Current concepts in elbow arthroplasty

Bachman, Daniel R.; Çil, Akın

doi:10.1302/2058-5241.2.160064

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…Nevertheless, the trends of increasing TEAs for all surgical indications is likely secondary to increased provider confidence. Recent literature characterizing improved implant design [30,31] and relative good functional outcomes 6 has likely increased TEA use and popularity. As a result, it is important to characterize and understand complications associated with alternative surgical indications for TEA.…”

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

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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.

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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

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“…Among surgical procedures, novelty in arthroplasty relies on newer implant designs and materials in order to meet mechanical burden and anatomic reconstruction. In addition, press-fitted components and cementless options are suggested to avoid risk of aseptic loosening [ 58 ]. Small lesions could also be treated by osteochondral autograft transplantation, providing an opportunity to preserve hyaline cartilage, restore joint congruity and function and reducing risk of damage progression.…”

Section: Treatmentmentioning

confidence: 99%

An Overview of the Pathogenesis and Treatment of Elbow Osteoarthritis

Ravalli

Pulici

Binetti

et al. 2019

JFMK

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The elbow joint could be associated with degenerative processes of primary and post-traumatic aetiology. Among these, osteoarthritis may also be secondary to repeated use as well as trauma. Pain, discomfort and progressive loss of functionality are common signs of this condition. The evaluation of elbow osteoarthritis should comprise an in-depth study to detect the primary cause of the illness and to facilitate the decision-making process regarding personalized treatment. Discordance between clinical manifestations and radiological findings is common. Conservative approaches may provide symptomatic relief in the early stages of disease for most patients. The goal of the treatment is to reduce pain and ensure an adequate range of motion and proper functioning of the joint while preserving the anatomical structure, to postpone elbow arthroplasty interventions for as long as possible. According to treatment guidelines, surgery should be considered depending on aetiology and severity, patient age, and functional demands. This narrative review aims to investigate the current literature regarding the pathogenesis and treatment of primary and post-traumatic arthritis of the elbow.

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“…While TEA was classically used to manage end-stage rheumatoid arthritis (RA) [3], indications have expanded over the last few decades to include treatment of posttraumatic arthritis, irreparable acute fractures, and less commonly oncologic reconstruction [3]. As indications have evolved, so too has implant design to address these needs [4,5]. Despite these advances, there remains a high incidence of complications associated with TEA including periprosthetic joint infection (PJI), instability, and component failure, as well as periprosthetic fracture [6].…”

Section: Introductionmentioning

confidence: 99%

Augmented Total Elbow Arthroplasty with Femoral Strut Allograft for Revision of Prosthetic Joint Infection with Distal Humerus Bone Loss and Incomplete Union of Periprosthetic Humeral Shaft Fracture

Monahan

Alaimo

Mahylis

2021

Case Reports in Orthopedics

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Total elbow arthroplasty (TEA) prosthetic joint infection (PJI) in the setting of distal humerus bone loss poses a challenge for restoration of function. This can be complicated by a periprosthetic humeral fracture. Revision surgery in the setting of these pathologies possesses a significant challenge, especially when two or, in this case, all three problems are treated simultaneously. We present the clinical course, operative findings, and definitive treatment with the use of an augmented total elbow arthroplasty and femoral strut allograft reinforcement in detail. A review of the literature regarding the identification and management of infected TEA with augmented prosthesis and bone allograft augmentation of humerus fractures will be outlined in this case report.

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Current concepts in elbow arthroplasty

Cited by 10 publications

References 22 publications

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

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

An Overview of the Pathogenesis and Treatment of Elbow Osteoarthritis

Augmented Total Elbow Arthroplasty with Femoral Strut Allograft for Revision of Prosthetic Joint Infection with Distal Humerus Bone Loss and Incomplete Union of Periprosthetic Humeral Shaft Fracture

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