RT Journal
A1 Kawano, Yusuke
A1 Okazaki, Masato
A1 Ikegami, Hiroyasu
A1 Sato, Kazuki
A1 Nakamura, Toshiyasu
A1 Toyama, Yoshiaki
T1 The “Docking” Method for Periprosthetic Humeral Fracture After Total Elbow ArthroplastyA Case Report
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2010
FD August 18
VO 92
IS 10
SP 1988
OP 1991
DO 10.2106/JBJS.I.01595
UL http://dx.doi.org/10.2106/JBJS.I.01595
AB 

			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.