Elbow Hemiarthroplasty Versus Total Elbow Arthroplasty for Irreparable Distal Humeral Fractures

Distal Humerus Fracture Clinical Trial

Official title:
Elbow Hemiarthroplasty Versus Total Elbow Arthroplasty for Irreparable Distal Humeral Fractures. A Multicenter Randomized Controlled Trial

Status Completed

Clinical Trial Summary

Distal humeral fractures can be difficult to treat, in particular when the joint surface is affected (intra-articular fractures). If rigid internal fixation with plates and screws can be obtained it is considered to be the treatment of choice. In elderly patients, poor bone quality (osteopenia) and fragmentation of the articular surface can make rigid internal fixation non-reliable or even impossible. Total elbow arthroplasty has been shown to be of value in this type of situation. Elbow hemiarthroplasty has been proposed as an alternative to total elbow arthroplasty. The theoretical advantages as opposed to total elbow arthroplasty are: no restriction in the weight allowed to be lifted, complications related to polyethylene wear debris are avoided as there is no polyethylene liner and there is no ulna component that can loosen. Wear of the native ulna and instability are potential complications of elbow hemiarthroplasty. The aim of this multicenter study is to test the hypothesis that elbow hemiarthroplasty gives better elbow function than total elbow arthroplasty for irreparable distal humeral fractures.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03596736
Study type	Interventional
Source	Linkoeping University
Contact
Status	Completed
Phase	N/A
Start date	January 19, 2011
Completion date	December 31, 2021

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See also
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Completed	`NCT03833414` - Does Surgical-approach Affect Outcome After Fixation of Intra-articular Fractures of Distal Humerus?
Completed	`NCT03272490` - Polyaxial Locking Plates in Treating Distal Humeral Fractures	N/A
Recruiting	`NCT04163172` - Elbow Hemiarthroplasty Versus ORIF for Distal Humeral Fractures	N/A