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Semin Musculoskelet Radiol 2015; 19(01): 060-066
DOI: 10.1055/s-0034-1396768
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging of Elbow Replacement Arthroplasty

Eira Roth
1   Department of Radiology, University of Washington, Seattle, Washington
,
Felix S. Chew
1   Department of Radiology, University of Washington, Seattle, Washington
› Author Affiliations
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Publication History

Publication Date:
29 January 2015 (online)

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Abstract

Elbow replacement arthroplasty has become a standard surgical treatment for a variety of diseases of the elbow. First popularized for the treatment of late-stage rheumatoid arthritis and other debilitating forms of joint disease, the current indications have expanded to include primary treatment of elbow trauma. The most commonly used total elbow replacements are linked semiconstrained chromium-molybdenum alloy or titanium alloy prostheses with polyethylene bearing surfaces. These are inserted after resection of the ulnotrochlear joint and typically cemented in place; the radial head is often sacrificed. Modular metal components or massive osteoarticular allografts may be used when there is extensive bone deficiency. Metal radial head replacements are increasing being used for primary fracture treatment and in posttraumatic elbow reconstructive surgery. Long-term outcomes for total elbow replacement are similar to those of other joints, with 10-year survivals of ∼90%. Complications specific to elbow implants include infection, aseptic loosening, prosthetic failure, and periprosthetic fracture.

Keywords

elbow arthroplasty - total elbow replacement - radial head replacement - radiocapitellar prosthetic arthroplasty
 

