SynthesisThe bone & joint journal2020
Total elbow arthroplasty in patients with rheumatoid arthritis.
Synthesis in The bone & joint journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 34 citations in OpenAlex.
- The most influential articles in total elbow arthroplasty: bibliometric analysis of the top 100 most-cited articles.JSES reviews, reports, and techniques · 2026Article
- Staged Bilateral Total Elbow Arthroplasty in Advanced Rheumatoid Elbow Disease: A Case Report.Journal of orthopaedic case reports · 2026Article
- Primary vs. revision total elbow arthroplasty: an updated analysis of short-term complications and associated factors.Journal of shoulder and elbow arthroplasty · 2026Article
- Short- to mid-term clinical outcomes and survivorship of the Nexel total elbow arthroplasty in Japanese patients: a single-center retrospective study.Journal of shoulder and elbow arthroplasty · 2026Article
- Total Elbow Arthroplasty Complication, Reoperation, and Revision Rates: A Comparison Between Arthroplasty for Arthritis Versus Fracture.Journal of hand surgery global online · 2026Article
- Primary Total Elbow Arthroplasty With the Coonrad-Morrey Prosthesis in a Chinese Cohort: A Follow-Up of 5-10 Years.Orthopaedic surgery · 2026Article
- Article
- Is popularity of total elbow arthroplasty in the United States decreasing? An analysis of trends, demographics, and indications.JSES reviews, reports, and techniques · 2024Article
- Comparison of baseline demographics and risk factors for aseptic loosening following primary total elbow arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Anemia Severity and the Risks of Postoperative Complications and Extended Length of Stay Following Primary Total Elbow Arthroplasty.Hand (New York, N.Y.) · 2023Article
- Prognostic factors associated with failure of total elbow replacement: a protocol for a systematic review.BMJ open · 2023Article
- Total elbow arthroplasty cases involving orthopaedic residents do not affect short-term postoperative complications.Shoulder & elbow · 2023Article
- A large-scale genetic correlation scan between rheumatoid arthritis and human plasma protein.Bone & joint research · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aims of this study were to validate the outcome of total elbow arthroplasty (TEA) in patients with rheumatoid arthritis (RA), and to identify factors that affect the outcome.
methodsWe searched PubMed, MEDLINE, Cochrane Reviews, and Embase from between January 2003 and March 2019. The primary aim was to determine the implant failure rate, the mode of failure, and risk factors predisposing to failure. A secondary aim was to identify the overall complication rate, associated risk factors, and clinical performance. A meta-regression analysis was completed to identify the association between each parameter with the outcome.
resultsA total of 38 studies including 2,118 TEAs were included in the study. The mean follow-up was 80.9 months (8.2 to 156). The implant failure and complication rates were 16.1% (95% confidence interval (CI) 0.128 to 0.200) and 24.5% (95% CI 0.203 to 0.293), respectively. Aseptic loosening was the most common mode of failure (9.5%; 95% CI 0.071 to 0.124). The mean postoperative ranges of motion (ROMs) were: flexion 131.5° (124.2° to 138.8°), extension 29.3° (26.8° to 31.9°), pronation 74.0° (67.8° to 80.2°), and supination 72.5° (69.5° to 75.5°), and the mean postoperative Mayo Elbow Performance Score (MEPS) was 89.3 (95% CI 86.9 to 91.6). The meta-regression analysis identified that younger patients and implants with an unlinked design correlated with higher failure rates. Younger patients were associated with increased complications, while female patients and an unlinked prosthesis were associated with aseptic loosening.
conclusionTEA continues to provide satisfactory results for patients with RA. However, it is associated with a substantially higher implant failure and complication rates compared with hip and knee arthroplasties. The patient's age, sex, and whether cemented fixation and unlinked prosthesis were used can influence the outcome. Level of Evidence: Therapeutic Level IV. Cite this article:
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