TY - JOUR
T1 - Review of bone deficiency in total elbow arthroplasty revision
AU - Quirarte, Jaime A.
AU - Gutierrez-Naranjo, Jose M.
AU - Valero-Moreno, Eduardo
AU - Iyengar, Svaksha
AU - Morrey, Bernard F.
AU - Dutta, Anil K.
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/8
Y1 - 2023/8
N2 - 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.
AB - 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.
KW - Aseptic loosening
KW - Bone deficiency
KW - Bone loss
KW - Infection
KW - Level V
KW - Review Article Expert Opinion
KW - Revision
KW - Total elbow arthroplasty
KW - Trauma
UR - http://www.scopus.com/inward/record.url?scp=85165299215&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85165299215&partnerID=8YFLogxK
U2 - 10.1016/j.xrrt.2023.02.010
DO - 10.1016/j.xrrt.2023.02.010
M3 - Review article
C2 - 37588502
AN - SCOPUS:85165299215
SN - 2666-6391
VL - 3
SP - 356
EP - 361
JO - JSES Reviews, Reports, and Techniques
JF - JSES Reviews, Reports, and Techniques
IS - 3
ER -