Introduction Rheumatoid arthritis affects 1% to 2% of the general population. Prior to the introduction of disease-modifying antirheumatic drugs (DMARDs), involvement of elbow was present in more than half of the patients with involvement of more than 10 years. Clinical…
Introduction This chapter deals with two final options to preserve some effective function of the extremity. Other revision replacement options are discussed in Chapter 106, Chapter 107, Chapter 108 . We continue to use reinsertion into the cement host; strut…
Introduction As discussed in Chapter 106 , the most important consideration when planning a revision procedure is the status of bone. If osseous integrity is compromised, what are the extent and nature of this feature? Of the several expressions of…
Not uncommonly, substantial bone loss is encountered at the time of revision elbow arthroplasty. A successful reconstruction in these circumstances requires bone loss management. Several bone augmentation techniques are available depending on the nature and extent of bone deficiency. They…
Introduction In spite of improvement in designs and technique, prosthetic failure remains a problem that may be solved with relative ease or may require extensive reconstruction techniques. The more challenging problems involve periprosthetic fracture and osseous deficiency and are covered…
Introduction The incidence of instability following an unlinked total elbow arthroplasty (TEA) has been reported to range from 0% to 13%. The concern about instability and the challenges in treatment have resulted in a trend for surgeons to use a…
Introduction With the increasingly established reliability and success of total elbow arthroplasty (TEA) over the last 2 decades, indications for the procedure have expanded from rheumatoid arthritis to include the full spectrum of traumatic conditions, including posttraumatic arthritis, distal humeral…
Introduction Periprosthetic elbow fractures are difficult conditions complicating an elbow arthroplasty. They may occur intraoperatively during primary or revision surgery or after high- or low-energy trauma or may represent an end-stage implant loosening and osteolytic periprosthetic disease. This wide spectrum…
Introduction Triceps insufficiency can occur as a result of traumatic rupture of the tendon or, most commonly, following a failed surgical reattachment, particularly when there is poor tendon quality. As a complication following elbow replacement, this is becoming much more…
Introduction Despite multiple improvements in total elbow arthroplasty design, infection continues to be a potentially catastrophic complication, with reported rates of 5% to 11%. a a References . The incidence of infection is higher on the 5% to 11% spectrum…