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Treatment of complete ankylosed elbow with total arthroplasty
  1. Riccardo D’Ambrosi,
  2. Federica Formiconi,
  3. Nicola Ursino and
  4. Maurizio Rubino
  1. IRCCS Istituto Ortopedico Galeazzi, Milano, Italia
  1. Correspondence to Dr Riccardo D’Ambrosi, riccardo.dambrosi{at}


We reported the case of a 38-year-old patient who in 2017 presented to our institution after post-traumatic complete ankylosis of the elbow. He complained of stiffness and pain, and the radiographs revealed complete fusion of the humeroulnar joint. The Mayo Elbow Performance Score (MEPS) on admission was 31, and the elbow was fused at 90° flexed position. The patient underwent semiconstrained total elbow arthroplasty with Bryan-Morrey approach; after a 2.1 years follow-up, active arc of movement was 120°. The MEPS was excellent with a 100 points score, the patient was able to complete all activities of daily living. We did not report any complications. Total elbow arthroplasty has shown to be a good therapeutic option that make it possible to restore adequate functional range of motion and relieve pain in young patients with post-traumatic stiffness/arthritis of the elbow.

  • orthopaedic and trauma surgery
  • plastic and reconstructive surgery
  • physiotherapy (sports medicine)
  • osteoarthritis
  • hip implants

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  • Contributors RD is the first author. RD and FF: conception, design, drafting the article, revising it critically for important intellectual content and final approval of the version published. MR was involved in the patient care and helped in reviewing the case. NU had reviewed the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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