Total elbow arthroplasty can be a rewarding operation and is becoming increasingly used in the elderly fracture population. Multiple approaches are represented in the literature and deciding on the best approach is difficult. This review discusses approaches and their reported outcomes, aiming to allow surgeons to make an informed choice about which approach to use.
GillDRMorreyBF. The Coonrad–Morrey total elbow arthroplasty in patients who have rheumatoid arthritis. A ten to fifteen-year follow-up study. J Bone Joint Surg Am1998; 80: 1327–1335.
2.
CobbTKMorreyBF. Total elbow arthroplasty as primary treatment for distal humeral fractures in elderly patients. J Bone Joint Surg1997; 79: 826–832.
3.
MorreyBFSanchez-SoteloJ. Approaches for elbow arthroplasty: how to handle the triceps. J Shoulder Elbow Surg2011; 20: S90–S96.
4.
VoloshinISchippertDWKakarSKayeEKMorreyBF. Complications of total elbow replacement: a systematic review. J Shoulder Elbow Surg Am2011; 20: 158–168.
5.
ShahaneSAStanleyD. A posterior approach to the elbow joint. J Bone Joint Surg Br1999; 81: 1020–1022.
6.
BryanRSMorreyBF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop1982; 166: 188–192.
7.
CampbellWC. Arthroplasty of the elbow. Ann Surg1922; 76: 615–623.
8.
MarinelloPGPeersSStyronJPervaizKEvansPJ. Triceps fascial tongue exposure for total elbow arthroplasty: surgical technique and case series. Tech Hand Up Extrem Surg2015; 19: 60–63.
9.
AmirfeyzRClarkDQuickTBlewittN. Newcastle approach to the elbow, a cadaveric study. Arch Orthop Trauma Surg2011; 131: 747–751.
10.
de VosMJWagenerMLVerdonschotNEygendaalD. An extensive posterior approach of the elbow with osteotomy of the medial epicondyle. J Shoulder Elb Surg Am2014; 23: 313–317.
11.
RajeevAPooleyJ. A posterior approach to the elbow joint based on the blood supply to the triceps muscle. Eur J Orthop Surg Traumatol2009; 19: 467–472.
12.
TsugeKMurakamiTYasunagaYKanaujiaRR. Arthroplasty of the elbow. Twenty years’ experience of a new approach. J Bone Joint Surg Br1987; 69: 116–120.
PoonPCFoliakiSYoungSWEisenhauerD. Triceps split and snip approach to the elbow: surgical technique and biomechanical evaluation. ANZ J Surg2013; 83: 774–778.
15.
CelliA. The anconeus-triceps lateral flap approach: new surgical exposure for total elbow arthroplasty. Tech Shoulder Elb Surg2015; 16: 19–28.
16.
OizumiNSuenagaNYoshiokaCYamaneS. Triceps-sparing ulnar approach for total elbow arthroplasty. Bone Joint J2015; 97B: 1096–1101.
17.
ProkopisPMWeilandAJ. The triceps-preserving approach for semiconstrained total elbow arthroplasty. J Shoulder Elb Surg Am2008; 17: 454–458.
18.
RydholmULjungP. Surface replacement of the rheumatoid elbow through a lateral approach. Tech Orthop2003; 18: 258–266.
19.
Alonso-LlamesM. Bilaterotricipital approach to the elbow. Its application in the osteosynthesis of supracondylar fractures of the humerus in children. Acta Orthop Scand1972; 43: 479–490.
20.
DachsRPFlemingMAChiversDA. Total elbow arthroplasty: outcomes after triceps-detaching and triceps-sparing approaches. J Shoulder Elb Surg Am2015; 24: 339–347.
21.
BoormanRSPageWTWeldonEJLippittSMatsenFA. A triceps-on approach to semi-constrained total elbow arthroplasty. Tech Shoulder Elb Surg2003; 4: 139–144.
22.
StuderAAthwalGSMacDermidJCFaberKJKingGJW. The lateral para-olecranon approach for total elbow arthroplasty. J Hand Surg2013; 38: 2219–2226.e3–2219–2226.e3.
23.
CheungEVO’DriscollSW. Total elbow prosthesis loosening caused by ulnar component pistoning. J Bone Joint Surg Am2007; 89: 1269–1274.
24.
GorderGWV. Surgical approach in supracondylar ‘T’ fractures of the humerus requiring open reduction. J Bone Joint Surg1940; 22: 278–292.
