Background: Intra articular elbow fractures are considered to be one of the\nmost complex injuries in orthopedic trauma. Some are too comminuted for\nopen reduction and internal fixation. Recently total elbow replacement (TER)\nhad gained popularity for the treatment of comminuted elbow trauma when\nother treatment options are not possible. Methods: Since 2007-2013 we treated\n18 patients with TER due to comminuted distal humeral fractures. We used\nthe Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to\nevaluate the patient�s satisfaction. In addition, we evaluated the elbow range of\nmotion and collateral stability. Results and Conclusions: Functional range of\nmotion was achieved with high patient�s satisfaction. Based on the results, we\nconclude that TER is a reasonable option for complex elbow fractures when\nopen reduction and internal fixation is not suitable.
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