Revision Arthroplasty in the Challenging Elbow.

Hand Clin · Aug 2023 · Review

Xiao RC, Model Z, Kim JM, Chen NC

Department of Orthopaedic Surgery, Mount Sinai Hospital, 425 West 59th Street

Hand & Upper Extremity Shoulder & Elbow

SUMMARY — THE REDUCTIONRevision total elbow arthroplasty faces high complication rates; successful outcomes require careful soft tissue handling, bone preservation, and infection management.
Abstract, as published

Compared with hip and knee arthroplasty, total elbow arthroplasty (TEA) has a higher complication rate and lower survivorship. Modern TEA implants most commonly require revision due to implant loosening, infection, and periprosthetic fracture. Concerns with revision TEA include handling of the soft tissues and possible necessity of flap coverage, triceps management, preservation of bone stock, and management of concurrent infection or fracture. In this review, we will discuss preoperative evaluation of the failed elbow arthroplasty, surgical approaches, techniques for revision, outcomes, and complications following revision total elbow arthroplasty.

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