[Revision arthroplasty of the elbow].
Total elbow arthroplasty (TEA) is gaining in popularity. An elbow prosthesis is nowadays no longer regarded as a salvage procedure for low demand patients but is increasingly used in younger, active patients with higher demands. In elderly patients TEA is more and more accepted as a primary treatment method for osteoporotic complex distal humerus fractures. Nevertheless, TEA is technically demanding and associated with a higher complication and revision rate compared to e.g. hip prostheses. Increasing implantation rates in a juvenescent population will lead to a considerable increase in revision rates. Most common causes are aseptic and septic loosening as well as implant failure and instability. Cemented semi-constrained prostheses are mostly used for revision elbow arthroplasty. This article deals with the causes of revision elbow arthroplasty and describes the operative technique of revision of total elbow arthroplasty.
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln. klaus.burkhart@uk-koeln.de
K J
KJ
Burkhart
G
G
Stein
E
E
Skouras
L P
LP
Müller
D000328:Adult; D000368:Aged; D057929:Arthroplasty, Replacement, Elbow / Q000379:methods*; D002484:Cementation; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D058569:Elbow Prosthesis; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011379:Prognosis; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D000092464:Elbow Injuries