Advertisement

Revision Total Elbow Arthroplasty: Epidemiology and Causes

  • Alfonso Vaquero-Picado
  • Raul Barco
  • Samuel Antuña
Chapter

Abstract

Indications for implanting a total elbow arthroplasty (TEA) have recently expanded due in part to its use in the posttraumatic setting. Results of elbow arthroplasty have improved due to better implant characteristics and more precise and delicate surgical technique. However, revision rate after elbow arthroplasty is still higher when compared with other total joint replacements. Although there are no significant differences in revision rate between linked or unlinked designs, the reasons for revision are quite different. Periprosthetic fractures and infection may occur at any time and are not related to the type of implant. Infection is the main complication leading to revision during the first years after arthroplasty. In the long-term, aseptic loosening is the main cause of revision. Among all elbow replacements, there are some indications such as hemophilic arthropathy, primary osteoarthritis and posttraumatic osteoarthritis, which have higher revision rates.

Keywords

Revision elbow arthroplasty Epidemiology elbow arthroplasty Elbow arthroplasty 

References

  1. 1.
    Ramirez MA, Cheung EV, Murthi AM. Revision total elbow arthroplasty. J Am Acad Orthop Surg. 2017;25:e166–74.CrossRefGoogle Scholar
  2. 2.
    Prkic A, Welsink C, The B, van der Bekerom MPJ, Eygendaal D. Why does total elbow arthroplasty fail today? A systematic review of recent literature. Arch Orthop Trauma Surg. 2017;137:761–9.CrossRefGoogle Scholar
  3. 3.
    Sanchez-Sotelo J, Baghdadi YMK, Morrey BF. Primary linked semiconstrained total elbow arthroplasty for rheumatoid arthritis: a single-institution experience with 461 elbows over three decades. J Bone Joint Surg Am. 2016;98:1741–8.CrossRefGoogle Scholar
  4. 4.
    Morrey BF, Bryan RS. Complications of total elbow arthroplasty. Clin Orthop Rel Res. 1982;170:204–12.Google Scholar
  5. 5.
    Goldberg SH, Urban RM, Jacobs JJ, King GJW, O’Driscoll SW, Cohen MS. Modes of wear after semiconstrained total elbow arthroplasty. J Bone Joint Surg Am. 2008;90:609–19.CrossRefGoogle Scholar
  6. 6.
    Voloshin I, Schippert DW, Kakar S, Kaye EK, Morrey BF. Complications of total elbow replacement: a systematic review. J Shoulder Elb Surg. 2011;20:158–68.CrossRefGoogle Scholar
  7. 7.
    Park S-E, Kim J-Y, Cho S-W, Rhee S-K, Kwon S-Y. Complications and revision rate compared by type of total elbow arthroplasty. J Shoulder Elb Surg. 2013;22:1121–7.CrossRefGoogle Scholar
  8. 8.
    Little CP, Graham AJ, Carr AJ. Total elbow arthroplasty: a systematic review of the literature in the English language until the end of 2003. J Bone Joint Surg Br. 2005;87:437–44.CrossRefGoogle Scholar
  9. 9.
    Figgie HE, Inglis AE, Mow C. A critical analysis of alignment factors affecting functional outcome in total elbow arthroplasty. J Arthroplast. 1986;1:169–73.CrossRefGoogle Scholar
  10. 10.
    Kim JM, Mudgal CS, Konopka JF, Jupiter JB. Complications of total elbow arthroplasty. J Am Acad Orthop Surg. 2011;19:328–39.CrossRefGoogle Scholar
  11. 11.
    Throckmorton T, Zarkadas P, Sanchez-Sotelo J, Morrey B. Failure patterns after linked semiconstrained total elbow arthroplasty for posttraumatic arthritis. J Bone Joint Surg Am. 2010;92:1432–41.CrossRefGoogle Scholar
  12. 12.
    Morrey BF, Bryan RS. Infection after total elbow arthroplasty. J Bone Joint Surg Am. 1983;65:330–8.CrossRefGoogle Scholar
  13. 13.
    Somerson JS, Morrey ME, Sanchez-Sotelo J, Morrey BF. Diagnosis and management of periprosthetic elbow infection. J Bone Joint Surg Am. 2015;97:1962–71.CrossRefGoogle Scholar
  14. 14.
    Sanchez-Sotelo J. Primary elbow arthroplasty: problems and solutions. Shoulder Elbow. 2017;9:61–70.CrossRefGoogle Scholar
  15. 15.
    Schoch BS, Werthel J-D, Sánchez-Sotelo J, Morrey BF, Morrey M. Total elbow arthroplasty for primary osteoarthritis. J Shoulder Elb Surg. 2017;26:1355–9.CrossRefGoogle Scholar
  16. 16.
    Ernstbrunner L, Hingsammer A, Imam MA, Sutter R, Brand B, Meyer DC, et al. Long-term results of total elbow arthroplasty in patients with hemophilia. J Shoulder Elb Surg. 2018;27:126–32.CrossRefGoogle Scholar
  17. 17.
    Dale TM, Saucedo JM, Rodriguez-Merchan EC. Total elbow arthroplasty in haemophilia. Haemophilia. 2018;24:548–56.CrossRefGoogle Scholar
  18. 18.
    Gschwend N, Simmen BR, Matejovsky Z. Late complications in elbow arthroplasty. J Shoulder Elb Surg. 1996;5:86–96.CrossRefGoogle Scholar
  19. 19.
    Yamaguchi K, Adams RA, Morrey BF. Infection after total elbow arthroplasty. J Bone Joint Surg Am. 1998;80:481–91.CrossRefGoogle Scholar
  20. 20.
    Spormann C, Achermann Y, Simmen BR, Schwyzer H-K, Vogt M, Goldhahn J, et al. Treatment strategies for periprosthetic infections after primary elbow arthroplasty. J Shoulder Elb Surg. 2012;21:992–1000.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Alfonso Vaquero-Picado
    • 1
  • Raul Barco
    • 1
  • Samuel Antuña
    • 1
  1. 1.Upper Limb Unit, Department of OrthopedicsHospital Universitario La PazMadridSpain

Personalised recommendations