A survivorship study of 838 total elbow replacements: a report from the Norwegian Arthroplasty Register 1994-2016

Krukhaug, Yngvar; Hallan, Geir; Dybvik, Eva; Lie, Stein Atle; Furnes, Ove

doi:10.1016/j.jse.2017.10.018

Cited by 58 publications

(77 citation statements)

References 45 publications

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“…Besides, revision options are limited and can result-as seen in our case-in a complete loss of elbow function. 4 Since 10-and 20-year survival rates after TEA are 81% and 61%, respectively, which is poorer than for knee and hip arthroplasty, this should also be considered when indicating TEA [26]. 4 However, in view of a poor result after reconstruction, primary TEA should be recommended to elderly or selected patients, as TEA yielded better functional results with less pain than secondary TEA.…”

Section: Practical Conclusionmentioning

confidence: 99%

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

et al. 2019

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Section: Practical Conclusionmentioning

confidence: 99%

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

et al. 2019

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“…2017, Krukhaug et al. 2018). The most recent Norwegian registry study identified a substantial decrease in the use of TEA for RA over the last decade (Krukhaug et al.…”

Section: Discussionmentioning

confidence: 99%

“…2014, Krukhaug et al. 2018). At 10 years TEA post trauma, prosthesis survival has been reported to be 60% while for RA it is reported to be 90% (Gill and Morrey 1998, Cil et al.…”

mentioning

confidence: 99%

Use and outcome of 1,220 primary total elbow arthroplasties from the Australian Orthopaedic Association National Joint Arthroplasty Replacement Registry 2008–2018

et al. 2019

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Background and purpose — The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) was analyzed to determine trends in use of primary total elbow arthroplasty (TEA), the types of prostheses used, primary diagnoses, reasons for and types of revision, and whether the primary diagnosis or prosthesis design influenced the revision rate.Patients and methods — During 2008–2018, 1,220 primary TEA procedures were reported of which 140 TEAs were revised. Kaplan–Meier estimates of survivorship were used to describe the time to first revision and hazard ratios (HR) from Cox proportional hazard models, adjusted for age and sex, were used to compare revision rates.Results — The annual number of TEAs performed remained constant. The 3 most common diagnoses for primary TEA were fracture/dislocation (trauma) (36%), osteoarthritis (OA) (34%), and rheumatoid arthritis (RA) (26%). The cumulative percentage revision for all TEAs undertaken for any reason was 10%, 15%, and 19% at 3, 6, and 9 years. TEAs undertaken for OA had a higher revision rate compared with TEAs for trauma (HR = 1.8, 95% CI 1.1–3.0) and RA (HR = 2.0, CI 1.3–3.1). The Coonrad-Morrey (50%), Latitude (30%), Nexel (10%), and Discovery (9%) were the most used prosthesis designs. There was no difference in revision rates when these 4 designs were compared. The most common reasons for revision were infection (35%) and aseptic loosening (34%).Interpretation — The indications for primary and revision TEA in Australia are similar to those reported for other registries. Revision for trauma is lower than previously reported.

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“…Our increasing reluctance appears to have been shared by others, and this is reflected in the findings of a recent review of the Norwegian Arthroplasty Register 22. The author’s found that 838 TERs were carried out in Norway between 1994 and 2016, but noted that the annual number of TERs performed decreased annually during the study period and commented that the opposite trend had been documented for hip and knee arthroplasties.…”

Section: History Of Total Elbow Replacement (Ter) For Arthritismentioning

confidence: 98%

“…Whereas there has been a sharp decline in the number of TERs performed for the treatment of elbow arthritis since the late 1990s,22 the opposite has been the case for TER carried out as the primary treatment for comminuted, unreconstruc-table distal humeral fractures, particularly in elderly patients.…”

Section: Use Of Ter For the Treatment Of Distal Humeral Fracturesmentioning

confidence: 99%

<p>Total elbow replacement – patient selection and perspectives</p>

Pooley¹

2019

ORR

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Total joint replacements for elbow arthritis were developed in the late 1960s at the same time as total joint replacements for knee joint arthritis. Since then, there has been a continuing annual increase in the number of patients treated with total knee joint replacement for arthritis, in line with replacement arthroplasty of the other major limb joints, but in contrast to total elbow joint replacement which is falling, since reaching a peak in the 1990s. Which raises the question, why? Continuing controversy about implant design, the relatively high reported complication rates associated with total elbow replacement (TER) and the difficulties encountered in revision surgery are identified as reasons together with changes in the patient population currently treated with TER. The purpose of this review is to explore the reasons for this in the context of the patient population requiring implant surgery for elbow arthritis and our current perspective of elbow pathology requiring treatment. This is not a systematic review of the whole of the literature concerning total elbow joint replacement arthroplasty but is drawn largely from the supporting literature that reflects my own clinical experience and illustrated with teaching materials I have commissioned together with radiographs and intraoperative photographs of patients I have treated.

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A survivorship study of 838 total elbow replacements: a report from the Norwegian Arthroplasty Register 1994-2016

Cited by 58 publications

References 45 publications

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

Use and outcome of 1,220 primary total elbow arthroplasties from the Australian Orthopaedic Association National Joint Arthroplasty Replacement Registry 2008–2018

<p>Total elbow replacement – patient selection and perspectives</p>

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A survivorship study of 838 total elbow replacements: a report from the Norwegian Arthroplasty Register 1994-2016

Cited by 58 publications

References 45 publications

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

Primary vs. secondary total elbow arthroplasty for distal humerus fractures

Use and outcome of 1,220 primary total elbow arthroplasties from the Australian Orthopaedic Association National Joint Arthroplasty Replacement Registry 2008–2018

<p>Total elbow replacement &ndash; patient selection and perspectives</p>

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<p>Total elbow replacement – patient selection and perspectives</p>