Strelzow JA, et al. - All individuals with RA (n = 82 ; 27 with unlinked TEA and 55 with linked total elbow arthroplasty [TEA]) who underwent TEA at a single center with a minimum of 2 years' follow-up were analyzed in order to contrast outcomes and complications of unlinked and linked TEA using a convertible system in individuals with RA. With the exception of longer follow-up in the unlinked group, demographic features were comparable between groups. No variations in the range of motion were recorded. Elbow strength was comparable other than pronation strength. Between unlinked and linked devices, no variations in the rates of reoperation, complications, or revisions were discovered. Four individuals with instability, all with unlinked designs, underwent revision to a linked design and four individuals, all with linked designs, underwent revision for aseptic loosening of smooth short-stem ulnar components. Hence, in individuals with RA, using a convertible implant design, TEA gives superior patient-reported outcomes at mid-term follow-up. However, this study could not identify a disparity in the use of either unlinked or linked implant designs, thus, additional large comparison trials are demanded.