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KMID : 0858320110140010146
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Journal of the Korean Shoulder Elbow Society
2011 Volume.14 No. 1 p.146 ~ p.152
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Outcomes and Complications of Total Elbow Arthroplasty
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Park Min-Jong
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Abstract
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Purpose: To describe the reent clinical results and complications of total elbow arthroplasty based on the literature review.
Materials and Methods : The indications of total elbow arthroplasty include rheumatoid or inflammatory arthritis, posttraumatic arthritis, anklylosed elbow, tumor resection which cannot recover elbow function by other reconstructive procedures, and comminuted distal humerus fracture in elderly patients. Complications are aspetic loosening, infection, prosthesis fracture, periprosthetic fracture, ulnar neuropathy, ectopic ossification, triceps insufficiency, dislocation, and bushing wear.
Results & Conclusion : Mean 10 year survival rate following total elbow arthroplasty has been reported 85% on the basis of revision. The prognosis in patients with an inflammatory arthritis is reported to be best, and loosening rate in patients with a posttraumatic arthritis tends to be high. Complication rate is known to be higher than that of other joint arthroplasty. In particular, deep infection occurs in 3~5% of the patients. Total elbow arthroplasty provide satisfactory results when it is performed properly in selected patients who have an elbow joint with irreversible dysfunction and low level activities.
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KEYWORD
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Elbow joint, Total joint arthroplasty, Complication
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