Elbow Arthroplasty Current Techniques and Complications

This handbook provides detailed, state-of-the-art information on total elbow replacement, covering all relevant aspects, from basic science and pathogenesis to clinical and instrumental evaluation, and treatment techniques.

Elbow arthroplasties have undergone a considerable evolution in recent decades due to better anatomical and biomechanical knowledge, continuous development of biomaterials, improvement of operative techniques and better definition of the surgical indications. This book enables readers to better understand the main indications, the outcomes and the complications following total elbow arthroplasty, radial head arthroplasty, radiocapitellar arthroplasty and distal humerus hemiarthroplasty. The closing section addressing the post-operative management of the patients who have undergone elbow replacement is provided in order to optimize the relationship between the orthopedic surgeon and the rehabilitation physician. Written by leading experts in the field, the book is an invaluable tool for experienced surgeons, orthopedic residents and shoulder fellows.

Section 1- Basic science  : 1History and evolution of elbow arthroplasties.- 2 Epidemiology and demographics of elbow arthroplasties.- 3 Anatomy of the elbow and its influence on implant design.- 4 Kinematics and biomechanics in normal and replacement elbow.- 5 Surgical exposures in elbow arthroplasty. Section 2 - Total Elbow Arthroplasty: 6 Indications and surgical technique of primary elbow linked arthroplasty.- 7 Cement techniques: tips and tricks to improve fixation of implants.- 8 Total elbow linked arthroplasty in distal humeral fractures and distal humeral nonunion: peculiarities of surgical technique and expected results.- 9 Total elbow arthroplasty in rheumatoid arthritis and other inflammatory conditions: unlinked or linked replacement? .- 10 Total elbow linked arthroplasty in primary and post-traumatic arthritis: peculiarities of surgical technique and expected results .-11 Convertible total elbow arthroplasty: theoretical or real advantages?.- 12 Infection management in total elbow replacement: do effective guidelines exist?.- 13 Periprosthetic fractures in total elbow replacement: classification and current treatment algorithm.- 14 Revision in total elbow replacement with preserved bone stock: surgical technique and expected results.- 15 Revision in total elbow replacement with bone stock loss: surgical technique and expected results .-16 Resection arthroplasty: expected clinical results.- 17 Changes in quality of life and cost/utility analysis after total elbow replacement. Section 3 - Distal Humeral Hemiarthroplasty: 18 Anatomical considerations and biomechanics in distal humeral hemiarthroplasty: are custom-made implants essential? 19 Distal humeral hemiarthroplasty: indications and expected results.- 20 Distal humerus hemiarthroplasty: surgical technique.-21 Complication management in distal humerus hemiarthroplasty. Section 4 - Radial Head and Radiocapitellar Arthroplasty: 22 Indications for radial head arthroplasty and classification of current implants.- 23 Non-anatomical monopolar uncemented radial head arthroplasty: surgical technique and expected outcomes.- 24 Anatomical monopolar press-fit radial head arthroplasty: surgical technique and expected outcomes.- 25 Bipolar press-fit radial head arthroplasty: surgical technique and expected outcomes.- 26Cemented radial head arthroplasty: surgical technique and outcomes.- 27 Complications and revision of radial head arthroplasty: management and outcomes.- 28 Radiocapitellar arthroplasty: indications, surgical technique and outcomes. Section 5 - Postoperative management: 29 The use of elbow braces in elbow replacement.- 30 Continuous passive motion and rehabilitation in elbow arthroplasty: when, how and why.- 31Mobilization under anaesthesia in stiff prosthetic elbow: is it still an option?.

Filippo Castoldi, MD, is Associate Professor of Orthopedics and Traumatology at the University of Turin, Italy, and currently Chief of the 2nd Orthopedics and Traumatology University Clinic at the Orthopedics and Traumatology Center of Turin. His main interests are shoulder, elbow, and knee pathologies and their treatments – areas in which he undertook training during prolonged periods of study in Europe and the United States. Dr. Castoldi is the lead author of a number of scientific papers that have addressed the development of new techniques and clinical and basic science research. He is the winner of several international awards and has been a faculty member of national and international meetings and courses. 

Roberto Rotini is Director of Shoulder and Elbow Unit and is responsible for the research program titled “Orthopedic Clinical Pathology” of Rizzoli Orthopedic Institute of Bologna. From 2002 he has been teaching, with the role of Professor on contract, shoulder and elbow matters at the Orthopaedic post-graduate school of Bologna University. He is member of ESSSE/SECEC (European Society  for Surgery of the Shoulder and the Elbow) from 2002, he is part of the Board of Italian Society for Shoulder and Elbow Surgery (SICSeG) from 2005 and has been the President of this Society in 2013-14. He is part of the Editorial Board of Muskuloskeletal Surgery.

Giuseppe Giannicola, MD, PhD, is orthopedic surgeon at the Clinic of Orthopedics and Traumatology, Department of Anatomy, Histology, Legal Medicine and Orthopedics and Traumatology at the Sapienza University of Rome – Policlinico Umberto I, Italy. His main interests in the field are elbow trauma, elbow post-traumatic conditions and elbow arthroplasty. Dr. Giannicola is teacher of elbow surgery at the Orthopaedics and Rehabilitation medicine post-graduate school and also teacher of orthopedics and traumatology at the Environment and Workplace Prevention Techniques faculty and the Nursing School of “Sapienza” University of Rome. He is part of the Board of Italian Society for Shoulder and Elbow Surgery (SICSeG) and took part as faculty member to many national congresses and courses.