Clinical outcome of Niigata-Senami-Kyocera modular unconstrained total elbow arthroplasty for destructive elbow in patients with rheumatoid arthritis

Kondo, Naoki; Arai, Kohei; Fujisawa, Junichi; Murai, Takehiro; Netsu, Takahiro; Endo, Naoto; Hanyu, Takaaki

doi:10.1016/j.jse.2018.10.030

Cited by 10 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 215 cases of triceps insufficiency were reported in 80 articles 1,3,6,8,16-91 . The mean incidence was 4.5% (range, 0% to 54.8%).…”

Section: Resultsmentioning

confidence: 99%

“…The mean incidence was 4.5% (range, 0% to 54.8%). Detailed information on primary or revision surgery was retrieved from 77 articles 1,3,8,16-36,38-80,82-91 . Missing data on these parameters warranted exclusion from this section.…”

Section: Resultsmentioning

confidence: 99%

“…Detailed information regarding indications for surgery was retrieved from 49 articles, with a total of 49 reported cases of triceps insufficiency 1,3,8,17-19,22,24,26,27,29-32,34-36,40,41,44-50,53-55,58-65,68-70,73,75,78,79,81-83,88,91 . Table III shows the distribution of triceps insufficiency among groups.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Triceps Insufficiency After Total Elbow Arthroplasty

et al. 2021

View full text Add to dashboard Cite

Background: The incidence of triceps insufficiency after total elbow arthroplasty (TEA) varies in the literature, and a consensus on treatment strategy is lacking. We review the incidence, the risk factors, the clinical presentation, and the diagnosis and treatment of triceps insufficiency after TEA. Based on this information, we have formulated recommendations for clinical practice.Methods: We performed a systematic review of the literature from January 2003 to April 2020 to identify studies that investigated triceps function following TEA by searching the PubMed, Cochrane, and Embase databases. Eligible studies (1) reported on triceps function following primary or revision TEA for every indication, regardless of technique (e.g., bone grafts), (2) included $6 adult patients, (3) had the full-text article available, and (4) had a minimum follow-up of 1 year.Results: Eighty studies with a total of 4,825 TEAs were included. The quality was low in 15 studies, moderate in 64 studies, and high in 1 study. The mean incidence of triceps insufficiency was 4.5%. The rates were highest in patients after revision TEA (22%), in those with posttraumatic arthritis as an indication for surgery (10.2%), and after a triceps-reflecting approach (4.9%). Most studies used the Medical Research Council scale to score triceps function, although cutoff points and the definition of triceps insufficiency differed among studies. Surgical treatment showed favorable results with anconeus tendon transfer and Achilles allograft repair when compared with direct repair. Conclusions:The incidence of triceps insufficiency varies greatly, probably due to a lack of consensus on the definition of the term. Therefore, we recommend the guidelines for clinical practice that are presented in this article. These guidelines assist clinicians in providing the best possible treatment strategy for their patients and help researchers optimize their future study designs in order to compare outcomes.

show abstract

“…A total of 215 cases of triceps insufficiency were reported in 80 articles 1,3,6,8,16-91 . The mean incidence was 4.5% (range, 0% to 54.8%).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Triceps Insufficiency After Total Elbow Arthroplasty

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Although the methodology of these studies cannot be directly compared, our reported data is consistent with trends of decreasing complication rates [17] . Literature suggest that improving surgical technique and prosthetic design may be contributing factors however, it is difficult to quantify [5,17,23] . Although our data demonstrates a large decrease in overall complication rate, the reported rate still remains significantly higher than complication rates for other joint arthroplasties [7,24,25] .…”

Section: Discussionmentioning

confidence: 99%

Decreased Early Complication Rates Associated with Rheumatoid Arthritis Compared to Alternate Indications for Total Elbow Arthroplasty

Shah¹,

Patel²

2019

International Journal of Orthopaedics

View full text Add to dashboard Cite

treated as inpatients at participating hospitals was obtained. RESULTS: 317 patients were identified for analysis. 22.1% of individuals received TEA for rheumatoid arthritis. 52 total adverse events were reported for all patients undergoing TEA. Rheumatoid arthritis patients experienced significantly lower rates of overall adverse events (8.57% vs 18.62%, p = 0.045). CONCLUSION: Rheumatoid arthritis patients that undergo TEA are significantly less likely to develop a 30 day post-operative complication than patients who receive TEA for other reasons.

show abstract

“…However, some authors have reported successful use of nonconstrained designs in these cases. 34,35 The poor bone stock often needs to be addressed with structural allografts but ligamentous reconstruction procedures are not required.…”

Section: Inflammatory Arthritismentioning

confidence: 99%

The flail elbow: Every surgeon's nightmare

Kumar

Mishra

Arya

et al. 2021

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

A flail elbow joint has an excessive or abnormal degree of mobility resulting in loss of function. Such a situation can arise from structural damage or loss of neuromuscular control. Structural damage may be in terms of loss of integrity of bony, ligamentous, or both components, and this is commonly caused by trauma, failed arthroplasty, infections -either in the native joint or associated with the above, or inflammatory arthritides. Arm paralysis from any cause may also leads to a loss of muscle control making the elbow flail.The management of the condition varies according to etiology; and concurrent issues like infection and instability need to be addressed in addition to the structural problems. Treatment can be nonsurgical with the use of orthotics to support the elbow, and maybe more appropriate in certain circumstances. Surgical treatment can involve fixation, repair or reconstruction. Often the deficiency is not amenable to these methods and arthroplasty has to be considered. The situation becomes more fraught in case of failure of arthroplasty and/or infection, where reconstruction can be challenging.In this review we have considered diverse clinical scenarios that fall under this broad umbrella, with a focus on those encountered commonly in practice.

show abstract

Clinical outcome of Niigata-Senami-Kyocera modular unconstrained total elbow arthroplasty for destructive elbow in patients with rheumatoid arthritis

Cited by 10 publications

References 24 publications

Triceps Insufficiency After Total Elbow Arthroplasty

Triceps Insufficiency After Total Elbow Arthroplasty

Decreased Early Complication Rates Associated with Rheumatoid Arthritis Compared to Alternate Indications for Total Elbow Arthroplasty

The flail elbow: Every surgeon's nightmare

Contact Info

Product

Resources

About