  • References

  • 1 Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elbow Surg 2010; 19 (8) 1115-1120
    CrossrefPubMedGoogle Scholar
  • 2 Giannicola G, Sacchetti FM, Antonietti G, Piccioli A, Postacchini R, Cinotti G. Radial head, radiocapitellar and total elbow arthroplasties: a review of recent literature. Injury 2014; 45 (2) 428-436
    CrossrefPubMedGoogle Scholar
  • 3 Sanchez-Sotelo J, Morrey BF. Total elbow arthroplasty. J Am Acad Orthop Surg 2011; 19 (2) 121-125
    PubMedGoogle Scholar
  • 4 Bryan RS. Total replacement of the elbow joint. Arch Surg 1977; 112 (9) 1092-1093
    CrossrefPubMedGoogle Scholar
  • 5 Dyer GS, Blazar PE. Rheumatoid elbow. Hand Clin 2011; 27 (1) 43-48
    CrossrefPubMedGoogle Scholar
  • 6 Papatheodorou LK, Baratz ME, Sotereanos DG. Elbow arthritis: current concepts. J Hand Surg Am 2013; 38 (3) 605-613
    CrossrefPubMedGoogle Scholar
  • 7 Jenkins PJ, Watts AC, Norwood T, Duckworth AD, Rymaszewski LA, McEachan JE. Total elbow replacement: outcome of 1,146 arthroplasties from the Scottish Arthroplasty Project. Acta Orthop 2013; 84 (2) 119-123
    CrossrefPubMedGoogle Scholar
  • 8 de Boer YA, Hazes JM, Winia PC, Brand R, Rozing PM. Comparative responsiveness of four elbow scoring instruments in patients with rheumatoid arthritis. J Rheumatol 2001; 28 (12) 2616-2623
    PubMedGoogle Scholar
  • 9 Riedel K, Beaton DE. Update on the state of outcome measurement in total elbow arthroplasty research: identifying a need for consensus. J Bone Joint Surg Am 2013; 95 (14) e97 , 1–8
    CrossrefPubMedGoogle Scholar
  • 10 Fajardo M, Kwon YW. The rise of the metal elbow. Bull Hosp Jt Dis (2013) 2013; 71 (1) 24-31
    PubMedGoogle Scholar
  • 11 Choo A, Ramsey ML. Total elbow arthroplasty: current options. J Am Acad Orthop Surg 2013; 21 (7) 427-437
    CrossrefPubMedGoogle Scholar
  • 12 Petscavage JM, Ha AS, Chew FS. Radiologic review of total elbow, radial head, and capitellar resurfacing arthroplasty. Radiographics 2012; 32 (1) 129-149
    CrossrefPubMedGoogle Scholar
  • 13 Park SE, Kim JY, Cho SW, Rhee SK, Kwon SY. Complications and revision rate compared by type of total elbow arthroplasty. J Shoulder Elbow Surg 2013; 22 (8) 1121-1127
    CrossrefPubMedGoogle Scholar
  • 14 Gschwend N, Simmen BR, Matejovsky Z. Late complications in elbow arthroplasty. J Shoulder Elbow Surg 1996; 5 (2 Pt 1) 86-96
    CrossrefPubMedGoogle Scholar
  • 15 Sanchez-Sotelo J, O'Driscoll S, Morrey BF. Periprosthetic humeral fractures after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation. J Bone Joint Surg Am 2002; 84-A (9) 1642-1650
    PubMedGoogle Scholar
  • 16 Gay DM, Lyman S, Do H, Hotchkiss RN, Marx RG, Daluiski A. Indications and reoperation rates for total elbow arthroplasty: an analysis of trends in New York State. J Bone Joint Surg Am 2012; 94 (2) 110-117
    PubMedGoogle Scholar
  • 17 Voloshin I, Schippert DW, Kakar S, Kaye EK, Morrey BF. Complications of total elbow replacement: a systematic review. J Shoulder Elbow Surg 2011; 20 (1) 158-168
    CrossrefPubMedGoogle Scholar
  • 18 DeSimone LJ, Sanchez-Sotelo J. Total elbow arthroplasty for distal humerus fractures. Orthop Clin North Am 2013; 44 (3) 381-387 , ix–x
    CrossrefPubMedGoogle Scholar
  • 19 Githens M, Yao J, Sox AH, Bishop J. Open reduction and internal fixation versus total elbow arthroplasty for the treatment of geriatric distal humerus fractures: a systematic review and meta-analysis. J Orthop Trauma 2013; ; December 26 ( Epub ahead of print)
    PubMedGoogle Scholar
  • 20 Renfree KJ, Dell PC, Kozin SH, Wright TW. Total elbow arthroplasty with massive composite allografts. J Shoulder Elbow Surg 2004; 13 (3) 313-321
    CrossrefPubMedGoogle Scholar
  • 21 Urbaniak JR, Black Jr KE. Cadaveric elbow allografts. A six-year experience. Clin Orthop Relat Res 1985; (197) 131-140
    PubMedGoogle Scholar
  • 22 Morrey ME, Sanchez-Sotelo J, Abdel MP, Morrey BF. Allograft-prosthetic composite reconstruction for massive bone loss including catastrophic failure in total elbow arthroplasty. J Bone Joint Surg Am 2013; 95 (12) 1117-1124
    CrossrefPubMedGoogle Scholar
  • 23 Kharrazi FD, Busfield BT, Khorshad DS, Hornicek FJ, Mankin HJ. Osteoarticular and total elbow allograft reconstruction with severe bone loss. Clin Orthop Relat Res 2008; 466 (1) 205-209
    CrossrefPubMedGoogle Scholar
  • 24 Ha AS, Petscavage JM, Chew FS. Radial head arthroplasty: a radiologic outcome study. AJR Am J Roentgenol 2012; 199 (5) 1078-1082
    CrossrefPubMedGoogle Scholar
  • 25 van Riet RP, Sanchez-Sotelo J, Morrey BF. Failure of metal radial head replacement. J Bone Joint Surg Br 2010; 92 (5) 661-667
    PubMedGoogle Scholar
  • 26 El Sallakh S. Radial head replacement for radial head fractures. J Orthop Trauma 2013; 27 (6) e137-e140
    CrossrefPubMedGoogle Scholar
  • 27 Ruchelsman DE, Christoforou D, Jupiter JB. Fractures of the radial head and neck. J Bone Joint Surg Am 2013; 95 (5) 469-478
    CrossrefPubMedGoogle Scholar
  • 28 Fowler JR, Goitz RJ. Radial head fractures: indications and outcomes for radial head arthroplasty. Orthop Clin North Am 2013; 44 (3) 425-431 , x
    CrossrefPubMedGoogle Scholar
  • 29 Morrey BF, Askew L, Chao EY. Silastic prosthetic replacement for the radial head. J Bone Joint Surg Am 1981; 63 (3) 454-458
    PubMedGoogle Scholar
  • 30 Berschback JC, Lynch TS, Kalainov DM, Wysocki RW, Merk BR, Cohen MS. Clinical and radiographic comparisons of two different radial head implant designs. J Shoulder Elbow Surg 2013; 22 (8) 1108-1120
    CrossrefPubMedGoogle Scholar
  • 31 Heijink A, Morrey BF, Eygendaal D. Radiocapitellar prosthetic arthroplasty: a report of 6 cases and review of the literature. J Shoulder Elbow Surg 2014; 23 (6) 843-849
    CrossrefPubMedGoogle Scholar