis and surgical treatment are important in such cases.

Bone Strength Influences Periprosthetic Bone Loss after Hip Arthroplasty

2005 ◽  
Vol 440 (&NA;) ◽  
pp. 178-183 ◽  
Author(s):  
Mohammad Arabmotlagh ◽  
Thorsten Hennigs ◽  
Joerg Warzecha ◽  
Markus Rittmeister
Keyword(s):  
Bone Loss ◽  
Bone Strength ◽  
Hip Arthroplasty ◽  
Periprosthetic Bone ◽  
Periprosthetic Bone Loss

scholarly journals Retention of prosthetic articulating spacer after infected hip arthroplasty as a semipermanent implant: A case report

2019 ◽  
Vol 26 (2) ◽  
pp. 105-107
Author(s):  
Michelle Hilda Luk ◽  
Fu Yuen Ng ◽  
Henry Fu ◽  
Ping Keung Chan ◽  
Chun Hoi Yan ◽  
...  
Keyword(s):  
Case Report ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Cement Spacer ◽  
Implant Loosening ◽  
Second Stage ◽  
Joint Infections ◽  
Articulating Spacer

Prosthesis with antibiotic-loaded acrylic cement was designed as a temporary articulating cement spacer in a two-stage procedure before definitive reimplantation for the treatment of periprosthetic joint infections. It is designed to remain in situ for about 6–12 weeks, until evidence of infection is controlled before reimplantation of a definitive total hip replacement. This study presents a case of a patient with prosthetic articulating spacer retention for 6 years, previously performed for an infected unipolar hemiarthroplasty for which he refused second-stage reimplantation. He remains relatively asymptomatic with no evidence of infection, implant loosening, or fracture. The patient is able to walk with a frame with minimal hip pain.

Fracture of the Medial Epicondylar Apophysis of Distal Humerus with Subluxation of the Radial Head: A Case Report

2003 ◽  
Vol 16 (2) ◽  
pp. 304
Author(s):  
Han Yong Lee ◽  
Kee Won Rhyu ◽  
Jin Young Jeong ◽  
Joo Hyoun Song ◽  
Hae Seok Koh ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Distal Humerus
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