Schoch B et al. – As the longevity of the total elbow arthroplasty (TEA) implants for end–stage arthritis in younger patients is a concern, this study evaluated the failure rate and complication profile of TEA performed in patients younger than 50 years. Early mechanical failure, especially ulnar loosening, was reported at high frequency in these patients. Hence, surgeons are advised to be cautious in performing TEA in young patients as this can be used in a more demanding manner, putting the patients at a higher risk for mechanical failure.

Methods

• In total, 11 TEAs were performed in patients younger than 50 years.
• Pain; range of motion; Disabilities of the Arm, Shoulder, and Hand scores; Mayo Elbow Performance scores; complications; and reoperations were the outcome measures.
• The follow–up period was for a minimum of 2 years for observing elbows or until mechanical failure.

Results

• In all, 82% of TEAs reported a complication.
• Mechanical failures was sustained in 6 elbows.
• Improvement in pain, extension, and flexion was noted.
• Mean Disabilities of the Arm, Shoulder, and Hand score for surviving implants was 42.9, whereas surviving implants were rated as excellent (2), good (1), and fair (2) on the Mayo Elbow Performance scores.