Elbow arthroplasty: where are we today? A narrative review.
Background The elbow joint is a complex compound articulation, with a linking role within the upper limb kinematics. Its hinge function allows for proper placement of our working instrument (the hand) in the space surrounding us, directed by the shoulder joint. Both reliable mobility and stability are essential elements to allow for consistent bridging of the distance we aim to achieve in common daily activities. Sufficient flexion and extension are required to ensure both the patients' independence and the dignity. Next to the hinge, a radio-ulnar rotation with precise co-operation of forearm and wrist spin enhances the linking function with accurate precision instrument manipulation. Arthritis of the elbow joint or cubarthritis, whether primary or secondary, may not be as highly prevalent as hip or knee arthritis, but its impact on daily live certainly cannot be underestimated. Methods Current treatment options for failing cubarthritis are reviewed. Results Surgical techniques to reconstruct or replace the elbow joint are currently increasingly efficient with mounting long-term outcome reports. Debridement techniques including open or arthroscopic Outerbridge-Kashiwaghi procedure often delays joint replacement. Implants for joint arthroplasty focus on the ulna-humeral joint mostly with semi-constrained linked techniques, but there is a trend towards total joint replacement including the radiocapitellar joint. Conclusion In this independent review article, elbow joint failure due to cubarthritis and an overview of its current state-of-the-art orthopaedic treatment algorithm is presented, with its indications, advantages, risks and outcome.
['Degreef|Ilse|I|']
D001168:Arthritis D001178:Arthroplasty D019643:Arthroplasty, Replacement D001182:Arthroscopy D004551:Elbow Joint D005260:Female D006801:Humans D007595:Joint Prosthesis D008297:Male D010147:Pain Measurement D011379:Prognosis D011474:Prosthesis Design D016059:Range of Motion, Articular D018570:Risk Assessment D012720:Severity of Illness Index D016896:Treatment Outcome
elbow arthroplasty Arthritis cubarthritis Outerbridge