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Case Reports   |    
The “Docking” Method for Periprosthetic Humeral Fracture After Total Elbow ArthroplastyA Case Report
Yusuke Kawano, MD1; Masato Okazaki, MD1; Hiroyasu Ikegami, MD, PhD1; Kazuki Sato, MD, PhD1; Toshiyasu Nakamura, MD, PhD1; Yoshiaki Toyama, MD, PhD1
1 Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. E-mail address for H. Ikegami: hiroyasu@sc.itc.keio.ac.jp
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Aug 18;92(10):1988-1991. doi: 10.2106/JBJS.I.01595
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Extract

Treatment of a humeral shaft fracture following total elbow arthroplasty is a challenging problem, especially in the presence of a large bone defect and osteoporosis1-5. Periprosthetic humeral fractures usually require surgical repair. This can involve revision of the humeral component, fixation of the fracture with a plate or cerclage wires, use of a strut allograft, or revision with use of an allograft-prosthesis composite1. We used a customized intramedullary nail and supplemental autologous cancellous bone graft to treat a periprosthetic humeral fracture in a woman with rheumatoid arthritis who had a massive bone defect and poor bone quality. The patient was informed that data concerning the case would be submitted for publication, and she consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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