Mobilizations of total elbow arthroplasties are fairly infrequent conditions, but elbow prosthesis revision, especially in case of bone loss, is very demanding. There is necessity of multiple surgical equipments, grafts, and dedicated instruments. On the other side, procrastinating the surgery exposes the risk of further bone loss, worsening muscle atrophy and increasing the risk of fracture. It is essential to understand the mechanism of failure of a prosthetic implant, immediately distinguishing between failures due to an underlying infection and those due to an aseptic loosening, or a periprosthetic fracture. Aseptic loosening is the most frequent cause of failure. The choice of the type of surgery should be guided by the size and location of loss of bone substance. In any case the use of a graft is mandatory in prosthetic revisions with loss of bone stock, mainly because the graft increases the bone stock, helps to bridge bone defects, and provides temporary structural support for implant stability.
The most frequently reported complications after elbow prosthesis revision are periprosthetic fractures and cortical perforation, nerve injuries, infections, and triceps insufficiency or avulsion.
Elbow replacement Elbow revision Aseptic loosening Bone loss Bone graft
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Amirfeyz R, Stanley D. Allograft-prosthesis composite reconstruction for the management of failed elbow replacement with massive structural bone loss: a medium-term follow-up. J Bone Joint Surg Br. 2011;93(10):1382–8.CrossRefPubMedGoogle Scholar
Chan RKW, King GJW. The management of the failed total elbow arthroplasty. Operative elbow surgery: Expert Consult. 2012;44:665–95.CrossRefGoogle Scholar
Pessis E, Campagna R, Sverzut JM, Bach F, Rodallec M, Guerini H, Feydy A, Drapé JL. Virtual monochromatic spectral imaging with fast kilovoltage switching: reduction of metal artifacts at CT. Radiographics. 2013;33(2):573–83.CrossRefPubMedGoogle Scholar
Stanley D. Revision total elbow arthroplasty in the presence of bone deficiency. Operative elbow surgery: Expert Consult. 2012;44:695–716.CrossRefGoogle Scholar