Indications include: post—traumatic
lesions or bone loss contributing to
elbow instability; ankylosed joints,
especially in cases of bilateral ankylosis
from causes other than sepsis; advanced
rheumatoid or degenerative arthritis
with incapacitating pain; revision
arthroplasty; and instability or loss of
motion when the degree of joint damage
precludes less radical procedures.
The candidate for total elbow
arthroplasty should exhibit joint
destruction which significantly
compromises the activities of daily
living. Patients with single joint
involvement (generally those with
traumatic or degenerative arthritis) or
significant lower extremity disability
which require walking aids are less
amenable to treatment than patients
with advanced and predominately upper
extremity involvement. If possible, elbow
replacement should be done after hip or
knee surgery to avoid excessive stress to
the prosthesis required by crutch walking
during total hip or knee rehabilitation |