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Elbow External Fixation 20690

elbow cross sectional anatomy

synonyms:elbow external fixation, elbow ex fix, elbow spanning ex fix

Elbow External Fixation CPT

Elbow Ex Fix Indications

Elbow Ex Fix Technique

  • key is recreation of the axis of rotation
  • axis is within the distal aspect of the humerus
  • attach frame to humerus first.
  • the center of rotation from the medial view is slightly distal and anterior to the medial epicondyle.  From the lateral view the center of rotation is in the center of the capitellum (ICL 82A:733, 2000)
  • most systems have detailed instructions for locating the axis.

Elbow Ex Fix Complications

  • Pin-tract infection
  • Deep infection (osteomyelitis)
  • Loss of reduction
  • Ulnar nerve palsy
  • Posterior interosseous nerve palsy (Tomaino MM, J Hand Surg [Am] 1999;24:554)
  • Fracture
  • Reflex Sympathetic Dystrophy

Elbow Ex Fix Outcomes

  • (Yu JR, JSES 2007;16:60)

Elbow Ex Fix References


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