Ante Prkic1, Chantal Welsink2, Bertram The3, Michel P J van den Bekerom2, Denise Eygendaal3. 1. Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands. aprkic@live.nl. 2. Department of Orthopaedic and Trauma Surgery, OLVG, Amsterdam, The Netherlands. 3. Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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%). CONCLUSION: 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.
BACKGROUND: 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. METHODS: 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. RESULTS: 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%). CONCLUSION: 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.
Entities:
Keywords:
Infection; Loosening; Review; Survival rates; Total elbow arthroplasty
Authors: Giuseppe Rollo; Roberto Rotini; Denise Eygendaal; Paolo Pichierri; Ante Prkic; Michele Bisaccia; Riccardo Maria Lanzetti; Domenico Lupariello; Luigi Meccariello Journal: Case Rep Orthop Date: 2018-04-22
Authors: Jetske Viveen; Michel P J van den Bekerom; Job N Doornberg; Alesha Hatton; Richard Page; Koen L M Koenraadt; Christopher Wilson; Gregory I Bain; Ruurd L Jaarsma; Denise Eygendaal Journal: Acta Orthop Date: 2019-08-27 Impact factor: 3.717