Current trends and prospects for total elbow arthroplasty (literature review)

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Abstract

The article presents an analysis of foreign and domestic literature on total elbow arthroplasty, as well as revision arthroplasty. The literature review was carried out on the Internet platforms PubMed, Google Scholar, Science Research Portal, eLibrary, CyberLeninka, rsl.ru. The main directions in research work were determined: indications for endoprosthetics of the elbow joint, implant design, complications and revision surgery. The problem of elbow arthroplasty remains relevant for modern traumatology and orthopedics due to the large number of complications and unsatisfactory results of both primary and revision arthroplasty. Based on the analysis of the literature, the following conclusions were drawn: the rejection of fully connected, rigid systems due to the high frequency of aseptic loosening, the need for further research in the direction of implant design, improvement of the operation technique, determination of strict indications for elbow arthroplasty depending on the pathology, age of the patient and his physical activity, determination of indications for the use of various types of endoprostheses depending on nosology, improvement of technology and development of new methods of revision arthroplasty of the elbow joint.

About the authors

Gurgen A. Kesyan

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Author for correspondence.
Email: kesyan.gurgen@yandex.ru
ORCID iD: 0000-0003-1933-1822
SPIN-code: 8960-7440

MD, PhD, Dr. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Igor G. Arsen’ev

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: igo23602098@yandex.ru
ORCID iD: 0000-0003-1801-8383
SPIN-code: 8317-3709

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Rashid Z. Urazgil’deev

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: rashid-uraz@rambler.ru
ORCID iD: 0000-0002-2357-124X
SPIN-code: 9269-5003

MD, PhD, Dr. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Grigoriy S. Karapetyan

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: dr.karapetian@mail.ru
ORCID iD: 0000-0002-3172-0161
SPIN-code: 6025-2377

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Andrey N. Levin

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: levin-cito@mail.ru
SPIN-code: 4598-8922

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Ovsep G. Kesyan

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: offsep@yandex.ru
ORCID iD: 0000-0002-4697-368X
SPIN-code: 4258-3165

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

Artem A. Shuyskiy

N.N. Priorov National Medical Research Center of Traumatology and Orthopedics

Email: shuj-artyom@mail.ru
ORCID iD: 0000-0002-9028-3969
SPIN-code: 6125-1792

MD, post-graduate student, traumatologist-orthopedist

Russian Federation, 10, Priorova str., 127299, Moscow

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2. Figure. Types of elbow joint endoprostheses. a — Coonrad-Morrey linked endoprosthesis (Zimmer-Biomet); b — unlinked endoprosthesis Kudo-5 (Zimmer-Biomet); c — Latitude (Tornier) convertible endoprosthesis; d — modular system K-NOW total elbow system (Teijin Nakashima Medical Co., Ltd., Okayama, Japan)

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