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
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Illinois - Hinsdale Orthopaedics
    Connecticut - Yale University School of Medicine
    Oregon - The Center - Orthopedic and Neurosurgical Care and Research