Revision total elbow arthroplasty with impaction allografting and uncemented partially hydroxyapatite-coated custom-made prostheses.

Total elbow arthroplasty has become a relatively common procedure in the last decade, and the number of primary total elbow replacements performed is likely to continue to increase as the population ages. The incidence of technically demanding prosthesis revisions involving complex problems such as major bone loss is therefore expected to increase. We report 3 cases of total elbow revision arthroplasty, all of which represented patients with severe bone loss. They were all treated using the impaction allografting technique and uncemented custom-made semiconstrained prostheses partially coated with hydroxyapatite manufactured at the bioengineering department of our institution.