36 y.o.with Implant Loosening s/p Total Elbow Replacement

By Dr Abhijit Lonari

Hi there. Opinions are invited for one case. 36 yrs right hand dominant patient....total elbow replacement ( cemented Bakshi)has been done 5 yrs ago....now pain ...loosening...infection less likely clinically and with normal esr and crp....treatment options discussed... patient rightly chosen for fusion....
I would like to have inputes regarding....
1) Choice of implant for fusion...long locking custom made plate...or fixator....or just cross K wires?
2) Choice of bone graft... only Iliac....iliac with tibial strut graft...or with fibula ?
3) Does only ulno humeral fusion spare the radio ulnar joint?...what are the chances that his prono supination movements will be preserved??
I would be happy to have any more key point guidance in this case?

Regards,

Dr Abhijit Lonari
Pune.

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