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June 20, 2026Frontiers in SurgeryOpen Access

Total elbow arthroplasty for distal humeral fractures in the elderly population: good functional outcomes and a high implant survival rate can be expected after surgery

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Authors

GSGiovanna SpinaNIHR Oxford Musculoskeletal Biomedical Research CentreTPTeresa PugliesePolo d’Innovazione di GenomicaALAntonino LaganàPolo d’Innovazione di Genomica

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Overview

Retrospective study evaluates outcomes of total elbow arthroplasty in elderly with distal humeral fractures, suggesting effective treatment options.

Key Points

  • This study aims to evaluate long-term outcomes and implant survival of elderly patients with distal humeral fractures treated with total elbow arthroplasty.
  • Retrospective analysis of patients undergoing total elbow arthroplasty from January 2017 to December 2024.
  • Assessment of clinical and radiographic outcomes, complications, and implant survival.
  • Fifty-seven patients, mean age 80.4 years, were followed for an average of 107 months.
  • Good range of motion achieved: flexion 130° ± 8.16°, extension 19.8° ± 11.4°.
  • Functional outcomes reported: VAS 3.3 ± 1.3, MEPS 83.5 ± 7.3, DASH 54 ± 4.4, ASES 78 ± 12.9.
  • Five-year implant survival rate was 94.2% with a revision rate of 11%.

Cite This Study

Spina et al. (2026) studied this question.

synapsesocial.com/papers/6a362d32db0793dc1a535ae3https://doi.org/10.3389/fsurg.2026.1855944
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Open Reduction and Internal Fixation Versus Total Elbow Arthroplasty for Intra-articular Distal Humerus Fractures in Patients 65 Years or Older: A Meta-analysis2026
  2. 2Hemiarthroplasty or total elbow arthroplasty for unreconstructible distal humeral fractures in the elderly (hot elbow): A feasibility study2024
  3. 3Distal Humerus Hemiarthroplasty for Complex Intra-Articular Fractures in Elderly or Non-Fixable Patients: A Meta-Analysis of Clinical and Functional Outcomes2026
  4. 4Total elbow arthroplasty for a neglected malunited distal humerus fracture using a diamond pop-up approach – a case report2026
  5. 5Neglected Bicondylar Fracture of the Distal Humerus Treated With Total Elbow Arthroplasty2024