Advertisement

The Elbow pp 68-79 | Cite as

Distraction Arthroplasty of the Elbow

  • S. W. O’Driscoll
  • B. F. Morrey
Conference paper

Abstract

Distraction arthroplasty of the elbow was initially described by Volkov and Oganesian in 1975 [1], Their technique was based on some of Ilizarov’s principles of fine-wire external fixation recently popularized in Europe and North America. Deland et al. [2] reported their experience with a hinged external fixation device for the elbow in 1983. Morrey designed a relatively simple hinged external fixation device for distraction arthroplasty of the elbow and has used it since 1986 [3–6]. The kinematics of the normal elbow, which behaves as almost a pure hinge joint in flexion/extension, makes the use of a hinged distractor possible [2,7–10]. The loci of instant centers of rotation of the elbow for flexion and extension fall within a circle less than 4 mm in diameter. This allows a simple hinged device to be applied to the elbow and the axis of rotation to be simulated by a pin.

Keywords

Ulnar Nerve Lateral Collateral Ligament Medial Epicondyle Distal Humerus Continuous Passive Motion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Volkov MV, Oganesian OV (1975) Restoration of function in the knee and elbow with a hinge distractor. J Bone Joint Surg 57A:591–600Google Scholar
  2. 2.
    Deland JT, Walker PS, Sledge CB, Farberov A (1983) Treatment of posttraumatic elbows with a new hinge-distractor. Orthopaedics 6:732–737Google Scholar
  3. 3.
    Morrey BF (1994) Distraction arthroplasty. In: Morrey BF (ed) Master techniques in orthopedic surgery: the elbow. Raven, New York, pp 307–327Google Scholar
  4. 4.
    Morrey BF (1993) Distraction arthroplasty. Clin Orthop. 293:46–54PubMedGoogle Scholar
  5. 5.
    Morrey BF (1992) Post-traumatic stiffness: distraction arthroplasty. Orthopaedics 15:863–869Google Scholar
  6. 6.
    Morrey BF (1990) Post-traumatic contracture of the elbow. Operative treatment, including distraction arthroplasty. J Bone Joint Surg 72-A:601–618Google Scholar
  7. 7.
    Morrey BF, Chao EY (1976) Passive motion of the elbow joint. A biomechanical analysis. J Bone Joint Surg 58-A:501–508Google Scholar
  8. 8.
    Morrey BF, Askew LJ, An K, Chao EY (1981) A biomechanical study of normal elbow motion. J Bone Joint Surg 63-A-.872–877Google Scholar
  9. 9.
    Morrey BF, An K (1983) Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11:315–319PubMedCrossRefGoogle Scholar
  10. 10.
    Morrey BF, An K (1985) Functional anatomy of the ligaments of the elbow. Clin Orthop 201:84–90PubMedGoogle Scholar
  11. 11.
    Morrey BF (1990) Treatment of the post-traumatic stiff elbow including distraction arthoplasty. J Bone Joint Surg 72A:601–619Google Scholar
  12. 12.
    Salter RB, Hamilton HW, Wedge JH, Tile M, Torode IP, O’Driscoll SW, Murnaghan JJ, Saringer JH (1984) Clinical application of basic research on continuous passive motion for disorders and injuries of synovial joints: a preliminary report of a feasibility study. J Orthop Res 1:325–342PubMedCrossRefGoogle Scholar
  13. 13.
    London JT (1981) Kinematics of the elbow. J Bone Joint Surg 63-A:529–535Google Scholar
  14. 14.
    Gaumann DM, Lennon RL, Wedel DJ (1988) Continuous axillary block for postoperative pain management. Reg Anaesth 13:77–81Google Scholar
  15. 15.
    O’Driscoll SW (1993) Surgery of elbow arthritis. In: McCarty DJ, Koopman WJ (eds) Arthritis and allied condition. Lea and Febinger, Philadelphia, pp 951–962Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • S. W. O’Driscoll
  • B. F. Morrey

There are no affiliations available

Personalised recommendations