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

Daniel A. London; Safi R. Faruqui; Thomas J. Douglas; Jerome G. Enad; Robert T. Ruland

doi:10.1016/j.xrrt.2021.07.001

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

Daniel A. London
, Safi R. Faruqui
, Thomas J. Douglas
, Jerome G. Enad
, Robert T. Ruland

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	402-407
Number of pages	6
Journal	JSES Reviews, Reports, and Techniques
Volume	1
Issue number	4
DOIs	https://doi.org/10.1016/j.xrrt.2021.07.001
State	Published - Nov 2021
Externally published	Yes

Keywords

Elbow replacement
Elbow surgery
Kashiwagi
Surgical anatomy
Technical Note
Ulnohumeral arthroplasty

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10.1016/j.xrrt.2021.07.001

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title = "The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery",

abstract = "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.",

keywords = "Elbow replacement, Elbow surgery, Kashiwagi, Surgical anatomy, Technical Note, Ulnohumeral arthroplasty",

author = "London, \{Daniel A.\} and Faruqui, \{Safi R.\} and Douglas, \{Thomas J.\} and Enad, \{Jerome G.\} and Ruland, \{Robert T.\}",

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year = "2021",

month = nov,

doi = "10.1016/j.xrrt.2021.07.001",

language = "English",

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AU - London, Daniel A.

AU - Faruqui, Safi R.

AU - Douglas, Thomas J.

AU - Enad, Jerome G.

AU - Ruland, Robert T.

PY - 2021/11

Y1 - 2021/11

N2 - 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.

AB - 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.

KW - Elbow replacement

KW - Elbow surgery

KW - Kashiwagi

KW - Surgical anatomy

KW - Technical Note

KW - Ulnohumeral arthroplasty

UR - https://www.scopus.com/pages/publications/85147489946

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DO - 10.1016/j.xrrt.2021.07.001

M3 - Article

AN - SCOPUS:85147489946

SN - 2666-6391

VL - 1

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EP - 407

JO - JSES Reviews, Reports, and Techniques

JF - JSES Reviews, Reports, and Techniques

IS - 4

ER -

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

Abstract

Keywords

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