Ligament Sparing Elbow Hemiarthroplasty: A Novel Technique for the Management of Distal Humeral Fractures

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Ligament Sparing Elbow Hemiarthroplasty: A Novel Technique for the Management of Distal Humeral Fractures

By Joseph Saleh FEATURING Joseph Saleh, Patrick Tohme, Neil J White White

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May 18, 2024

Intra-articular distal humerus fractures present various challenges with a wide array of treatment options. Open ...
read more ↘ reduction internal fixation (ORIF) remains the treatment of choice. In older patient populations with poor bone quality and short-end segment fractures with articular comminution, ORIF, however, may bring on unsurmountable technical challenges. Total elbow arthroplasty (TEA) and elbow hemiarthroplasty (EHA) may offer superior functional outcomes in these cases.
During EHA for fractures, the medial and lateral columns are reconstructed with the collateral ligaments to restore elbow stability. We hypothesize that in coronal sheer fracture patterns where the columns are intact, maintaining the native collateral ligaments and columns will provide both an anatomic and stable elbow joint. We introduce the ligament-sparing elbow hemiarthroplasty (LSEHA) technique for unreconstructible coronal sheer fractures.
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