Implant survival after total elbow arthroplasty: a retrospective study of 324 procedures performed from 1980 to 2008

Plaschke, Hans Christian; Thillemann, Theis Muncholm; Brorson, Stig; Olsen, Birgit Anette

doi:10.1016/j.jse.2014.02.001

Cited by 98 publications

(89 citation statements)

References 21 publications

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“…Further studies evaluating TEAwith smaller collectives [19][20][21] as well as our own data showed comparable results. However the postoperative and lifelong maximum weight-bearing of only 5 kg and the ten-year survival-rate of 81 % must be considered as disadvantages [13]. Furthermore, revision after TEA remains problematic due to a limited number of treatment options [22].…”

Section: Discussionmentioning

confidence: 99%

“…Two peaks of incidence are described: in males aged [12][13][14][15][16][17][18][19] years and in females aged 80 years and older [1]. The most common causes are high-energy traumas in the younger and falls with direct impact on the elbow or on the outstretched arm in the elderly population.…”

Section: Introductionmentioning

confidence: 99%

“…Total elbow arthroplasty (TEA) is an alternative treatment, which provides immediate satisfactory results with pain relief, a stable and functional elbow and a low complication rate [11,12]. However the postoperative weight-bearing is lifelong limited to a maximum of 5 kg and the survival rate is critically discussed [13].…”

Section: Introductionmentioning

confidence: 99%

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Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus

Ellwein

Lill

Voigt

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate and compare the results after double locking plate osteosynthesis (ORIF) and total elbow arthroplasty (TEA) in AO type C fractures of the distal humerus. Methods This retrospective study includes clinical results of 29 patients (9xTEA, 20xORIF) with a mean age of 62 years. The male to female ratio was 8:21. Range of motion, MEPS, DASH and complications were evaluated. Patients older than 60 years (n=19) were filtered and compared statistically.Results After a mean follow-up of 25 months the ORIF-group reached an extension-flexion of 99°±23°and the TEA-group of 111°±13°. The ORIF-group vs. the TEA-group had a mean MEPS of 85±17 vs. 94±11 and DASH of 34±24 vs. 24±12. In patients older than 60 years extension-flexion was 97°±23°a fter ORIF and 110°±14 after TEA (p=0.237). The ORIFgroup vs. the TEA-group had a mean MEPS of 82±21 vs. 94 ±11 (p=0.078) and DASH of 45±18 vs. 26±11 (p=0.023). The ORIF-group had a 4.4 times higher risk for major complications.Conclusion TEA and ORIF lead to comparable functional results, but major complications are more common after ORIF. Despite this, ORIF remains the gold standard for younger and older patients because of the lifelong loading limitation after TEA, unknown implant survival and problematic revision surgery. For patients older than 60 years a primary TEA can be recommended in exceptional cases, if the loading limitation is acceptable for the individual or the fracture is not reconstructable.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus

Ellwein

Lill

Voigt

et al. 2014

International Orthopaedics (SICOT)

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“…29,30 Chow et al 31 performed a meta-analysis of 25 randomized control trials, comparing single-fraction to multiple-fraction radiotherapy for the palliation of uncomplicated bone metastases. 29,30 Chow et al 31 performed a meta-analysis of 25 randomized control trials, comparing single-fraction to multiple-fraction radiotherapy for the palliation of uncomplicated bone metastases.…”

Section: Radiotherapymentioning

confidence: 99%

Management of upper extremity bone metastases

Riediger

Evaniew

Ghert

2014

Current Orthopaedic Practice

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Metastatic bone disease represents a significant burden of disease. Metastatic disease can seed in any bone of the body, but one of the most common long bones affected is the humerus. Although painful and often disabling, metastatic bone disease of the upper extremity often can be treated more conservatively than the lower extremity because of lower weight-bearing demands. However, the surgical management of upper extremity metastatic bone disease is an evolving field, and recent clinical studies have demonstrated several key principles. Intramedullary nailing and whole bone irradiation may be an optimal combination for prophylactic fixation. The addition of polymethyl methacrylate cement adds immediate stabilization to internal fixation and decreases postoperative pain. Plate and screw fixation can be used in lesions that cannot be treated with intramedullary nailing, but caution is necessary to avoid complications related to surgical technique. Finally, periarticular and intraarticular lesions may be managed with a hemi-or total-joint prosthesis for both the shoulder and elbow to provide the maximal functional outcome. Surgical intervention together with appropriate adjunctive therapies can decrease patient-important pain and skeletal-related events while improving quality of life in patients living with metastatic bone disease of the upper extremity. 1. Li S, Peng Y, Weinhandl ED, et al. Estimated number of prevalent cases of metastatic bone disease in the US adult population. Clin Epidemiol. 2012; 4:87--93. 2. von Moos R, Sternberg C, Body JJ, et al. Reducing the burden of bone metastases: Current concepts and treatment options.

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“…Disassembly or fracture of the implant is rare. Platschke et al reported less then 1% prosthetic fracture and dissasembly rate and Voloshin et al reported a prosthetic fracture rate of 2,9% and disassembly rate of 2,3% in their reviews (Voloshin et al 2011, Plaschke et al 2014. A higher rate of prosthetic fracture (6%) was reported by Throckmorton et al in a series of patients treated with TEA for secondary osteoarthritis (Throckmorton et al 2010).…”

Section: Mechanical Failure Of Arthroplasty Implants (Hinge or Bushings)mentioning

confidence: 93%

Arthroplasty in Elbow Fracture Treatment

Nestorson¹

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Implant survival after total elbow arthroplasty: a retrospective study of 324 procedures performed from 1980 to 2008

Cited by 98 publications

References 21 publications

Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus

Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus

Management of upper extremity bone metastases

Arthroplasty in Elbow Fracture Treatment

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