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Elbow arthroplasty: an Irish perspective.

Nicolaas Leon Kotze1, Diarmuid Molony2,3, Olivia Flannery4,3

  • 1Connolly Hospital Blanchardstown, Dublin, Ireland. Nicolaasleonkot24@rcsi.com.

Irish Journal of Medical Science
|May 1, 2025
PubMed
Summary
This summary is machine-generated.

Elbow arthroplasty (EA) volumes in Ireland are low, with surgeons performing a median of 4 procedures over two years. This highlights the need for a national strategy to improve surgical quality and patient outcomes for elbow joint restoration.

Keywords:
Distal humeral hemiarthroplastyIrelandSurgeon volumeTotal elbow arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Arthroplasty Research
  • Health Services Research

Background:

  • Elbow arthroplasty (EA) aims to restore function and alleviate pain.
  • Higher surgical and center volumes correlate with better outcomes and lower costs.

Purpose of the Study:

  • To determine the current landscape of elbow arthroplasty (EA) in Ireland.
  • To assess surgeon practices and future intentions regarding EA.

Main Methods:

  • Retrospective cross-sectional study utilizing surveys distributed to Irish upper limb surgeons performing EA.
  • Data collected on procedure volume (Oct 2022-Oct 2024), surgeon intentions, and perceived service needs.

Main Results:

  • Nineteen surgeons reported 97 EAs over 2 years (median 4 per surgeon).
  • Procedures comprised 32% distal humerus hemiarthroplasties and 68% total elbow arthroplasties.
  • 60% were elective, 40% trauma-related; all surgeons intend to continue performing EAs.

Conclusions:

  • Low EA volumes in Ireland necessitate a national policy for improved surgical quality and patient outcomes.
  • Findings aim to stimulate discussion and policy development among Irish elbow surgeons.