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Related Experiment Videos

Revision total elbow arthroplasty.

B F Morrey, R S Bryan

    The Journal of Bone and Joint Surgery. American Volume
    |April 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Revision total elbow arthroplasty is a viable option for failed implants, though multiple procedures may be necessary. Careful patient selection and experienced surgeons are crucial for successful outcomes in revision joint replacement.

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    Area of Science:

    • Orthopedic Surgery
    • Arthroplasty Research
    • Biomedical Engineering

    Background:

    • Revision total elbow arthroplasty addresses complications from primary procedures.
    • Failed elbow implants necessitate complex surgical interventions.

    Purpose of the Study:

    • To evaluate the outcomes of revision total elbow arthroplasty.
    • To identify factors influencing success in revision elbow surgery.

    Main Methods:

    • Retrospective review of 33 consecutive revision total elbow arthroplasties.
    • Minimum 3-year follow-up with an average of 61 months.
    • Analysis of reasons for poor initial results and subsequent revisions.

    Main Results:

    • 55% of initial revisions had good results; 45% had poor results.

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  • Poor outcomes attributed to infection, loosening, inadequate motion, pain, and prosthetic failure.
  • Reimplantation led to good outcomes in 24 of 33 elbows eventually.

    • Conclusions:

    • Reimplantation is a viable strategy for failed total elbow arthroplasty.
    • Multiple revisions may be required; patient selection is critical.
    • Consider alternatives to reimplantation in select cases; experienced surgeons are recommended.