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Interposition arthroplasty: Current indications, technique and expectations.

M Morrey1, A Dutta2, I Whitney2

  • 1Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.

Journal of Clinical Orthopaedics and Trauma
|June 14, 2021
PubMed
Summary
This summary is machine-generated.

Elbow joint replacement is becoming more common, but non-replacement options like interposition arthroplasty are needed due to limitations. This procedure, though technically challenging, offers a viable alternative for specific elbow arthritis cases.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Background:

  • Prosthetic joint replacement is the primary treatment for end-stage arthritis, with decreasing average patient age.
  • Unlike hip, knee, and shoulder joints, the elbow has not seen similar advancements in prosthetic longevity and functional outcomes.
  • There is a significant need for reliable non-prosthetic joint reconstruction options for the elbow.

Purpose of the Study:

  • To review current indications, assessment, and selection criteria for elbow interposition arthroplasty.
  • To detail a specific technique with tips for enhancing success and longevity.
  • To discuss patient expectations based on existing literature for this reconstructive option.

Main Methods:

  • Review of current literature on elbow interposition arthroplasty.
  • Emphasis on a specific surgical technique and technical considerations.
  • Analysis of patient selection and outcome expectations.

Main Results:

  • Elbow fusion, the main non-replacement alternative, has no optimal position and significant functional limitations.
  • Interposition arthroplasty, despite limited experience and technical difficulty, is considered a treatment of choice in select cases.
  • Outcomes of interposition arthroplasty are strongly correlated with surgical experience and technique.

Conclusions:

  • Elbow interposition arthroplasty remains a valuable reconstructive option for specific patient populations and circumstances.
  • Addressing the technical challenges and improving surgical technique are crucial for successful outcomes.
  • Further research and experience are needed to optimize the role of interposition arthroplasty in elbow reconstruction.