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Related Experiment Video

Updated: Feb 26, 2026

Reverse Total Shoulder Arthroplasty
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Revision Total Elbow Arthroplasty.

Miguel A Ramirez1, Emilie V Cheung, Anand M Murthi

  • 1From the Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Dr. Ramirez and Dr. Murthi) and the Department of Orthopaedic Surgery, Stanford University, Stanford Health Care, Redwood City, CA (Dr. Cheung).

The Journal of the American Academy of Orthopaedic Surgeons
|July 25, 2017
PubMed
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Total elbow arthroplasty (TEA) has high complication rates, often requiring revision surgery. Patient populations are shifting, increasing the need for effective TEA revision strategies.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Total elbow arthroplasty (TEA) demonstrates higher complication rates compared to other joint replacements.
  • Shifting patient demographics, with an increase in posttraumatic arthritis cases, exacerbate TEA complications.
  • Common reasons for revision surgery include infection, aseptic loosening, fracture, and component failure.

Purpose of the Study:

  • To review the common complications and failure mechanisms of total elbow arthroplasty.
  • To discuss current strategies for managing total elbow arthroplasty revisions, particularly fractures.

Main Methods:

  • Literature review of total elbow arthroplasty complications and revision techniques.
  • Analysis of common failure modes such as infection, loosening, fracture, and instability.

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  • Examination of fixation methods for fracture stabilization in revision cases.

    • Main Results:

    • Infection, aseptic loosening, fracture, and component failure are leading causes for TEA revision.
    • Instability is another significant mechanism contributing to total elbow arthroplasty failure.
    • Various surgical techniques, including tension band fixation and plate/screw constructs, are available for fracture stabilization.

    Conclusions:

    • Total elbow arthroplasty (TEA) remains a complex procedure with significant revision rates.
    • Understanding failure mechanisms is crucial for improving outcomes in revision total elbow arthroplasty.
    • Advanced fixation techniques are essential for addressing fractures during TEA revision surgery.