Revision Arthroplasty in the Challenging Elbow

Compared with hip and knee arthroplasty, total elbow arthroplasty (TEA) has a higher complication rate and lower survivorship. Modern TEA implants most commonly require revision due to implant loosening, infection, and periprosthetic fracture. Concerns with revision TEA include handling of the soft...

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Bibliographic Details
Published inHand clinics Vol. 39; no. 3; p. 341
Main Authors Xiao, Ryan C, Model, Zina, Kim, Jaehon M, Chen, Neal C
Format Journal Article
LanguageEnglish
Published United States 01.08.2023
Subjects
Arthroplasty, Replacement, Elbow - methods
Elbow - surgery
Elbow Joint - surgery
Humans
Prosthesis Failure
Reoperation
Retrospective Studies
Treatment Outcome
Elbow arthroplasty
Infection
Periprosthetic
Fracture
Revision
Loosening
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Summary:Compared with hip and knee arthroplasty, total elbow arthroplasty (TEA) has a higher complication rate and lower survivorship. Modern TEA implants most commonly require revision due to implant loosening, infection, and periprosthetic fracture. Concerns with revision TEA include handling of the soft tissues and possible necessity of flap coverage, triceps management, preservation of bone stock, and management of concurrent infection or fracture. In this review, we will discuss preoperative evaluation of the failed elbow arthroplasty, surgical approaches, techniques for revision, outcomes, and complications following revision total elbow arthroplasty.
ISSN:1558-1969
DOI:10.1016/j.hcl.2023.03.001