Linked (Semi-constrained) Total Elbow Arthroplasty

Jung,  Hong Jun; Jeon,  In Ho; Chun,  Jae Myeung; Lee,  Tae Kyoon

doi:2013.16.2.170

Clin Shoulder Elb > Volume 16(2); 2013 > Article

Review

Clinics in Shoulder and Elbow 2013;16(2):170-177.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.170 Published online December 31, 2013.

Linked (Semi-constrained) Total Elbow Arthroplasty

Hong Jun Jung, In Ho Jeon, Jae Myeung Chun, Tae Kyoon Lee

¹Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea. jeonchoi@gmail.com
²Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.

연결형(반구속형) 주관절 인공 관절 치환술

정홍준*·전인호·전재명·이태균

울산대학교 의과대학 서울아산병원 정형외과학교실, 국립경찰병원 정형외과*

Abstract

Total elbow arthroplasty is still in its infancy compared with other arthroplasties, such as knee or hip arthroplasties. Implant design has been evolving with clinical experiences; however, there are only limited data on the long-term clinical outcome of elbow arthroplasty in the literature. The design of total elbow prostheses can be divided into three categories: linked (constrained or semi-constrained), unlinked (unconstrained), and convertible types. The choice between an unlinked (unconstrained) implant and a linked (semi-constrained) implant depends on joint stability and adequacy of the bone stock. Linked elbow arthroplasty has provided high patient satisfaction, and pain relief thanks to proper patient selection, advancement of implant design, improvement in cement techniques, meticulous surgical technique, and appropriate postoperative rehabilitation. Concerns remain about the use of this implant in young or high-demand patients. This article focuses on the linked (semi-constrained) prostheses, which provides an overview of the current state of linked total elbow arthroplasty.

Key Words: Total elbow arthroplasty; Linked; Semi-constrained