Complications and revision rate compared by type of total elbow arthroplasty

Park, Sang-Eun; Kim, Jung Youn; Cho, Sung-Wook; Rhee, Seung Koo; Kwon, Soon-Yong

doi:10.1016/j.jse.2013.03.003

Cited by 68 publications

(32 citation statements)

References 32 publications

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“…We could not decide on the conversion to arthroplasty for her fused elbow because the patient was in her twenties and she needed to undergo at least more than two revision surgeries during her life. Although hemiarthroplasty provided reliable results in the complex intraarticular fracture in distal humerus, we hesitated to do a hemiarthroplasty in presented case due to same concerns of longevity 7 . Distraction interposition arthroplasty also was considered.…”

Section: Discussionmentioning

confidence: 88%

Reconstruction of an Ulnohumeral Joint in a Young Patient with Iatrogenic Joint Fusion: A Case Report

Lee

et al. 2017

Arch Hand Microsurg

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Section: Discussionmentioning

confidence: 88%

Reconstruction of an Ulnohumeral Joint in a Young Patient with Iatrogenic Joint Fusion: A Case Report

Lee

et al. 2017

Arch Hand Microsurg

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“…They compared complications and revision rates according to the type of implant and found that the complications and revision rates were significantly higher in the unlinked group (62.9%, 34.3%) than in the linked group (30.6%, 22.4%). 24 Levy et al 7 evaluated the survival of unlinked and linked designs in primary and revision surgeries. The initial survival rate was lower for unlinked prostheses (56% at 367 months) than for the linked prosthesis (84% at 371 months).…”

Section: Outcomes For Unlinked Teasmentioning

confidence: 99%

The History and Future of Unlinked Total Elbow Arthroplasty

et al. 2017

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Unlinked total elbow arthroplasty (TEA), which has no mechanical connection between the humeral and ulnar components, has theoretical advantages based on its near-normal elbow kinematics and the preservation of bone stock. Unlinked TEA is appropriate only for patients who have limited bone loss or limited deformity and good ligamentous function. This is because postoperative instability has been a major complication of unlinked prostheses. The concept and goal of unlinked TEA is to share the loading stress on the bone implant interface with the surrounding tissues. Although the loosening rate of unlinked prostheses theoretically should be lower than that of linked prostheses (which have a mechanical connection between the humeral and ulnar components), there is no clear evidence that unlinked TEAs are superior to linked TEAs in this respect. However, we believe that primary TEA should be performed using an unlinked TEA, especially for younger patients, because revision surgery for unlinked TEA results in longer prosthesis survival than revision surgery for linked TEA. Improvement of the design of unlinked prostheses and the introduction of less invasive surgical techniques are required to reduce postoperative instability.

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“…Periprosthetic osteolysis occurs overall in < 10% of replacements. 12,13 However, the incidence of clinically relevant loosening varies between patient populations, occurring in 2.8% of rheumatoid patients versus 6.5% of posttraumatic osteoarthritis patients. 14 The difference is attributed to compliance with the stringent postsurgical lifestyle that permanently limits weightlifting and arm use.…”

Section: Total Elbow Replacementmentioning

confidence: 99%

Imaging of Elbow Replacement Arthroplasty

Roth

Chew

2015

Semin Musculoskelet Radiol

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Elbow replacement arthroplasty has become a standard surgical treatment for a variety of diseases of the elbow. First popularized for the treatment of late-stage rheumatoid arthritis and other debilitating forms of joint disease, the current indications have expanded to include primary treatment of elbow trauma. The most commonly used total elbow replacements are linked semiconstrained chromium-molybdenum alloy or titanium alloy prostheses with polyethylene bearing surfaces. These are inserted after resection of the ulnotrochlear joint and typically cemented in place; the radial head is often sacrificed. Modular metal components or massive osteoarticular allografts may be used when there is extensive bone deficiency. Metal radial head replacements are increasing being used for primary fracture treatment and in posttraumatic elbow reconstructive surgery. Long-term outcomes for total elbow replacement are similar to those of other joints, with 10-year survivals of ∼ 90%. Complications specific to elbow implants include infection, aseptic loosening, prosthetic failure, and periprosthetic fracture.

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Complications and revision rate compared by type of total elbow arthroplasty

Cited by 68 publications

References 32 publications

Reconstruction of an Ulnohumeral Joint in a Young Patient with Iatrogenic Joint Fusion: A Case Report

Reconstruction of an Ulnohumeral Joint in a Young Patient with Iatrogenic Joint Fusion: A Case Report

The History and Future of Unlinked Total Elbow Arthroplasty

Imaging of Elbow Replacement Arthroplasty

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