Structure of elbow joint revision arthroplasty

Abstract. Introduction Current operations of elbow arthroplasty are accompanied by an extremely high rate of complications in the early and long-term periods. Therefore, along with the widespread growth of primary arthroplasty, there is a growing need for revision interventions. Purpose To study th...

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Autores principales:	Alimurad G. Aliev, Andrey V. Ambrosenkov, Andrey A. Boyarov, Georgy I. Zhabin, Svetlana Yu. Fedyunina, Rashid M. Tikhilov, Igor I. Shubnyakov
Formato:	article
Lenguaje:	EN RU
Publicado:	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021
Materias:	revision arthroplasty elbow joint causes of revisions aseptic loosening periprosthetic infection Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/35c2f45d576d4cb2b94a64d1930d5e5a
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spelling	oai:doaj.org-article:35c2f45d576d4cb2b94a64d1930d5e5a2021-11-15T09:47:22ZStructure of elbow joint revision arthroplasty10.18019/1028-4427-2021-27-5-532-5391028-44272542-131Xhttps://doaj.org/article/35c2f45d576d4cb2b94a64d1930d5e5a2021-10-01T00:00:00Zhttps://doaj.org/toc/1028-4427https://doaj.org/toc/2542-131XAbstract. Introduction Current operations of elbow arthroplasty are accompanied by an extremely high rate of complications in the early and long-term periods. Therefore, along with the widespread growth of primary arthroplasty, there is a growing need for revision interventions. Purpose To study the age groups of patients at the time of primary and revision arthroplasty, to investigate the reasons of the first and repeated revisions, the scope of interventions, as well as the time since the previous AP. Materials and methods A retrospective analysis of 133 cases of elbow revision arthroplasty (111 patients) treated from 2003 to 2019 was conducted. The rate of re-revisions was 16.5 %. The study investigated the age of patients, reasons for the first and repeated revisions, the scope of interventions, as well as the time passed since the previous elbow arthroplasty. Results In the structure of primary and revision arthroplasty, there was a significant dominance of patients aged 51 to 60 years (25.4 % and 33.3 %, respectively). However, the total rate of patients under 40 years old in the group of primary arthroplasty was 33.5 %, and in the revision group it was 34.2 %. The most frequent reason in the first and repeated revisions was aseptic loosening: 47 % and 50 %, respectively, followed by PJI (23 % in both groups), dislocation (10 % and 18 %, respectively) and breaks of the implant's components (8 % and 4 %). Other complications were less common (12 % and 5 %, respectively). Most of the revisions for PJI were performed in the first year since the previous arthroplasty (56.7 %). In terms of aseptic instability, early and late periods were identified. The ratio of early revisions to the total number of primary arthroplasty during the entire time of the surgical team's work decreased from 19.4 % to 3.5 %. Discussion The observed number of young people in the age structure of primary and revision AP in the long term is likely to lead to an increase in the number of patients with severe bone defects. The data of our study demonstrate a significant decrease in the number of revisions over the past 5 years performed for early loosening, despite the general increase in the number of primary APs. Conclusion The study identified a considerable number of young patients, which could potentially lead to an increase in the number of repeated revisions and related problems, including pronounced bone defects and recurrent infection. All this actualizes the need to improve the technique of revision arthroplasty.Alimurad G. AlievAndrey V. AmbrosenkovAndrey A. BoyarovGeorgy I. ZhabinSvetlana Yu. FedyuninaRashid M. TikhilovIgor I. ShubnyakovRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedicsarticlerevision arthroplastyelbow jointcauses of revisionsaseptic looseningperiprosthetic infectionOrthopedic surgeryRD701-811ENRUГений oртопедии, Vol 27, Iss 5, Pp 532-539 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	revision arthroplasty elbow joint causes of revisions aseptic loosening periprosthetic infection Orthopedic surgery RD701-811
spellingShingle	revision arthroplasty elbow joint causes of revisions aseptic loosening periprosthetic infection Orthopedic surgery RD701-811 Alimurad G. Aliev Andrey V. Ambrosenkov Andrey A. Boyarov Georgy I. Zhabin Svetlana Yu. Fedyunina Rashid M. Tikhilov Igor I. Shubnyakov Structure of elbow joint revision arthroplasty
description	Abstract. Introduction Current operations of elbow arthroplasty are accompanied by an extremely high rate of complications in the early and long-term periods. Therefore, along with the widespread growth of primary arthroplasty, there is a growing need for revision interventions. Purpose To study the age groups of patients at the time of primary and revision arthroplasty, to investigate the reasons of the first and repeated revisions, the scope of interventions, as well as the time since the previous AP. Materials and methods A retrospective analysis of 133 cases of elbow revision arthroplasty (111 patients) treated from 2003 to 2019 was conducted. The rate of re-revisions was 16.5 %. The study investigated the age of patients, reasons for the first and repeated revisions, the scope of interventions, as well as the time passed since the previous elbow arthroplasty. Results In the structure of primary and revision arthroplasty, there was a significant dominance of patients aged 51 to 60 years (25.4 % and 33.3 %, respectively). However, the total rate of patients under 40 years old in the group of primary arthroplasty was 33.5 %, and in the revision group it was 34.2 %. The most frequent reason in the first and repeated revisions was aseptic loosening: 47 % and 50 %, respectively, followed by PJI (23 % in both groups), dislocation (10 % and 18 %, respectively) and breaks of the implant's components (8 % and 4 %). Other complications were less common (12 % and 5 %, respectively). Most of the revisions for PJI were performed in the first year since the previous arthroplasty (56.7 %). In terms of aseptic instability, early and late periods were identified. The ratio of early revisions to the total number of primary arthroplasty during the entire time of the surgical team's work decreased from 19.4 % to 3.5 %. Discussion The observed number of young people in the age structure of primary and revision AP in the long term is likely to lead to an increase in the number of patients with severe bone defects. The data of our study demonstrate a significant decrease in the number of revisions over the past 5 years performed for early loosening, despite the general increase in the number of primary APs. Conclusion The study identified a considerable number of young patients, which could potentially lead to an increase in the number of repeated revisions and related problems, including pronounced bone defects and recurrent infection. All this actualizes the need to improve the technique of revision arthroplasty.
format	article
author	Alimurad G. Aliev Andrey V. Ambrosenkov Andrey A. Boyarov Georgy I. Zhabin Svetlana Yu. Fedyunina Rashid M. Tikhilov Igor I. Shubnyakov
author_facet	Alimurad G. Aliev Andrey V. Ambrosenkov Andrey A. Boyarov Georgy I. Zhabin Svetlana Yu. Fedyunina Rashid M. Tikhilov Igor I. Shubnyakov
author_sort	Alimurad G. Aliev
title	Structure of elbow joint revision arthroplasty
title_short	Structure of elbow joint revision arthroplasty
title_full	Structure of elbow joint revision arthroplasty
title_fullStr	Structure of elbow joint revision arthroplasty
title_full_unstemmed	Structure of elbow joint revision arthroplasty
title_sort	structure of elbow joint revision arthroplasty
publisher	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
publishDate	2021
url	https://doaj.org/article/35c2f45d576d4cb2b94a64d1930d5e5a
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Structure of elbow joint revision arthroplasty

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