Review of bone deficiency in total elbow arthroplasty revision

Jaime A. Quirarte, Jose M. Gutierrez-Naranjo, Eduardo Valero-Moreno, Svaksha Iyengar, Bernard F. Morrey, Anil K. Dutta

Research output: Contribution to journalReview articlepeer-review

Abstract

Total elbow arthroplasty revision rates have been increasing over time due to the increasing use of the procedure with the accompanying increase in complications. The most common complications that typically require revision surgery include aseptic loosening, periprosthetic fractures, infection, and component failure. The associated instability has an overall revision rate reported to be as high as 13%. One important factor when performing a revision surgery is bone quality and bone loss; this represents a challenge during the clinical decision-making process. Currently, there are several strategies used to address bone loss such as arthrodesis, resection arthroplasty, impaction grafting, allograft-prosthetic composite reconstruction, and custom prostheses. The aim of this review article is to provide a comprehensive review of the current strategies to improve diagnosis of failed total elbow arthroplasty and improve management and outcomes of this patient population.

Original languageEnglish (US)
Pages (from-to)356-361
Number of pages6
JournalJSES Reviews, Reports, and Techniques
Volume3
Issue number3
DOIs
StatePublished - Aug 2023

Keywords

  • Aseptic loosening
  • Bone deficiency
  • Bone loss
  • Infection
  • Level V
  • Review Article Expert Opinion
  • Revision
  • Total elbow arthroplasty
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Reviews and References, Medical
  • Orthopedics and Sports Medicine
  • Rehabilitation

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