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The value of total elbow arthroplasty is best demonstrated in patients with rheumatoid arthritis. Dr. Morrey performs an elbow joint replacement in a 51-year old woman with a very severe form of rheumatoid arthritis involving all of her joints. At the elbow, the destruction is so extensive as to closely resemble what is termed mutilans—that is, complete alteration of the arm architecture. This particular patient's presentation is also associated with a severe flexion deformity, which is a major problem for her because she has severe wrist pathology as well. The goals of the surgery include relieving the patient of her pain and to release the elbow and to resolve as much as possible the approximate 45° to 50° flexion contracture. Dr. Morrey demonstrates his surgical approach and shows how to perform ulnar nerve dissection and lateral dissection, establish the humeral and ulnar canals, perform radial head resection, cement the implant components, and perform elbow closure.

The content of this course is in the form of streaming video. Although the course includes a low-bandwidth option for the video, it is HIGHLY RECOMMENDED that you only register for this course if you have access to a Broadband (high-speed) Internet connection.

Course Format

This course includes the following activities, which must be completed in order:

1. Pretest/Educational video content for each of the following sections of the OKO surgical technique topic: Total Elbow Arthroplasty
• Step 1: Surgical Approach and Ulnar Nerve Dissection
• Step 2: Lateral Dissection
• Step 3: Establishing the Humeral Canal
• Step 4: Establishing the Ulnar Canal
• Step 5: Radial Head
• Step 6: Cementing the Implants
• Step 7: Closure
2. Comprehensive Posttest

ACCME Accreditation Statement

The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Academy of Orthopaedic Surgeons designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Posting date: September 24, 2007

Next review date: September 24, 2010

The estimated time to complete this educational activity: 1.5 hours

This course may be completed in multiple sessions.

Registration Information

Cost

AAOS Fellows, Affiliate, Candidate, and Emeritus Members	$23
US/Canadian Orthopaedic Residents	$15
All others	$38

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