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

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 possib...

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Bibliographic Details
Published inJSES reviews, reports, and techniques Vol. 1; no. 4; pp. 402 - 407
Main Authors London, Daniel A., Faruqui, Safi R., Douglas, Thomas J., Enad, Jerome G., Ruland, Robert T.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.11.2021
Elsevier
Subjects
Elbow replacement
Elbow surgery
Kashiwagi
Surgical anatomy
Technique
Ulnohumeral arthroplasty
Kashiwagi
Technical Note
Ulnohumeral arthroplasty
Elbow replacement
Surgical anatomy
Elbow surgery
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Summary: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.
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ISSN:2666-6391
2666-6391
DOI:10.1016/j.xrrt.2021.07.001