Arthroplasty as primary treatment for distal humeral fractures produces reliable results with regards to revisions and adverse events: a registry-based study

Nestorson, Jens; Rahme, Hans; Adolfsson, Lars

doi:10.1016/j.jse.2018.07.035

Cited by 24 publications

(16 citation statements)

References 30 publications

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“…The revision rate for trauma is similar to 1 recent report (Nestorson et al. 2018). These authors considered primary TEA as a reliable treatment option for the management of complex distal humeral fractures.…”

Section: Discussionsupporting

confidence: 90%

“…A possible explanation for this increase is that it is being used more often as a salvage procedure in selective cases of complex, comminuted, intra-articular distal humerus fractures. Its use for this diagnosis has been reported to be associated with good results (Frankle et al 2003, McKee et al 2009, Barco et al 2017, Nestorson et al 2018.…”

Section: Discussionmentioning

confidence: 99%

“…Revision for trauma is lower than previously reported. include the Finnish (Skytta et al 2009), Scottish (Jenkins et al 2013), Danish (Plaschke et al 2014) Norwegian (Fevang et al 2009, Krukhaug et al 2018 and Swedish (Nestorson et al 2018) arthroplasty registries (Table 1).…”

mentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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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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“…Recent studies, with a follow-up of up to 10 years after arthroplasty, report revision rates or need for additional surgery ranging from 8 to 27% of the elbows addressed, with an implant survival rate of 76 to 92%. 5,6 The most common complications are implant loosening, joint instability, and infection. 4 When choosing an elbow arthroplasty for treatment, patients and physicians must be aware of implant limitations, potential complications, and the possibility of needing to seek excellence centers if revision is required.…”

Section: Discussionmentioning

confidence: 99%

Artroplastia total na lesão complexa do cotovelo

Rezende

Gajo

Costa

et al. 2021

Rev Bras Ortop (Sao Paulo)

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“… 36 To the best of our knowledge there are no specific case series on TEA following failed RHA, but the short- and mid-term outcomes of TEA for posttraumatic conditions of the elbow are good. 37 , 38 In order to postpone a TEA in younger and active patients, a (arthroscopic) debridement of the elbow might be warranted. 39 …”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

Management of the failed radial head arthroplasty

et al. 2020

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Primary radial head arthroplasty (RHA) produces good or excellent results in approximately 85% of patients. However, complications are not uncommon and have been described in up to 23% of cases. The number of RHA is increasing, and consequently the absolute number of complications is expected to rise as well. The decision on whether to revise or remove the prosthesis seems more likely to depend on the preference of the surgeon or the hospital, rather than on objectifying problems with the prosthesis. The current article presents an algorithm for the work-up and treatment of most complications that can occur following RHA. Five subgroups of problems were identified: osteoarthritis, stiffness, instability, infection and implant-related issues. In short, the preferred treatment depends mainly on the chondral condition and stability of the elbow joint. Cite this article: EFORT Open Rev 2020;5:398-407. DOI: 10.1302/2058-5241.5.190055

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Arthroplasty as primary treatment for distal humeral fractures produces reliable results with regards to revisions and adverse events: a registry-based study

Cited by 24 publications

References 30 publications

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

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

Artroplastia total na lesão complexa do cotovelo

Management of the failed radial head arthroplasty

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