Humeral and Ulnar Intramedullary Endoscopy with Total Elbow Arthroplasty
With revision elbow arthroplasty, extraction of intramedullary cement can be demanding, and there is an increased risk of canal perforation and periprosthetic fracture. We have performed humeral canal endoscopy, by introducing an arthroscope into the humeral or ulnar canal as a diagnostic and therapeutic tool in revision elbow arthroplasty. It allows visualization of the endosteal bone, cement, and granulation tissue.
The superior endoscopic visualization enables controlled biopsies and extraction of cement and debris. Importantly in cases of revision for infection, a more thorough debridement was possible, and we have found a humeral osteotomy is now rarely required.
Humeral canal endoscopy. This video demonstrates case examples of the technique and highlights its clinical value (M4V 116181 kb)