Browse > Article
http://dx.doi.org/10.5397/CiSE.2013.16.2.163

Unlinked and Convertible Total Elbow Arthroplasty  

Moon, Jun-Gyu (Department of Orthopedic Surgery, Guro Hospital, Korea University College of Medicine)
Chun, Sung-Kwang (Department of Orthopedic Surgery, Guro Hospital, Korea University College of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.16, no.2, 2013 , pp. 163-169 More about this Journal
Abstract
Designs of total elbow arthroplasty have been evolving with clinical experiences. Newer implants are expected to resolve current limitations and improve long term outcomes. This review article focuses on the basic knowledge of unlinked and convertible total elbow arthroplasty. There have been a variety of designs of unlinked total elbow prostheses. Some implants are still used in the market, while others are no longer commercially available. Modified and newer designs include more congruent contact surface, stemmed implant, and radiocapitellar arthroplasty. Two convertible elbow prostheses have been developed, and one implant is currently available in Korea. Conversion from an unlinked to a linked mode is performed by adding a linking cap. Unlinked total elbow arthroplasty, which restores native elbow kinematics, has a biomechanical rationale of lowering polyethylene wear and loosening of implants. It can be indicated in younger and higher demand patients, who have adequate bone stock and soft tissues. Convertible total elbow arthroplasty broadens implant selection and simplifies revision surgery. These newer prostheses possibly improve the long term outcomes and resolve disadvantages of linked prostheses in total elbow arthroplasty.
Keywords
Elbow; Arthroplasty; Unlinked; Convertible;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Morrey BF, Bryan RS, Dobyns JH, Linscheid RL. Total elbow arthroplasty. A five-year experience at the Mayo Clinic. J Bone Joint Surg Am. 1981;63: 1050-63.   DOI
2 Brumfield RH, Jr., Volz RG, Green JF. Total elbow arthroplasty: a clinical review of 30 cases employing the Mayo and AHSC prostheses. Clin Orthop Relat Res. 1981;158:137-41.
3 Kim JM, Lee SM, Park JC, et al. Complication and revision rate as the type of prosthesis of total elbow replacement: Long term follow up in Korea. J Korean Orthop Assoc. 2010;45:10-5.   DOI   ScienceOn
4 Dee R. Total replacement arthroplasty of the elbow for rheumatoid arthritis. J Bone Joint Surg Br. 1972; 54:88-95.
5 Ewald FC, Scheinberg RD, Poss R, Thomas WH, Scott RD, Sledge CB. Capitellocondylar total elbow arthroplasty. J Bone Joint Surg Am. 1980;62:1259-63.   DOI
6 Gramstad GD, King GJ, O’Driscoll SW, Yamaguchi K. Elbow arthroplasty using a convertible implant. Tech Hand Up Extrem Surg. 2005;9:153-63.   DOI   ScienceOn
7 Morrey BF, Sanchez-Sotelo J. The elbow and its disorders. 4th ed. Philadelphia: Saunders; 2009. 705-910.
8 Ramsey M, Neale PG, Morrey BF, O'Driscoll SW, An KN. Kinematics and functional characteristics of the Pritchard ERS unlinked total elbow arthroplasty. J Shoulder Elbow Surg. 2003;12:385-90.   DOI   ScienceOn
9 Ring D, Kocher M, Koris M, Thornhill TS. Revision of unstable capitellocondylar (unlinked) total elbow replacement. J Bone Joint Surg Am. 2005;87: 1075-9.   DOI   ScienceOn
10 Tanaka N, Kudo H, Iwano K, Sakahashi H, Sato E, Ishii S. Kudo total elbow arthroplasty in patients with rheumatoid arthritis: a long-term follow-up study. J Bone Joint Surg Am. 2001;83:1506-13.   DOI
11 van der Lugt JC, Geskus RB, Rozing PM. Primary Souter-Strathclyde total elbow prosthesis in rheumatoid arthritis. J Bone Joint Surg Am. 2004;86:465-73.   DOI
12 van Riet RP, Morrey BF, O’Driscoll SW. The Pritchard ERS total elbow prosthesis: lessons to be learned from failure. J Shoulder Elbow Surg. 2009; 18:791-5.   DOI   ScienceOn
13 King GJ, Zarzour ZD, Patterson SD, Johnson JA. An anthropometric study of the radial head: implications in the design of a prosthesis. J Arthroplasty. 2001;16:112-6.   DOI   ScienceOn
14 Little CP, Graham AJ, Karatzas G, Woods DA, Carr AJ. Outcomes of total elbow arthroplasty for rheumatoid arthritis: comparative study of three implants. J Bone Joint Surg Am. 2005;87:2439-48.   DOI   ScienceOn
15 King GJ, Zarzour ZD, Rath DA, Dunning CE, Patterson SD, Johnson JA. Metallic radial head arthroplasty improves valgus stability of the elbow. Clin Orthop Relat Res. 1999;368:114-25.
16 Van Riet RP, Van Glabbeek F, Neale PG, Bortier H, An KN, O'Driscoll SW. The noncircular shape of the radial head. J Hand Surg Am. 2003;28:972-8.   DOI   ScienceOn
17 Popovic N, Lemaire R, Georis P, Gillet P. Midterm results with a bipolar radial head prosthesis: radiographic evidence of loosening at the bone-cement interface. J Bone Joint Surg Am. 2007;89:2469-76.   DOI   ScienceOn
18 Wright TW, Wong AM, Jaffe R. Functional outcome comparison of semiconstrained and unconstrained total elbow arthroplasties. J Shoulder Elbow Surg. 2000;9:524-31.   DOI   ScienceOn
19 Leclerc A, King GJ. Unlinked and convertible total elbow arthroplasty. Hand Clin. 2011;27:215-27.   DOI   ScienceOn
20 King GJ, Itoi E, Niebur GL, Morrey BF, An KN. Motion and laxity of the capitellocondylar total elbow prosthesis. J Bone Joint Surg Am. 1994;76: 1000-8.   DOI