Clinical case of revision elbow arthroplasty using impaction bone grafting technique in the presence of an extensive cavity defect of the humerus

Introduction. The most common complication of total elbow arthroplasty in the mid- to long-term period is aseptic loosening of the prosthetic components. This complication is often accompanied by periprosthetic aseptic loosening due to osteolysis of varying severity. In cases of significant osteolysis, impact bone grafting is performed during revision arthroplasty to fill cavitary defects. In this article, we present a clinical case illustrating this approach. Objective. To describe a clinical case of revision elbow arthroplasty with impact bone grafting for a pronounced cavitary defect of the humerus. Discussion. To date, the global experience of employing impact bone grafting in elbow arthroplasty is represented by a limited number of observational series; however, it should be noted that this technique allows for the reconstruction of large cavitary defects in the humerus and restoration of elbow joint function. Conclusion. The use of bone allografts in conjunction with impact bone grafting techniques is an effective method for revision elbow arthroplasty in the presence of significant bone defects. This approach ensures the stability of the construct and the restoration of the joint's functional capabilities, ultimately enhancing the patient's quality of life.