intraoperative fracture

Arthroplasty

- very good results

- 97% 10 year survival Coonrad-Morrey prosthesis

Other Dx

- OA / post-traumatic arthritis / nonunion

- tend to have worse survival than RA

Haemophilia

- elbow joint commonly involved

- 90% of haemophiliacs

Acute unreconstructable fracture > 60

Increased incidence with press-fit component

- especially if under ream

Don't under-ream >1mm

In osteopenic bone

- line to line reaming

- i.e. ream to outer diameter of cup

This also avoids leaving gaps at floor

- very common if under-ream by 2mm