{"id":1941,"date":"2023-08-08T12:31:02","date_gmt":"2023-08-08T11:31:02","guid":{"rendered":"https:\/\/www.ortho-hart.at\/?p=1941"},"modified":"2024-01-04T14:39:30","modified_gmt":"2024-01-04T13:39:30","slug":"intra-articular-reconstructions-of-the-elbow-joint","status":"publish","type":"post","link":"https:\/\/www.ortho-hart.at\/en\/intra-articular-reconstructions-of-the-elbow-joint\/","title":{"rendered":"Intra-articular reconstructions of the elbow joint"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1941\" class=\"elementor elementor-1941 elementor-1940\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f6d7c40 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f6d7c40\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6eb6608\" data-id=\"6eb6608\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8706bc3 elementor-widget elementor-widget-heading\" data-id=\"8706bc3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Intra-articular reconstructions of the elbow joint<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79b3932 elementor-widget-divider--view-line elementor-widget elementor-widget-global elementor-global-1214 elementor-global-172 elementor-widget-divider\" data-id=\"79b3932\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f1a6ea elementor-widget elementor-widget-text-editor\" data-id=\"0f1a6ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The contact forces on the articular surfaces of the elbow joint correspond to <b>two to three times<\/b> the body weight during normal everyday activity and <b>seven times <\/b>the body weight during high dynamic loading. The inner part of the elbow joint is a hinge joint in which even a small unevenness of the joint surface can lead to <b>wear <\/b>and tear and subsequent <a href=\"https:\/\/www.ortho-hart.at\/en\/elbow\/elbow-osteoarthritis\/\"><br \/>\n  <b>arthrosis <\/b><br \/>\n<\/a>and thus to <b>pain <\/b>. The outer part of the elbow joint is a wheel joint in shape. Again, the unevenness of the joint surfaces is essential and causes a restriction of movement. Changes, or steps on the articular surfaces of the elbow joint are therefore perceived negatively by the patient.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2bd78b9 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"2bd78b9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInRight&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cabca85\" data-id=\"cabca85\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e424d60 elementor-widget elementor-widget-image\" data-id=\"e424d60\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-1024x683.jpg\" class=\"attachment-large size-large wp-image-1518\" alt=\"\" srcset=\"https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-1024x683.jpg 1024w, https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-300x200.jpg 300w, https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-768x512.jpg 768w, https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-1536x1024.jpg 1536w, https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-2048x1366.jpg 2048w, https:\/\/www.ortho-hart.at\/wp-content\/uploads\/2023\/07\/man-with-elbow-pain-pain-relief-concept-2023-02-11-02-13-49-utc-930x620.jpg 930w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f2c149a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f2c149a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c6cd1e\" data-id=\"3c6cd1e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5cc2e6f elementor-widget elementor-widget-heading\" data-id=\"5cc2e6f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the causes of unevenness of the articular surfaces of the elbow?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-54a175a elementor-widget elementor-widget-text-editor\" data-id=\"54a175a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The cause of unevenness of the articular surfaces of the elbow joint is usually poorly healed <a href=\"https:\/\/www.ortho-hart.at\/en\/complicated-fractures-below-the-elbow-joint\/\">fractures<\/a>, where the fracture has spread to the joint. Basically, three types of problems occur in these cases. <b>First, <\/b>after a fracture, there may be an <b>unevenness <\/b>(step) on the joint surface, which subsequently leads to wear of the joint associated with pain. To prevent <a href=\"https:\/\/www.ortho-hart.at\/en\/elbow\/elbow-osteoarthritis\/\">wear and tear of the elbow<\/a>, the original fracture line must be <span style=\"background-color: var(--nv-site-bg); color: var( --e-global-color-text ); letter-spacing: var(--bodyletterspacing); text-transform: var(--bodytexttransform);\">restored<\/span> by so-called osteotomy<span style=\"background-color: var(--nv-site-bg); color: var( --e-global-color-text ); letter-spacing: var(--bodyletterspacing); text-transform: var(--bodytexttransform);\">, the corresponding fragment must be set up correctly and fixed in the restored position<\/span>.<\/p>\n<p><b>Secondly <\/b>, the unevenness of the joint surface resulting from a fracture may be so pronounced that it prevents movement in the elbow joint, which patients find very uncomfortable. The solution in these cases is similar, i.e. restoration of original fracture line, establishment of the corresponding fragment and its immobilization is restored.