Review of bone deficiency in total elbow arthroplasty revision

Total elbow arthroplasty revision rates have been increasing over time due to the increasing use of the procedure with the accompanying increase in complications. The most common complications that typically require revision surgery include aseptic loosening, periprosthetic fractures, infection, and...

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Main Authors: Jaime A. Quirarte, BA, Jose M. Gutierrez-Naranjo, MD, Eduardo Valero-Moreno, MD, Svaksha Iyengar, BS, Bernard F. Morrey, MD, Anil K. Dutta, MD
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:JSES Reviews, Reports, and Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666639123000299
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author Jaime A. Quirarte, BA
Jose M. Gutierrez-Naranjo, MD
Eduardo Valero-Moreno, MD
Svaksha Iyengar, BS
Bernard F. Morrey, MD
Anil K. Dutta, MD
author_facet Jaime A. Quirarte, BA
Jose M. Gutierrez-Naranjo, MD
Eduardo Valero-Moreno, MD
Svaksha Iyengar, BS
Bernard F. Morrey, MD
Anil K. Dutta, MD
author_sort Jaime A. Quirarte, BA
collection DOAJ
description Total elbow arthroplasty revision rates have been increasing over time due to the increasing use of the procedure with the accompanying increase in complications. The most common complications that typically require revision surgery include aseptic loosening, periprosthetic fractures, infection, and component failure. The associated instability has an overall revision rate reported to be as high as 13%. One important factor when performing a revision surgery is bone quality and bone loss; this represents a challenge during the clinical decision-making process. Currently, there are several strategies used to address bone loss such as arthrodesis, resection arthroplasty, impaction grafting, allograft-prosthetic composite reconstruction, and custom prostheses. The aim of this review article is to provide a comprehensive review of the current strategies to improve diagnosis of failed total elbow arthroplasty and improve management and outcomes of this patient population.
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spelling doaj.art-2310bb4632964e20b9657dada168c1ed2023-07-29T04:35:57ZengElsevierJSES Reviews, Reports, and Techniques2666-63912023-08-0133356361Review of bone deficiency in total elbow arthroplasty revisionJaime A. Quirarte, BA0Jose M. Gutierrez-Naranjo, MD1Eduardo Valero-Moreno, MD2Svaksha Iyengar, BS3Bernard F. Morrey, MD4Anil K. Dutta, MD5Long School of Medicine, UT Health San Antonio, San Antonio, TX, USA; Corresponding author: Jaime A. Quirarte, BA, Long School of Medicine, UT Health San Antonio, 7703 Floyd Curl Dr., San Antonio, TX 78229, USA.Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USADepartment of Orthopaedics, UT Health San Antonio, San Antonio, TX, USALong School of Medicine, UT Health San Antonio, San Antonio, TX, USADepartment of Orthopaedics, UT Health San Antonio, San Antonio, TX, USADepartment of Orthopaedics, UT Health San Antonio, San Antonio, TX, USATotal elbow arthroplasty revision rates have been increasing over time due to the increasing use of the procedure with the accompanying increase in complications. The most common complications that typically require revision surgery include aseptic loosening, periprosthetic fractures, infection, and component failure. The associated instability has an overall revision rate reported to be as high as 13%. One important factor when performing a revision surgery is bone quality and bone loss; this represents a challenge during the clinical decision-making process. Currently, there are several strategies used to address bone loss such as arthrodesis, resection arthroplasty, impaction grafting, allograft-prosthetic composite reconstruction, and custom prostheses. The aim of this review article is to provide a comprehensive review of the current strategies to improve diagnosis of failed total elbow arthroplasty and improve management and outcomes of this patient population.http://www.sciencedirect.com/science/article/pii/S2666639123000299Total elbow arthroplastyBone lossBone deficiencyRevisionInfectionTrauma
spellingShingle Jaime A. Quirarte, BA
Jose M. Gutierrez-Naranjo, MD
Eduardo Valero-Moreno, MD
Svaksha Iyengar, BS
Bernard F. Morrey, MD
Anil K. Dutta, MD
Review of bone deficiency in total elbow arthroplasty revision
JSES Reviews, Reports, and Techniques
Total elbow arthroplasty
Bone loss
Bone deficiency
Revision
Infection
Trauma
title Review of bone deficiency in total elbow arthroplasty revision
title_full Review of bone deficiency in total elbow arthroplasty revision
title_fullStr Review of bone deficiency in total elbow arthroplasty revision
title_full_unstemmed Review of bone deficiency in total elbow arthroplasty revision
title_short Review of bone deficiency in total elbow arthroplasty revision
title_sort review of bone deficiency in total elbow arthroplasty revision
topic Total elbow arthroplasty
Bone loss
Bone deficiency
Revision
Infection
Trauma
url http://www.sciencedirect.com/science/article/pii/S2666639123000299
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