Revision Total Elbow Replacement

Matthew Ricks, Andrew Keightley, Adam C. Watts*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Revision elbow arthroplasty is performed in low volumes and is best conducted in specialist centres to improve expertise and training. The causes of implant failure include wear leading to aseptic loosening or mechanical failure, infection, and periprosthetic fracture. The diagnosis of infection can be challenging with no clear definition. The Musculoskeletal Infection Society criteria for infection are widely adopted and provide consistency. Surgical options for revision include debridement, antibiotics and implant retention (DAIR), single stage revision, or two stage revision. Technical considerations are discussed for implant removal, and management of bone loss including the use of impaction grafting, strut grafts, bulk allografts, and megaprosthesis.

Original languageEnglish
Title of host publicationTips and Techniques in Elbow Surgery: A Practical Approach
Subtitle of host publicationA Practical Approach
PublisherSpringer International Publishing Switzerland
Pages147-156
Number of pages10
ISBN (Electronic)9783031080807
ISBN (Print)9783031080791
DOIs
Publication statusPublished - 1 Jan 2022

Publication series

NameTips and Techniques in Elbow Surgery: A Practical Approach

Keywords

  • Arthroplasty
  • Elbow
  • Replacement
  • Revision

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