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Review
. 2020 Apr 2;5(4):215-220.
doi: 10.1302/2058-5241.5.190036. eCollection 2020 Apr.

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

Arno A Macken  1 , Ante Prkic  1 , Izaäk F Kodde  2 , Jonathan Lans  3 , Neal C Chen  3 , Denise Eygendaal  2
Affiliations
Review

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

Arno A Macken et al. EFORT Open Rev. .

Abstract

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: EFORT Open Rev 2020;5:215-220. DOI: 10.1302/2058-5241.5.190036.

Keywords: arthritis; national registry; orthopaedic surgery; osteoarthritis; total elbow arthroplasty; trauma.

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Conflict of interest statement

ICMJE Conflict of interest statement: NCC reports consultancy for Miami Device Solutions; fellowship support for OMeGA, Acumed and Skeletal Dynamics; research funding from Acumed, AO International and DePuy Synthes. DE reports consultancy for Lima corporates, has given paid presentations for A.O. and Stryker and received institutional support from Matthys, Zimmer-Biomet and Stryker. The other authors declare no conflict of interest relevant to this work.

Figures

Fig. 1
Fig. 1
Indications for total elbow arthroplasty (N = 6544).
Fig. 2
Fig. 2
Indications for total elbow arthroplasty (Norway, New Zealand, Sweden).
Fig. 3
Fig. 3
Revision elbow surgery.
See this image and copyright information in PMC

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