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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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
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Abstract 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.
AbstractList 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.
Author Model, Zina
Chen, Neal C
Kim, Jaehon M
Xiao, Ryan C
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  organization: Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
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  organization: Department of Orthopaedic Surgery, Mount Sinai Hospital, 425 West 59th Street, New York, NY 10019, USA
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  givenname: Neal C
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  email: NCHEN1@PARTNERS.ORG
  organization: Hand Fellowship Program, Department of Orthopaedic Surgery, Massachusetts General Hospital, Hand and Arm Center, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: NCHEN1@PARTNERS.ORG
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Keywords Elbow arthroplasty
Infection
Periprosthetic
Fracture
Revision
Loosening
Language English
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Snippet Compared with hip and knee arthroplasty, total elbow arthroplasty (TEA) has a higher complication rate and lower survivorship. Modern TEA implants most...
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StartPage 341
SubjectTerms Arthroplasty, Replacement, Elbow - methods
Elbow - surgery
Elbow Joint - surgery
Humans
Prosthesis Failure
Reoperation
Retrospective Studies
Treatment Outcome
Title Revision Arthroplasty in the Challenging Elbow
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