Total elbow arthroplasty

Little, Christopher; Graham, Alastair J; Carr, Andrew

doi:10.1302/0301-620x.87b4.15692

Cited by 207 publications

(64 citation statements)

References 99 publications

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“…Cumulative revision rates after four to five years for fixed-hinge models is 13%, for sloppy hinge models 11%, and for unlinked models 13% [25] . In the short term, the main cause of failure is infection, while in the long term, the main cause is aseptic loosening by prosthetic wear [25,26] . When compared per group, the fixed-hinge models have a loosening rate of 11%, the sloppy hinged models 5% and the unlinked TEA's 10% [25] .…”

Section: The Presentmentioning

confidence: 95%

“…Survival rates of different types of TEA have im proved in the past four decades to around 90% after 5 years [24,25] . Cumulative revision rates after four to five years for fixed-hinge models is 13%, for sloppy hinge models 11%, and for unlinked models 13% [25] .…”

Section: The Presentmentioning

confidence: 99%

“…In the short term, the main cause of failure is infection, while in the long term, the main cause is aseptic loosening by prosthetic wear [25,26] . When compared per group, the fixed-hinge models have a loosening rate of 11%, the sloppy hinged models 5% and the unlinked TEA's 10% [25] . Deep, periprosthetic infection is a serious complica tion in arthroplasty surgery, since it requires aggressive treatment in order to preserve the implant without removing it, as well as other problems to patients.…”

Section: The Presentmentioning

confidence: 99%

“…Outcome measures have shifted from solely surgeon opinion, to patientoriented questionnaires, which focus on activities of daily life [38] . In a review on outcomes after TEA, the patientreported outcomes were good or excellent in 78% of cases [25] . The function assessed by improvement of range of motion, was better in fixedhinge models and sloppy hinged models (38 degrees and 35 degrees, resp.)…”

Section: The Presentmentioning

confidence: 99%

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Total elbow arthroplasty is moving forward: Review on past, present and future

Prkić

Bergen

Eygendaal

2016

WJO

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The elbow joint is a complex joint, which, when impaired in function, leads to severe disability. In some cases however, an arthroplasty might be an appropriate treatment. In the past four decades, large steps have been taken to optimize this treatment in order to achieve better post-operative outcomes. To understand these progresses and to discover aspects for upcoming improvements, we present a review on the past developments, the present state of affairs and future developments which may improve patient care further.

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Section: The Presentmentioning

confidence: 95%

Section: The Presentmentioning

confidence: 99%

Section: The Presentmentioning

confidence: 99%

Section: The Presentmentioning

confidence: 99%

See 2 more Smart Citations

Total elbow arthroplasty is moving forward: Review on past, present and future

Prkić

Bergen

Eygendaal

2016

WJO

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“…Although the loosening rate of unlinked prostheses should theoretically be lower than that of linked prostheses, there has been no definite evidence of this in clinical studies. [5][6][7] A number of designs of unlinked TEA prostheses have been developed and employed. The capitellocondylar implant is one of the most studied and widely used unlinked elbow prostheses.…”

Section: Historymentioning

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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