<\/p>\n<p><b>Third, <\/b> <b>smaller fragments of the articular surface<\/b> may die along with the cartilage after a fracture and a defect may develop. The solution can only be a transplantation of part of the joint surface (large chip of bone and cartilage) from a donor. Based on imaging (CT), the approximate size of the bone defect should be determined and the appropriate bone graft with cartilage should be ordered accordingly. A transplant of the required size may not be immediately available and the patient must then wait for a <strong>suitable<\/strong> <strong>donor<\/strong>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a736c5b elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"a736c5b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInLeft&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-90e7cc3\" data-id=\"90e7cc3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e76a8fa elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"e76a8fa\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" id=\"Vrstva_1\" viewBox=\"0 0 241.63 226.08\"><defs><style>.cls-1{fill:#1d1d1b;}<\/style><\/defs><path class=\"cls-1\" d=\"M132.81,44.85V174.49h-20.76v-53.59h-44.21v53.59h-20.76V44.85h20.76v50.95h44.21V44.85h20.76Z\"><\/path><path class=\"cls-1\" d=\"M149.09,63.78s-2.19-.31-4.66-1.27-6.02-.62-6.23-2.83,2.4-6.19,2.54-7.36,.02-4.8,1.03-6.68c1.01-1.88,3.96,.14,6.3,.44,2.34,.3,5.13,.7,5.86,1.3s-1.38,3.48-2.47,6.12,1.15,10.46-2.37,10.28Z\"><\/path><path class=\"cls-1\" d=\"M160.53,68.46s-3.62-3.02-5.07-3.6-2.35-2.12-.06-3.58,6.78-7.82,7.27-9.22,2.01-3.07,3.86-1.4c1.85,1.67,4.59,4.19,5.89,4.72,1.31,.53,4.22,3.2,1.01,4.75-3.21,1.55-4.34,5.24-5.82,7.12-1.48,1.88-3.14,3.73-4.77,3.01-1.63-.73-2.31-1.79-2.31-1.79Z\"><\/path><path class=\"cls-1\" d=\"M170.99,78.38s-1.34-2.31-3.57-4.6c-2.24-2.29,1.18-3.53,2.35-3.91s6.68-4.03,7.88-5.27,3.21-2.69,4.77-.69,4.25,5.25,5.13,6.96c.88,1.71,3,3.94-1.04,5.27-4.05,1.32-8.64,4.74-9.66,5.73s-3.07,1.5-5.86-3.5Z\"><\/path><path class=\"cls-1\" d=\"M175.81,93.19s-.21-5.35-.52-7.02c-.31-1.68,2.73-1.36,5.03-1.47s8.49-3.88,10.06-4.09,2.2,2.1,2.52,4.51,1.26,7.44,1.57,9.12-.09,2.43-3.92,2.42c-3.83,0-9.54,1.56-11.72,1.88s-2.7-.07-3.02-5.35Z\"><\/path><path class=\"cls-1\" d=\"M173.35,109.95s1.15-3.04,1.57-4.93c.42-1.89,.8-2.52,2.81-1.78,2.01,.73,9.77,1.89,11.34,1.89s3.46-.19,3.67,1.32c.21,1.51-1.99,5.18-2.2,7.8-.21,2.62,.26,8-4.17,6.52-4.43-1.49-10.56-5.05-12.21-5.47s-2.81-2.2-.82-5.35Z\"><\/path><path class=\"cls-1\" d=\"M162.08,119.61s-3.78,3.56-6.61,5.66c-2.83,2.1-4.46,2.41-4.91,3.98s2.18,1.99,5.22,2.31,6.5,1.47,7.65,2.94,3.14,3.88,4.93,4.61c1.78,.73,2.62,1.47,4.19,3.77,1.57,2.31,2.73,6.92,4.72,8.81s3.14,5.66,4.19,7.76c1.05,2.1,1.57,3.77,1.68,6.81s0,7.55-1.15,9.22-4.51,4.19-3.56,5.56,8.18-5.14,9.85-6.92c1.68-1.78,1.57-5.45,2.52-7.02s2.83-5.87,2.31-9.02-.63-8.07-.42-10.06,.73-4.19-.63-5.14c-1.36-.94-.73-4.09-.73-5.77,0-1.68-2.41-2.62-2.62-4.19s-1.15-2.73-2.73-3.25c-1.57-.52-1.99-3.04-.73-3.88,1.26-.84,.1-2.1-3.25-2.52-3.35-.42-9.22-2.41-10.9-3.14s-4.4,.21-5.66-.52-1.91-1.32-3.35,0Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a6e945 elementor-widget elementor-widget-heading\" data-id=\"5a6e945\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/www.ortho-hart.at\/en\/elbow\/\">Are you looking for an elbow specialist?<\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6505fdb elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6505fdb\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.ortho-hart.at\/en\/contact\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact me!<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c37120f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c37120f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f29b2ce\" data-id=\"f29b2ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8999737 elementor-widget elementor-widget-heading\" data-id=\"8999737\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">We are experts in this field!<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22570cb elementor-widget-divider--view-line elementor-widget elementor-widget-global elementor-global-1214 elementor-global-172 elementor-widget-divider\" data-id=\"22570cb\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dab89e elementor-widget elementor-widget-text-editor\" data-id=\"5dab89e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We use a specific score to evaluate our results in complex cases. The score for pain is significant as well as a score for daily function. We have not observed any significant complications after these difficult procedures.<\/p>\n<p>We can say that a significant unevenness of the joint surface is a major problem for the <a href=\"https:\/\/www.ortho-hart.at\/en\/elbow\/\">elbow joint<\/a>. Just as with other large joints, it is necessary to actively manage pathology. Recoveries are more of a rarity in these cases. However, the results after grafting and intra-articular osteotomies are good.<\/p>\n<p>These are very delicate procedures, reserved only for the <a href=\"https:\/\/www.ortho-hart.at\/en\/resume\/\">most experienced orthopedic surgeons<\/a> who specialize in <strong>elbow surgery <\/strong>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Unevenness of the joint surfaces of the elbow joint is usually caused by poorly healed fractures in which the fracture has spread into the joint. There are basically three types of problems in these cases.<\/p>\n","protected":false},"author":2,"featured_media":1518,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[24],"tags":[],"class_list":["post-1941","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-treatments"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Intra-articular reconstructions of the elbow joint - Ellenbogenspezialist Wien - Dr. Radek Hart<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ortho-hart.at\/en\/intra-articular-reconstructions-of-the-elbow-joint\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Intra-articular reconstructions of the elbow joint - Ellenbogenspezialist Wien - Dr. Radek Hart\" \/>\n<meta property=\"og:description\" content=\"Unevenness of the joint surfaces of the elbow joint is usually caused by poorly healed fractures in which the fracture has spread into the joint. 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