Total elbow arthroplasty: What are the options?

Total elbow arthroplasty is a reliable and durable treatment option for patients with end-stage rheumatoid disease. Unfortunately, the performance of elbow replacements in younger patients with osteoarthritis and post-traumatic arthritis is less consistent, with higher rates of aseptic loosening and need for revision surgery. A variety of implant designs are currently available that have theoretical benefits over traditional semiconstrained implants. Recent research has better defined the performance of some of these implants. However, the complication rates and need for revision surgery remain relatively high with all designs compared with hip, knee and shoulder arthroplasty. Recent outcomes research has better defined the modes of failure and survivorship of several implant designs, the results of revision surgery and the treatment of elbow arthroplasty complications. Further research is needed to better define surgical indications and implant choice especially in light of evolving implant designs.