Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Total Elbow Arthroplasty — Indications & Outcomes

Indications: rheumatoid arthritis, post-traumatic arthritis, complex distal humerus fractures in elderly, tumor resection. Implant types: linked (semi-constrained), unlinked (requires intact ligaments), convertible designs. Linked implants provide stability but ↑ stress at bone-cement interface; unlinked mimic anatomy but require ligamentous integrity. Complications: loosening, infection, triceps insufficiency, periprosthetic fracture, ulnar nerve palsy. Survivorship: 85–90% at 10 years with careful patient selection.

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Indications: rheumatoid arthritis, post-traumatic arthritis, complex distal humerus fractures in elderly, tumor resection. Implant types: linked (semi-constrained), unlinked (requires intact ligaments), convertible designs. Linked implants provide stability but ↑ stress at bone-cement interface; unlinked mimic anatomy but require ligamentous integrity. Complications: loosening, infection, triceps insufficiency, periprosthetic fracture, ulnar nerve palsy. Survivorship: 85–90% at 10 years with careful patient selection.

MCQs

High-yield practice questions

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Question 1

What is the most common indication for total elbow arthroplasty (TEA)?

Question 2

Which of the following is a contraindication for total elbow arthroplasty?

Question 3

What type of implant design is most commonly used in total elbow arthroplasty today?

Question 4

Which complication is associated with total elbow arthroplasty?

Question 5

What percentage of total elbow arthroplasties are expected to survive at 10 years?

Question 6

Which of the following types of implants provides stability but may increase stress at the bone-cement interface?

Question 7

In which scenario is total elbow arthroplasty indicated for a comminuted distal humerus fracture?

Question 8

Which of the following is a potential complication of total elbow arthroplasty related to nerve injury?

Question 9

What is an important consideration regarding the use of total elbow arthroplasty in younger patients?

Question 10

Which statement about the semi-constrained design of total elbow arthroplasty is true?