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Total elbow replacement - patient selection and perspectives.

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  • 1Department of Orthopaedics, The Queen Elizabeth Hospital, Gateshead, UK, pooleyjoseph@btconnect.com.

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Summary
This summary is machine-generated.

Total elbow replacement (TER) surgery numbers are declining despite similar development timelines to knee replacements. This review explores reasons for TER

Keywords:
arthritisarthroplastyarthroscopyelbowfractures

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rheumatology

Background:

  • Total joint replacements for elbow arthritis emerged in the late 1960s, concurrent with knee joint replacements.
  • While knee and other major limb joint replacements show increasing trends, total elbow replacement (TER) has declined since its 1990s peak.

Purpose of the Study:

  • To investigate the reasons behind the declining trend in total elbow replacement (TER) procedures.
  • To examine the evolving patient population undergoing TER and current perspectives on elbow pathology requiring surgical intervention.

Main Methods:

  • This review synthesizes literature, focusing on factors influencing TER trends.
  • It incorporates clinical experience, commissioned teaching materials, radiographs, and intraoperative photographs.
  • The review is not a systematic literature review but draws from supporting evidence and author's experience.

Main Results:

  • Controversy surrounding implant design is a significant factor in the decline of TER.
  • High reported complication rates associated with TER contribute to its decreased utilization.
  • Difficulties encountered in revision surgery for total elbow joint replacements are also cited.

Conclusions:

  • The decline in TER is attributed to implant design issues, high complication rates, and revision surgery challenges.
  • Changes in the patient demographic undergoing TER and evolving understanding of elbow pathology are also key considerations.