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dc.contributor.authorParker, P.
dc.contributor.authorFurness, N. D.
dc.contributor.authorEvans, J. P.
dc.contributor.authorBatten, T.
dc.contributor.authorWhite, W. J.
dc.contributor.authorSmith, C. D.
dc.date.accessioned2021-12-15T14:23:05Z
dc.date.available2021-12-15T14:23:05Z
dc.date.issued2021-10-01
dc.identifier.citationShoulder Elbow. 2021 Oct;13(5):544-551. doi: 10.1177/1758573220905629. Epub 2020 Feb 25.
dc.identifier.pmid34659489
dc.identifier.doi10.1177/1758573220905629
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/622261
dc.description.abstractBACKGROUND: Total elbow arthroplasty is a low volume procedure. We aimed to evaluate complication rates and cumulative percentages associated with the most frequently used contemporary implants and for the commonest indications. METHODS: A systematic literature search of all studies reporting complications following total elbow arthroplasty with 12-month minimum follow-up was undertaken. Quality of studies was assessed with the Methodological-Index-for-Non-Randomised-studies criteria. British NJR data identified the most common UK prostheses and indications. The complication rates for all undesirable events contributing to patient outcome were extracted and cumulative percentages were calculated. RESULTS: One hundred seventeen studies were screened, 12 studies included, totalling 815 procedures. Mean follow-up was 3.8 years. The overall complication cumulative percentage was 60.7%, significantly higher than that seen in other joint arthroplasty, including a 6.5% deep infection rate. Nerve injury was comparable between implants at around 4.1%. Radiographic loosening had a cumulative rate of 17.2%. Revision for symptomatic aseptic loosening was 6.3%. CONCLUSIONS: This is the largest systematic review of the complications of total elbow arthroplasty. Surgeons should be aware of differing complications related to their implant of choice, each having its own specific complication. Trauma as an indication appears to have an increased complication rates compared to inflammatory arthropathy. There is a lack of literature regarding the independent results of osteoarthritis as a specific indication for total elbow arthroplasty.
dc.language.isoeng
dc.publisherSage
dc.relation.urlhttps://journals.sagepub.com/doi/10.1177/1758573220905629
dc.rights© 2020 The British Elbow & Shoulder Society.
dc.subjectarthritis
dc.subjectarthroplasty
dc.subjectcomplications
dc.subjectelbow
dc.subjectfractures
dc.subjectosteoarthritis
dc.subjectreplacement
dc.subjectrheumatoid
dc.titleA systematic review of the complications of contemporary total elbow arthroplasty
dc.typeJournal Article
dc.identifier.journalShoulder & elbow
dc.identifier.pmcidPMC8512975
dc.description.noteThis article is freely available online. Click on the 'Additional Link' above to access the full-text via the publisher's site.
dc.type.versionppublish
dc.description.admin-notePublished version, accepted version (12 month embargo), submitted version
dc.date.epub2021-10-19
dc.citation.volume13
dc.citation.issue5
dc.citation.spage544-551


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