Abstract

Despite improvements in our understanding of elbow biomechanics and implant design, rates of complications and early revision are higher following total elbow arthroplasty (TEA) compared with shoulder and lower-extremity 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.

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