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Total elbow arthroplasty: current options.

Andrew Choo1, Matthew L Ramsey

  • 1Department of Orthopaedic Surgery, The Rothman Insitute, Thomas Jefferson University, Philadelphia, PA, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|July 3, 2013
PubMed
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Total elbow arthroplasty (TEA) has evolved significantly, expanding indications beyond rheumatoid arthritis to trauma. Ongoing advancements in surgical techniques and implant design aim to mitigate complications and improve outcomes for diverse patient groups.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total elbow arthroplasty (TEA) has seen significant evolution over 30 years.
  • Initial success in rheumatoid arthritis patients led to expanded indications for trauma and young, active individuals.

Purpose of the Study:

  • To review the evolution of total elbow arthroplasty (TEA).
  • To discuss advancements in surgical techniques and implant designs.
  • To identify factors influencing the future success of TEA.

Main Methods:

  • Review of historical trends and current status of TEA.
  • Analysis of surgical advancements and implant types (unlinked, linked, convertible).
  • Discussion of common complications and their impact on surgical evolution.

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Main Results:

  • Indications for TEA have broadened to include traumatic conditions in younger patients.
  • Surgical techniques have advanced, focusing on cementing and triceps management.
  • Complications like infection, loosening, and wear continue to drive innovation.

Conclusions:

  • Continued refinement of surgical indications and implant fixation is crucial for TEA success.
  • Improvements in polyethylene design, component implantation, and pathology-specific implants are key.
  • Addressing complications will shape the future of elbow arthroplasty techniques and device development.