Total elbow arthroplasty: outcomes after triceps-detaching and triceps-sparing approaches

Dachs, R; Fleming, Mark; Chivers, D; Carrara, Henri; Plessis, J. P. Du; Vrettos, B; Roche, Stephen

doi:10.1016/j.jse.2014.11.038

Cited by 55 publications

(51 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the setting of primary TEA, several studies suggest that a triceps-sparing approach leads to fewer postoperative triceps ruptures as well as better postoperative range of motion and extension torque. 17,94) Dachs et al 95) compared triceps-sparing and triceps-detaching approaches for primary TEA: the rate of postoperative triceps rupture was 15.2% in the triceps-detaching group but the rupture was not observed in the triceps-sparing group. Solarz et al 96) compared the triceps-sparing with triceps-detaching approaches and reported that functional strength and Disabilities of the Arm, Shoulder and Hand scores were significantly higher in the triceps-sparing group.…”

Section: Periprosthetic Fracturementioning

confidence: 99%

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

2019

View full text Add to dashboard Cite

Total elbow arthroplasty is a common surgical procedure used in the management of advanced rheumatoid arthritis, posttraumatic arthritis, osteoarthritis, and unfixable fracture in elderly patients. Total elbow prostheses have evolved over the years and now include the linked, unlinked, and convertible types. However, long-term complications, including infection, aseptic loosening, instability, and periprosthetic fracture, remain a challenge. Here, we introduce each type of implant and evaluate clinical outcomes and complications by reviewing the previous literature.

show abstract

Section: Periprosthetic Fracturementioning

confidence: 99%

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

2019

View full text Add to dashboard Cite

show abstract

“…A distally based triceps flap is commonly used, but recently we have tried to preserve the insertion of the triceps tendon into the olecranon by using the triceps-on approach. 21,22 Then, the medial collateral ligament is divided and the elbow is dislocated. The radial head is excised, but the lateral collateral ligament is preserved.…”

Section: Surgical Techniquesmentioning

confidence: 99%

The History and Future of Unlinked Total Elbow Arthroplasty

et al. 2017

View full text Add to dashboard Cite

Unlinked total elbow arthroplasty (TEA), which has no mechanical connection between the humeral and ulnar components, has theoretical advantages based on its near-normal elbow kinematics and the preservation of bone stock. Unlinked TEA is appropriate only for patients who have limited bone loss or limited deformity and good ligamentous function. This is because postoperative instability has been a major complication of unlinked prostheses. The concept and goal of unlinked TEA is to share the loading stress on the bone implant interface with the surrounding tissues. Although the loosening rate of unlinked prostheses theoretically should be lower than that of linked prostheses (which have a mechanical connection between the humeral and ulnar components), there is no clear evidence that unlinked TEAs are superior to linked TEAs in this respect. However, we believe that primary TEA should be performed using an unlinked TEA, especially for younger patients, because revision surgery for unlinked TEA results in longer prosthesis survival than revision surgery for linked TEA. Improvement of the design of unlinked prostheses and the introduction of less invasive surgical techniques are required to reduce postoperative instability.

show abstract

“…The advantage to triceps-on techniques are lower risk of triceps rupture, or decreased post-operative extension strength of the elbow as a post-operative complication. 19 The trade-off has been less-than-ideal surgical exposure, the requirement to take larger portions of humeral bone to obtain implantation of the stem or significant devascularisation by reflecting soft-tissue attachments on either humeral or ulnar side to facilitate implantation. In the setting of acute fracture or nonunion when large portions of fracture fragments of the distal humerus are present, easier access may be obtained using a triceps-sparing approach through excision or mobilisation of the fragments around the intact collateral ligament.…”

Section: Total Elbow Arthroplastymentioning

confidence: 99%

Current concepts in elbow arthroplasty

Bachman

Çil

2017

EFORT Open Reviews

View full text Add to dashboard Cite

Distal humeral replacement and the total elbow are two commonly-used arthroplastiesEach prosthesis has evolving indications and surgical techniquesRecent changes in device design and implantation methods are due to biomechanical and clinical outcome-based researchNew prostheses and methods provide: better elbow kinematics, more durable bearings and longer-lasting joint replacement potentialCite this article: EFORT Open Rev 2017;2:83-88. DOI: 10.1302/2058-5241.2.160064

show abstract

Total elbow arthroplasty: outcomes after triceps-detaching and triceps-sparing approaches

Cited by 55 publications

References 29 publications

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

The History and Future of Unlinked Total Elbow Arthroplasty

Current concepts in elbow arthroplasty

Contact Info

Product

Resources

About