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Introduction: The treatment of post-traumatic elbow arthritis poses a significant challenge for orthopedic surgeons, especially in young active patients. Total elbow arthroplasty is often the recommended treatment option in older patients; however, interpositional arthroplasty remains a viable option in high-demand patients.
Case Report: We report a case of a 50-year-old male who presented after the development of post-traumatic arthritis of the elbow after multiple prior surgeries. He was treated with an interpositional arthroplasty using an Achilles tendon graft and allowed immediate range of motion as tolerated in a hinged elbow brace without the use of any form of distraction external fixation. At his final follow-up, he has significantly improved pain, range of motion, and patient-reported Visual Analog Scale , American shoulder and elbow surgeons, mayo elbow performance score, and disabilities of the arm, shoulder and hand scores.
Conclusion: This case report demonstrated that interpositional arthroplasty is a viable option for managing post-traumatic elbow osteoarthritis in young patients and with good ligamentous stability, immediate protected range of motion, as tolerated, can lead to excellent outcomes.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328927 | PMC |
http://dx.doi.org/10.13107/jocr.2025.v15.i08.5938 | DOI Listing |
Hand (N Y)
August 2025
Helsinki University Central Hospital, University of Helsinki, Finland.
Background: Traditional surgical management of trapeziometacarpal (TMC) joint destruction in rheumatoid arthritis involves trapezial resection with tendon interposition. The poly-l-d-lactide RegJoint (Scaffdex, Tampere, Finland) implant offers an alternative with promising short-term results in rheumatoid patients.
Methods: This study reports long-term outcomes from a randomized controlled trial comparing partial trapeziectomy with the RegJoint versus tendon interposition TMC arthroplasties in patients with inflammatory arthritis, including seropositive and juvenile rheumatoid arthritis, as well as a few cases of other inflammatory arthritis.
J Hand Surg Glob Online
September 2025
Chirurgie Plastique et Réparatrice des Membres - Chirurgie de la Main, Centre Hospitalier Universitaire de Grenoble, La Tronche, France.
Purpose: Metacarpophalangeal (MCP) joint osteoarthritis is a major cause of pain and functional limitation. When conservative treatment fails, arthroplasty is a surgical option, with silicone implants historically being the most widely used. The HAPY spherical metacarpal pyrocarbon implant is a new prosthetic solution.
View Article and Find Full Text PDFCureus
July 2025
Orthopaedics and Traumatology, South Warwickshire University NHS Foundation Trust, Warwickshire, GBR.
Background/purpose This study aimed to assess the long-term outcomes of patients treated with RegJoint™ interpositional arthroplasty for thumb carpometacarpal joint (CMCJ) arthritis as a replacement to traditional practices after a follow-up period of two to five years (mean of 42 months). Methods A retrospective cohort study was conducted, which included 35 consecutive patients who underwent the RegJoint™ interpositional arthroplasty between 2017 and 2022 at the Department of Orthopaedics, South Warwickshire University NHS Foundation Trust, Warwickshire, Great Britain. Twenty-five patients were included in this study who met the inclusion and exclusion criteria and who agreed to participate in the study.
View Article and Find Full Text PDFShoulder Elbow
August 2025
Department of Orthopaedic Surgery, Wrightington Hospital, Wigan, Lancashire, UK.
Background: Proximal radio-ulnar stump impingement (PRUSI) describes a painful condition occurring following radial head loss. Pain occurs due to the proximal radial stump impinging against the ulna. This study aimed to evaluate the safety of a novel interposition arthroplasty method.
View Article and Find Full Text PDFJ Orthop Case Rep
August 2025
OhioHealth Grant Medical Center, Bone and Joint Center, Columbus, Ohio, United States.
Introduction: The treatment of post-traumatic elbow arthritis poses a significant challenge for orthopedic surgeons, especially in young active patients. Total elbow arthroplasty is often the recommended treatment option in older patients; however, interpositional arthroplasty remains a viable option in high-demand patients.
Case Report: We report a case of a 50-year-old male who presented after the development of post-traumatic arthritis of the elbow after multiple prior surgeries.