Jeffrey D Stone MD
Transcript of Jeffrey D Stone MD
11/7/2016
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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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