Joint replacement surgery for elbow tumours: a systematic review of outcomes

Abstract

Background Tumour resection followed by joint reconstruction is a surgical option in the appropriate patient. The evidence for such reconstructive surgery of the elbow joint is limited. The aim of this study is to review the literature to evaluate the outcomes of joint replacement surgery in tumours of the elbow. Methods A systematic review of PUBMED and EMBASE databases was conducted. Case series and comparative studies reporting results after total elbow arthroplasty, modular endo-prosthetic replacement and custom prosthesis were eligible for inclusion. Results Eleven eligible studies were identified (n = 134). At mean follow-up of 44 months, the overall revision rate was 14% and complication rate was 28%. The mean Mayo Elbow Performance Score was 75, with 56% of patients reporting good or excellent outcomes. The mean post-operative range of motion was 97°. Discussion Elbow prosthesis reconstruction after tumour resection can provide good functional outcomes at mid-term follow-up. The complication and revision rates are comparable to other indications for elbow replacement surgery. Further prospective studies are required to compare outcomes between different elbow arthroplasty options after tumour resection.

Outcomes of management of primary benign aggressive or malignant bone tumors around the elbow by limb‐salvage surgery

“…In terms of reconstruction, the options are limited and technically demanding due to the complex anatomy and biomechanics of the elbow, in addition to the proximity to the neurovascular bundles and limited soft tissue envelope [13,15]. Various reconstruction options include fibular autografts, allografts, endoprosthetic replacements, total elbow arthroplasty, allograft-prosthesis composite, or arthrodesis [13,24,28,31]. This study evaluated the functional and oncological outcomes of treating primary benign aggressive or malignant bone tumors around the elbow by limb salvage surgery.…”

Using 3D Printing Technology to Design Split‐Piece Sleeve Prosthesis in the Revision Surgery of Tumor‐Type Total Elbow Prosthetic Fractures: A Case Report

“… 2 Customized restrictive elbow prostheses are frequently utilized in the treatment of elbow tumors, and the incidence of prosthetic breakage among postoperative complications is significantly lower than aseptic loosening, nerve damage, and infection. 3 Revision surgery for prosthetic fracture is crucial to restore elbow function and the patient's quality of life. Traditional revision surgery may result in significant bone damage and pose challenges in achieving satisfactory outcomes for the elbow.…”

“…Elbow prostheses have evolved from simple single‐axis hinges to more advanced unrestricted or semi‐restricted designs through extensive research 2 . Customized restrictive elbow prostheses are frequently utilized in the treatment of elbow tumors, and the incidence of prosthetic breakage among postoperative complications is significantly lower than aseptic loosening, nerve damage, and infection 3 . Revision surgery for prosthetic fracture is crucial to restore elbow function and the patient's quality of life.…”

Resection for malignant tumors in the elbow and individualized reconstruction under assistance of 3D printing technology: A case report

“…Reconstruction after elbow resection due to invasive benign tumors and malignant bone tumors is typically a more challenging issue. [ 3 , 4 ] Although autologous bone replantation is an ideal match, it has a limited purview of application and poor postoperative joint mobility. [ 5 , 6 ] Total elbow arthroplasty is a superior option for patients, but the procedure is more difficult, has a higher failure rate, and is associated with non-negligible complications such as loosening, revision, and infection.…”