We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Why does total elbow arthroplasty fail today? A systematic review of recent literature.
- Authors
Prkic, Ante; Welsink, Chantal; The, Bertram; Bekerom, Michel; Eygendaal, Denise; van den Bekerom, Michel P J
- Abstract
<bold>Background: </bold>Total elbow arthroplasty is a relatively uncommon type of arthroplasty, which has undergone several design changes in the past four decades. However, research on improvement requires knowledge of failure mechanisms that can be addressed. Therefore, we conducted a systematic review on modes of failure of total elbow arthroplasty.<bold>Methods: </bold>We conducted searches on PubMed/Medline, Embase and Cochrane databases to identify studies describing modes of failure of primary total elbow arthroplasties. The results were coupled per type of total elbow arthroplasty and individual arthroplasty models.<bold>Results: </bold>A total of 70 articles were included in this systematic review. 9308 individual total elbow arthroplasties were identified with 1253 revisions (13.5%). Aseptic loosening was the most prevalent reason for revision (38%), followed by deep infection (19%) and periprosthetic fractures (12%).<bold>Conclusion: </bold>Revision rates have been found similar to a systematic review published in 2003. The revision percentage of total elbow arthroplasty for rheumatoid arthritis is significantly higher than for trauma and post-traumatic osteoarthritis. Aseptic loosening was seen less in linked implants. Infections and periprosthetic fractures did not differ between linkage design groups. Aseptic loosening remains the most frequent cause for revision of primary total elbow arthroplasty. Therefore, more research on the occurrence, progression and risk factors of aseptic loosening should be performed and lead to higher implant survival.
- Subjects
TOTAL elbow replacement; PUBMED (Online service); ARTHROPLASTY; PERIPROSTHETIC fractures; OSTEONECROSIS; DIAGNOSIS; PATIENTS; ELBOW surgery; BONE fractures; COMPLICATIONS of prosthesis; RHEUMATOID arthritis; SYSTEMATIC reviews; TREATMENT effectiveness
- Publication
Archives of Orthopaedic & Trauma Surgery, 2017, Vol 137, Issue 6, p761
- ISSN
0936-8051
- Publication type
journal article
- DOI
10.1007/s00402-017-2687-x