Journal of Shoulder and Elbow Surgery
Volume 18, Issue 1 , Pages 27-32 , January 2009

Morphologic analysis of the proximal ulna with special interest in elbow implant sizing and alignment

  • James R. Brownhill, PhD

      Affiliations

    • Department of Biomedical Engineering, The University of Western Ontario, Ontario, Canada
    • ,
  • Jeremy B. Mozzon, MD, BESc

      Affiliations

    • Department of Biomedical Engineering, The University of Western Ontario, Ontario, Canada
    • ,
  • Louis M. Ferreira, BSc, BESc

      Affiliations

    • Department of Biomedical Engineering, The University of Western Ontario, Ontario, Canada
    • ,
  • James A. Johnson, PhD

      Affiliations

    • Department of Biomedical Engineering, The University of Western Ontario, Ontario, Canada
    • Department of Surgery, The University of Western Ontario, Ontario, Canada
    • Department of Medical Biophysics, The University of Western Ontario, Ontario, Canada
    • ,
  • Graham J.W. King, MD, MSc, FRCSC

      Affiliations

    • Bioengineering Research Laboratory, The Hand and Upper Limb Center, St. Joseph's Health Care London, London, Canada
    • Department of Surgery, The University of Western Ontario, Ontario, Canada
    • Department of Medical Biophysics, The University of Western Ontario, Ontario, Canada
    • Corresponding Author InformationReprint requests: Graham J. W. King, MD, MSc, FRCSC, The Hand and Upper Limb Center, St. Joseph's Health Care London, 268 Grosvenor Street, London, Ontario, Canada, N6A 4L6.

References 

  1. Akpinar F, Aydinlioglu A, Tosun N, Tuncay I. Morphologic evaluation of the ulna. Acta Orthop Scand. 2003;74:415–419
  2. Bathis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J. Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. J Bone Joint Surg Br. 2004;86:682–687
  3. Brownhill JR, Ferreira LM, Guerra SG, King GJ, Johnson JA. Computer assisted surgical alignment for total elbow arthroplasty. 2006. Montreal, Canada, Computer Assisted Orthopaedic Surgery International Meeting 2006.
  4. Brownhill JR, King GJ, Johnson JA. Morphologic analysis of the distal humerus with special interest in elbow implant sizing and alignment. J Shoulder Elbow Surg. 2007;16(Suppl):S126–S132
  5. Chan KW, Ahmed AM, Johnson JA. Joint replacement materials: Polymethylmethacrylate. In:  Morrey BF editors. Reconstructive Surgery of the Joints. New York: Churchill Livingstone; 1996;p. 29–43
  6. Duggal N, Dunning CE, Johnson JA, King GJ. The flat spot of the proximal ulna: a useful anatomic landmark in total elbow arthroplasty. J Shoulder Elbow Surg. 2004;13:206–207
  7. Figgie HE, Inglis AE, Mow C. A critical analysis of alignment factors affecting functional outcome in total elbow arthroplasty. J Arthroplasty. 1986;1:169–173
  8. Herren DB, Ploeg H, Hertig D, Klabunde R. Modeling and finite element analysis of a new revision implant for the elbow. Clin Orthop Relat Res. 2004;292–297
  9. Kamineni S, Morrey BF. Proximal ulnar reconstruction with strut allograft in revision total elbow arthroplasty. J Bone Joint Surg Am. 2004;86-A:1223–1229
  10. Laffargue P, Pinoit Y, Tabutin J, Giraud F, Puget J, Migaud H. [Computer-assisted positioning of the acetabular cup for total hip arthroplasty based on joint kinematics without prior imaging: preliminary results with computed tomographic assessment]. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:316–325
  11. Morrey BF, Bryan RS. Complications of total elbow arthroplasty. Clin Orthop. 1982;204–212
  12. Murdoch AH, Mathias KJ, Smith FW. Measurement of the bony anatomy of the humerus using magnetic resonance imaging. Proc Inst Mech Eng [H.]. 2002;216:31–35
  13. Nguyen D, MacDermid JC, King GJ, Johnson JA, Drosdowich D, Faber KJ. Improved accuracy & reliability of computer assisted glenoid implantation: A randomized Controlled study. 2006. Montreal, Canada, Computer Assisted Orthopaedic Surgery International Meeting 2006.
  14. Schuind F, O'Driscoll S, Korinek S, An KN, Morrey BF. Loose-hinge total elbow arthroplasty. An experimental study of the effects of implant alignment on three-dimensional elbow kinematics. J Arthroplasty. 1995;10:670–678
  15. Shiba R, Sorbie C, Siu DW, Bryant JT, Cooke TD, Wevers HW. Geometry of the humeroulnar joint. J Orthop Res. 1988;6:897–906

 This study received funding from the The Natural Sciences and Engineering Research Council of Canada - Collaborative Health Research Partnership and Canadian Institutes for Health Research.

PII: S1058-2746(08)00393-5

doi: 10.1016/j.jse.2008.03.008

Journal of Shoulder and Elbow Surgery
Volume 18, Issue 1 , Pages 27-32 , January 2009

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