Implant survival of total elbow arthroplasty: analysis of 514 cases from the Dutch Arthroplasty Registry

• Published in: Bone & joint open 2023-02, Vol.4 (2), p.110-119
• Main Authors: Macken, Arno A, Prkić, Ante, van Oost, Iris, Spekenbrink-Spooren, Anneke, The, Bertram, Eygendaal, Denise
• Format: Article
• Language: English
• Subjects: arthroplasty registry; elbows; higher bmi; implant survival, revision; infection; infections; kaplan-meier method; logistic regression analysis; loosening; national registry; obesity; re-revision; revision of total elbow arthroplasty; Shoulder & Elbow; survival analysis; total elbow arthroplasties; total elbow arthroplasty
• ISSN: 2633-1462; 2633-1462
• DOI: 10.1302/2633-1462.42.BJO-2022-0152.R1

The aim of this study is to report the implant survival and factors associated with revision of total elbow arthroplasty (TEA) using data from the Dutch national registry. All TEAs recorded in the Dutch national registry between 2014 and 2020 were included. The Kaplan-Meier method was used for survival analysis, and a logistic regression model was used to assess the factors associated with revision. A total of 514 TEAs were included, of which 35 were revised. The five-year implant survival was 91%. Male sex, a higher BMI, and previous surgery to the same elbow showed a statistically significant association with revision (p < 0.036). Of the 35 revised implants, ten (29%) underwent a second revision. This study reports a five-year implant survival of TEA of 91%. Patient factors associated with revision are defined and can be used to optimize informed consent and shared decision-making. There was a high rate of secondary revisions.