The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery

JSES Reviews, Reports, and Techniques

Thomas J. Douglas, MD¹  Safi R. Faruqui, DO²  Robert T. Ruland, MD³  Jerome G. Enad, MD⁴  Daniel A. London, MD, MS⁵ 

[1] Corresponding author: Daniel A. London, MD, MS, 538 Oak Street, Suite 200, Cincinnati, OH 45219, USA.;Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH, USA;Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA;Hand Surgery Specialists, Cincinnati, OH, USA;Mary S. Stern Hand Surgery Fellowship, Cincinnati, OH, USA;

关键词: Ulnohumeral arthroplasty;    Elbow surgery;    Elbow replacement;    Kashiwagi;    Surgical anatomy;   

DOI  :  

来源: DOAJ

【 摘 要 】

One surgical option to manage idiopathic osteoarthritis of the elbow is an ulnohumeral arthroplasty. A potential complication to avoid during this procedure is inadvertent over penetration of the anterior cortex of the humerus. If this occurs, injury to the median nerve and brachial artery is possible as these structures may lie within 7 mm of the anterior humerus. This surgical technique describes technical tips in regards to patient positioning and specific instrument usage that serve to diminish the risk of this catastrophic complication occurring by allowing these critical neurovascular structures to fall away from the anterior humerus.

【 授权许可】

Unknown