managing the unstable elbow utilizing the internal joint...
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Managing the Unstable Elbow Utilizing the Internal Joint Stabilizer
Current Solutions in Shoulder and Elbow
Surgery
February 11, 2017
Jorge L. Orbay MD
• Skeletal Dynamics
• DePuy - Zimmer
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Multicenter trial of an internal joint stabilizer for the elbow
Jorge L. Orbay, MD a, David Ring, MD, PhDb, Amir R. Kachooei, MD c,d,*, Jose Santiago-Figueroa, MD e, Luis Bolano, MD f, Miguel Pirela-Cruz, MD g, Michael
Hausman, MD h, Rick F. Papandrea, MD
J Shoulder Elbow Surg (2017) 26, 125–132
Axis of ulno-humeral rotation
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Postero-Lateral Approach
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Preparing for the radial head
Radial Head Preparation
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Rotational Axis
Ulnar Plate
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Complete the radial head
Reduction Maneuver
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1st visit Post-Op
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Type III CoronoidType III Radial Head
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Supination
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Pronation
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IMG_1762
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4 months post op
4 months post injuryS/P radial head replacemnent
Coronoid deficientFailed 2 surgeries
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8/14 58 y/o explosion injury
1/15 Non Union Coronoid
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2/15
Fibula head BG
Fibula head BG
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Fibula head BG
Fibula head BG
Fibula head BG
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3/15 Medial elbow subluxation
3/15 IJS
Multicenter trial of an internal joint stabilizer for the elbow
Jorge L. Orbay, MD a, David Ring, MD, PhDb, Amir R. Kachooei, MD c,d,*, Jose Santiago-Figueroa, MD e, Luis Bolano, MD f, Miguel Pirela-Cruz, MD g, Michael
Hausman, MD h, Rick F. Papandrea, MD
J Shoulder Elbow Surg (2017) 26, 125–132
• 24/24
• 1 Failure - coronoid deficient
• No other serious adverse events
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0
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Excellent Good Fair Poor
Broberg Morrey Categorical Ratings
• Effectively addresses both Medial and Lateral instability
• Hastens rehabilitation
• Avoids pin tract problems
Elbow Internal Stabilizer
Thank You!