Jeffrey D Stone MD

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11/7/2016 1 Jeffrey D Stone MD

Transcript of Jeffrey D Stone MD

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Jeffrey D Stone MD

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Richard et al. JBJS 2008

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ECU

Anconeus

Lateral Column

EDC

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JBJS

Coronoid fracture

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<3 Fragments – “Fixable” >3 fragments – “Not Fixable”

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Contraindications for RH ExcisionIncompetent MCLIOM InjuryElbow Dislocation

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• Deliver Proximal Radius Laterally

• Pronate

• Avoid PIN (Avg 4cm)

Reference Point for Radial Head Implant Position

• Cohn JHS 2014

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Medial Portions of Ulnohumeral Joint should be = Width

‐Downsize Stem if  RC Mal‐tracking‐Upsize Head if Edge Loading 

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ASES Abstracts 2015

Ingrowth vs Smooth  Stems:

Similar Outcomes at 1 yr

Proximal Radial Resorption > Ingrowth

Proximal Radial Thickening, HO > Smooth

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Isometric Point

Krackow sutures in LUCL/ Ext. mass/ Anconeus

JAAOS

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Steinmann S, Sanchez-Sotelo J, Morrey BF

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Flexor‐pronator split

UlnaTrochlea

Autograft Tendon

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FCU

FCU

Coronoid

20 Degrees Variation

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Pfaeffle et al, JHS 2000Birkbeck et al,  JHS 1997

ChidgeyWright JASSH

Distal Oblique Bundle

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Preserve Radial Head/RHA

Early Recognition               Reconstruct IOM for Chronic

Trans‐olecranon Fracture dislocation

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