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Interposition Arthroplasty of the Elbow Utilizing a Lateral Epicondyle Osteotomy

Walker, Justin W., MD*; Merrell, Gregory A., MD*; Reiter, Brock D., MD; Hastings, Hill II, MD*

Techniques in Hand & Upper Extremity Surgery: June 2019 - Volume 23 - Issue 2 - p 54–58
doi: 10.1097/BTH.0000000000000235

Management of severe elbow arthritis in young or active patients presents a challenging problem. Interposition arthroplasty is a useful salvage procedure for these patients but has a significant failure rate associated with postoperative instability. Previous studies have sought to preserve the integrity of the medial elbow ligament complex to decrease postoperative instability and the need for external fixation. Our lateral epicondylar osteotomy technique preserves the native lateral elbow ligament complex. Potential advantages include bone-to-bone healing of the osteotomy, decreased postoperative instability, and the decreased need for and associated costs and potential complications of supplemental external fixation.

*Indiana Hand to Shoulder Center

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Gregory A. Merrell, MD, Indiana Hand to Shoulder Center, 8501 Harcourt Rd., Indianapolis, IN 46260. E-mail:

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