Implant survival of total elbow arthroplasty: analysis of 514 cases from the Dutch Arthroplasty Registry

Abstract

Aims: The aim of this study is to report the implant survival and factors associated with revision of total elbow arthroplasty (TEA) using data from the Dutch national registry. Methods: All TEAs recorded in the Dutch national registry between 2014 and 2020 were included. The Kaplan-Meier method was used for survival analysis, and a logistic regression model was used to assess the factors associated with revision. Results: A total of 514 TEAs were included, of which 35 were revised. The five-year implant survival was 91%. Male sex, a higher BMI, and previous surgery to the same elbow showed a statistically significant association with revision (p < 0.036). Of the 35 revised implants, ten (29%) underwent a second revision. Conclusion: This study reports a five-year implant survival of TEA of 91%. Patient factors associated with revision are defined and can be used to optimize informed consent and shared decision-making. There was a high rate of secondary revisions. Cite this article: Bone Jt Open 2023;4(2):110–119.

Keywords

• total elbow arthroplasty
• implant survival, revision
• national registry
• infection
• loosening
• re-revision
• total elbow arthroplasties
• arthroplasty registry
• elbows
• logistic regression analysis
• higher bmi
• revision of total elbow arthroplasty
• survival analysis
• kaplan-meier method
• infections
• obesity