Global trends in indications for total elbow arthroplasty: a systematic review of national registries

National registries provide useful information in understanding outcomes of surgeries that have late sequelae, especially for rare operations such as total elbow arthroplasty (TEA).A systematic search was performed and data were compiled from the registries to compare total elbow arthroplasty outcom...

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Bibliographic Details
Published in:EFORT Open Reviews 2020-04, Vol.5 (4), p.215-220
Main Authors: Macken, Arno A, Prkic, Ante, Kodde, Izaäk F, Lans, Jonathan, Chen, Neal C, Eygendaal, Denise
Format: Article
Language:English
Subjects:
Arthritis
Arthroplasty
Complications
Elbow
Inflammation
Joint surgery
National Registry
Orthopaedic Surgery
Osteoarthritis
Shoulder & Elbow
Surgery
Total Elbow Arthroplasty
Trauma
Trends
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Summary:National registries provide useful information in understanding outcomes of surgeries that have late sequelae, especially for rare operations such as total elbow arthroplasty (TEA).A systematic search was performed and data were compiled from the registries to compare total elbow arthroplasty outcomes and evaluate trends. We included six registries from Australia, the Netherlands, New Zealand, Norway, the United Kingdom and Sweden.Inflammatory arthritis was the most common indication for total elbow arthroplasty, followed by acute fracture and osteoarthritis. When comparing 2000-2009 to 2010-2017 data, total elbow arthroplasty for inflammatory arthritis decreased and total elbow arthroplasty for fracture and osteoarthritis increased. There was an increase in the number of revision TEAs over this time period.The range of indications for total elbow arthroplasty is broadening; total elbow arthroplasty for acute trauma and osteoarthritis is becoming increasingly more common. However, inflammatory arthritis remains the most common indication in recent years. This change is accompanied by an increase in the incidence of revision surgery. Cite this article: 2020;5:215-220. DOI: 10.1302/2058-5241.5.190036.
ISSN:2058-5241
2396-7544
2058-5241
DOI:10.1302/2058-5241.5.190036