Fractures, Reconstruction, and Prosthetic ReplacementImmediate Total Elbow Arthroplasty for Distal Humerus FracturesFrankle, Mark M.D.*; Virani, Nazeem M.D.†; Fisher, David M.D.‡; Mighell, Mark M.D.*Author Information From the *Shoulder and Elbow Division, Florida Orthopaedic Institute, Tampa, Florida; and †Musculoskeletal Research Foundation, Tampa, Florida; ‡Orchard Park, New York. Reprinted with permission from M. Frankle, D. Fisher, M. Maghell. “Replacement Arthroplasty for Acute Fractures.” Shoulder and Elbow Arthroplasty. G.R. Williams, Jr., K. Yamaguchi, M.L. Ramsey, L.M. Galatz, eds. Lippincott Williams & Wilkins, 2004. Address correspondence and reprint requests to Mark Frankle, M.D., Shoulder and Elbow Division, Florida Orthopaedic Institute, 13020 N Telecom Parkway, Tampa, FL 33637. E-mail: [email protected] Techniques in Orthopaedics: December 2006 - Volume 21 - Issue 4 - p 363-373 doi: 10.1097/01.bto.0000252140.07199.21 Buy Metrics Abstract Total elbow arthroplasty is an option for a select group of elderly patients with acute distal humerus fractures. The following conditions should be considered when deciding whether to perform open reduction and internal fixation versus a total elbow arthroplasty: patient age and activity level, underlying rheumatoid arthritis, extent of osteoporosis, and degree of fracture comminution. Patient satisfaction is less for a failed open reduction internal fixation that is revised to a total elbow arthroplasty than for a primary arthroplasty for an acute distal humerus fracture. © 2006 Lippincott Williams & Wilkins, Inc.