TY - JOUR
T1 - Elbow Arthroplasty
T2 - A Concise Literature Update
AU - Carlos Rodriguez-Merchan, E.
AU - Kachooei, Amir R.
AU - Tabeayo, Eloy
N1 - Publisher Copyright:
COPYRIGHT 2023 © BY THE ARCHIVES OF BONE AND JOINT SURGERY.
PY - 2023/7
Y1 - 2023/7
N2 - Total elbow arthroplasty (TEA) is increasingly used, especially in patients with rheumatoid arthritis (RA) and distal humerus fractures (DHFs). This narrative review of the recent literature published in 2022 reached the following conclusions: 1) Age greater than 80 is not a contraindication for TEA. 2) The estimated 10-year survival reported for linked TEAs is 92%, and unlinked TEAs 84%. 3) For DHFs in the elderly, regarding the flexion/extension arc, TEA gives substantially better results than open reduction and internal fixation (ORIF). The reoperation and elbow stiffness rates are substantial ly lower in TEA than in ORIF. 4) Comparing distal humeral hemiarthroplasty (DHH) vs. TEA in individuals over 65 years with a non-reconstructable DHF favors DHH regarding the range of motion but with a similarly high rate of adverse events in the two surgical techniques. 5) The rate of eradication of periprosthetic joint infection (PJI) is 69-76% with two-stage, 71% with resection arthroplasty, 67% with one-stage, 58% with DAIR, and 40% with elbow arthrodesis.
AB - Total elbow arthroplasty (TEA) is increasingly used, especially in patients with rheumatoid arthritis (RA) and distal humerus fractures (DHFs). This narrative review of the recent literature published in 2022 reached the following conclusions: 1) Age greater than 80 is not a contraindication for TEA. 2) The estimated 10-year survival reported for linked TEAs is 92%, and unlinked TEAs 84%. 3) For DHFs in the elderly, regarding the flexion/extension arc, TEA gives substantially better results than open reduction and internal fixation (ORIF). The reoperation and elbow stiffness rates are substantial ly lower in TEA than in ORIF. 4) Comparing distal humeral hemiarthroplasty (DHH) vs. TEA in individuals over 65 years with a non-reconstructable DHF favors DHH regarding the range of motion but with a similarly high rate of adverse events in the two surgical techniques. 5) The rate of eradication of periprosthetic joint infection (PJI) is 69-76% with two-stage, 71% with resection arthroplasty, 67% with one-stage, 58% with DAIR, and 40% with elbow arthrodesis.
KW - Complications
KW - Distal humeral fractures
KW - Elbow
KW - Results
KW - Rheumatoid arthritis
KW - Survival
KW - Total elbow arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85166152241&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85166152241&partnerID=8YFLogxK
U2 - 10.22038/ABJS.2023.71082.3323
DO - 10.22038/ABJS.2023.71082.3323
M3 - Article
AN - SCOPUS:85166152241
SN - 2345-4644
VL - 11
SP - 465
EP - 472
JO - Archives of Bone and Joint Surgery
JF - Archives of Bone and Joint Surgery
IS - 7
ER -