[Periprosthetic fractures-Diagnostics, classification and treatment].

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Abstract

[Indexed for MEDLINE] 15. J Hand Surg Am. 2025 Jan;50(1):77-87. doi: 10.1016/j.jhsa.2024.09.006. Epub 2024 Oct 24. Revision Total Elbow Arthroplasty. Grandizio LC(1), Luciani AM(2), Koshinski JL(2), Seitz WH Jr(3). Author information: (1)Department of Orthopaedic Surgery, Geisinger Musculoskeletal Institute, Geisinger Commonwealth School of Medicine, Danville, PA. Electronic address: chris.grandizio@gmail.com. (2)Department of Orthopaedic Surgery, Geisinger Musculoskeletal Institute, Geisinger Commonwealth School of Medicine, Danville, PA. (3)Department of Orthopaedic Surgery, Cleveland Clinic, Orthopaedic and Rheumatologic Institute, Beachwood, OH. Despite improvements in our understanding of elbow biomechanics and implant design, early revision are higher following total elbow arthroplasty (TEA) compared with hip and knee arthroplasty. Revision TEA remains a standard but technically challenging procedure with the potential for substantial morbidity. This review discusses the diagnosis and management of the failed primary TEA. Current concepts related to surgical treatment with revision TEA indicated for prosthetic joint infection, periprosthetic fracture, and aseptic osteolysis will be reviewed. In addition, strategies and adjunctive procedures for dealing with bone loss in the revision setting will be discussed. Copyright © 2025 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jhsa.2024.09.006