The compass elbow hinge: Indications and initial results

The Compass Elbow Hinge uses Illizarov's methods of fixation to externally hold the elbow reduced and allow both passive and active motion. Eleven pat ients with degenerative disease, contracture or instability were treated wi th the Compass Elbow Hinge and were retrospectively evaluated at an average follow-up of 29 months (range: 18-62 months). One was lost to follow-up. P atients with degenerative changes underwent fascia lata interposition while those treated for contractures underwent anterior and posterior capsular r elease with or without fascia lata interposition. Those with elbow instabil ity underwent ligament reconstruction. The device was removed after 6 weeks and seven of the 11 patients were satisfied with the outcome of the operat ion. Stability could not be achieved in two patients with coronoid fracture s that were not reconstructed. One patient did not tolerate the device and requested its removal with subsequent subluxation. We conclude that patient selection and compliance are key elements in achieving a satisfactory outc ome with the device.