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13 Cards in this Set
- Front
- Back
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What is the procedure of choice for primaiy osteoarthritis?
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Outerbridge Kashiwagi (ulnohumeral arthroplasty)
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What is the procedure of choice for rheumatoid arthritis and posttraumatic arthritis in a young patient? What about arthrodesis?
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lnterposition arthroplasty
Arthrodesis is not generally a good option |
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What is the procedure of choice for the elderly rheumatoid or posttraumatic patient?
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Total elbow arthroplasty
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What is another common indication for total elbow arthroplasty? Why?
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Elderly patients with comminuted elbow fractures
ORIF is not a great option because of osteopenia, limited distal fixation |
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What two steps does the Outerbridge-Kashiwagi procedure consist of?
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Excise olecranon tip
Drill out olecranon fossa |
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What are the two classic indications?
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Degenerative arthritis
Pain on terminal extension and flexion |
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Of these, which is most important?
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Degenerative arthritis
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lf ROM is severely limited, what procedure should be performed concurrently?
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Ulnar nerve decompression
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Successful use of an unlinked elbow prosthesis requires what clinical situation?
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Bone and ligaments are in good condition
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What is the principal complication of unlinked prostheses?
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Instability
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What complication is associated with a lateral approach?
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Increased risk of ulnar nerve dysfunction
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What is the principal complication of a linked total elbow?
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Mechanical failure
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What are the overall outcomes of linked versus unlinked total elbow arthroplasties?
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Equivalent
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