Presentation
The patient experienced a fall down the stairs. She presents with a comminuted fracture. There is a history of a prior elbow arthroplasty.
Patient Data
Total elbow replacement.
Extensive osteolysis surrounding the prosthesis, most pronounced at the humeral component.
There is a sub-acute periprosthetic fracture at the lateral cortex of the distal humerus, this was not apparent in the immediate post-operative imaging below.
Pre-surgical intervention
Markedly comminuted fracture of the distal humerus, with dislocation at both the ulnohumeral and radiocapitellar joints.
There is peri-articular edema and soft tissue swelling.
Post-operative imaging of the total elbow replacement confirms the absence of any fractures, dislocations or subluxations.
Case Discussion
Aseptic loosening is a common long-term complication in joint arthroplasty surgery.
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