Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty

Gregory Bain; Adam C. Watts; Vikas Singh

doi:10.1007/978-3-662-58931-1_17

Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty

Gregory Bain^*, Adam C. Watts, Vikas Singh

^*Corresponding author for this work

Medical School

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

2 Citations (Scopus)

Abstract

With revision elbow arthroplasty, extraction of intramedullary cement can be demanding, and there is an increased risk of canal perforation and periprosthetic fracture. We have performed humeral canal endoscopy, by introducing an arthroscope into the humeral or ulnar canal as a diagnostic and therapeutic tool in revision elbow arthroplasty. It allows visualization of the endosteal bone, cement, and granulation tissue.

The superior endoscopic visualization enables controlled biopsies and extraction of cement and debris. Importantly in cases of revision for infection, a more thorough debridement was possible, and we have found a humeral osteotomy is now rarely required.

Original language	English
Title of host publication	Surgical Techniques for Trauma and Sports Related Injuries of the Elbow
Publisher	Springer Berlin Heidelberg
Pages	155-160
Number of pages	6
ISBN (Electronic)	9783662589311
ISBN (Print)	9783662589304
DOIs	https://doi.org/10.1007/978-3-662-58931-1_17
Publication status	Published - 18 Oct 2019

Publication series

Name	Surgical Techniques for Trauma and Sports Related Injuries of the Elbow

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10.1007/978-3-662-58931-1_17

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Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty. / Bain, Gregory; Watts, Adam C.; Singh, Vikas.
Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer Berlin Heidelberg, 2019. p. 155-160 (Surgical Techniques for Trauma and Sports Related Injuries of the Elbow).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

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AB - With revision elbow arthroplasty, extraction of intramedullary cement can be demanding, and there is an increased risk of canal perforation and periprosthetic fracture. We have performed humeral canal endoscopy, by introducing an arthroscope into the humeral or ulnar canal as a diagnostic and therapeutic tool in revision elbow arthroplasty. It allows visualization of the endosteal bone, cement, and granulation tissue.The superior endoscopic visualization enables controlled biopsies and extraction of cement and debris. Importantly in cases of revision for infection, a more thorough debridement was possible, and we have found a humeral osteotomy is now rarely required.

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Humeral and ulnar intramedullary endoscopy with total elbow arthroplasty

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