25.
MacAuslandWR. Ankylosis of the elbow: With report of four cases treated by arthroplasty. J Am Med Assoc1915, pp. LXIV:312–LXIV:312.
26.
WilkinsonJMStanleyD. Posterior surgical approaches to the elbow: a comparative anatomic study. J Shoulder Elb Surg Am2001; 10: 380–382.
27.
DakouréPWHNdiayeANdoyeJ-M. Posterior surgical approaches to the elbow: a simple method of comparison of the articular exposure. Surg Radiol Anat SRA2007; 29: 671–674.
28.
SchuindFO’DriscollSKorinekSAnKNMorreyBF. Loose-hinge total elbow arthroplasty. An experimental study of the effects of implant alignment on three-dimensional elbow kinematics. J Arthroplasty1995; 10: 670–678.
29.
ItoiEKingGJNeiburGLMorreyBFAnKN. Malrotation of the humeral component of the capitellocondylar total elbow replacement is not the sole cause of dislocation. J Orthop Res Off Publ Orthop Res Soc1994; 12: 665–671.
30.
BrownhillJRPollockJWFerreiraLMJohnsonJAKingGJW. The effect of implant malalignment on joint loading in total elbow arthroplasty: an in vitro study. J Shoulder Elb Surg Am2012; 21: 1032–1038.
31.
SchuindFO’DriscollSWKorinekSAnKNMorreyBF. Changes of elbow muscle moment arms after total elbow arthroplasty. J Shoulder Elb Surg Am1994; 3: 191–199.
32.
BrinkmanJ-Mde VosMJEygendaalD. Failure mechanisms in uncemented Kudo type 5 elbow prosthesis in patients with rheumatoid arthritis: 7 of 49 ulnar components revised because of loosening after 2–10 years. Acta Orthop2007; 78: 263–270.
33.
LenoirHMicallefJPDjerbiI. Total elbow arthroplasty: Influence of implant positioning on functional outcomes. Orthop Traumatol Surg Res2015; 101: 721–727.
34.
MorreyMEMorreyBF. Finding the canal: a novel technique for identifying and instrumenting ulnar canals during total elbow arthroplasty. Tech Shoulder Elb Surg2015; 16: 15–18.
35.
CelliAArashAAdamsRAMorreyBF. Triceps insufficiency following total elbow arthroplasty. J Bone Joint Surg Am2005; 87: 1957–1964.
36.
KimJMMudgalCSKonopkaJFJupiterJB. Complications of total elbow arthroplasty. J Am Acad Orthop Surg2011; 19: 328–339.
37.
Sanchez-SoteloJMorreyBF. Surgical techniques for reconstruction of chronic insufficiency of the triceps. Rotation flap using anconeus and tendo achillis allograft. J Bone Joint Surg Br2002; 84: 1116–1120.
38.
LittleCPGrahamAJCarrAJ. Total elbow arthroplasty: a systematic review of the literature in the English language until the end of 2003. J Bone Joint Surg Br2005; 87: 437–444.
39.
LjungPJonssonKRydholmU. Short-term complications of the lateral approach for non-constrained elbow replacement. Follow-up of 50 rheumatoid elbows. J Bone Joint Surg Br1995; 77: 937–942.
40.
PierceTDHerndonJH. The triceps preserving approach to total elbow arthroplasty. Clin Orthop1998; 354: 144–152.
41.
GuerroudjMde LonguevilleJ-CRoozeMHinsenkampMFeipelVSchuindF. Biomechanical properties of triceps brachii tendon after in vitro simulation of different posterior surgical approaches. J Shoulder Elb Surg Am2007; 16: 849–853.
42.
GschwendN. Our operative approach to the elbow joint. Arch Orthop Trauma Surg Arch Für Orthop Unf-Chir1981; 98: 143–146.
43.
FreseEBrownMNortonBJ. Clinical reliability of manual muscle testing. Middle trapezius and gluteus medius muscles. Phys Ther1987; 67: 1072–1076.
44.
MorreyBFAskewLJAnKN. Strength function after elbow arthroplasty. Clin Orthop1988; 234: 43–50.
DwyerTHenryPDGCholvisudhiPChanVWSTheodoropoulosJSBrullR. Neurological complications related to elective orthopedic surgery: part 1: common shoulder and elbow procedures. Reg Anesth Pain Med2015; 40: 431–442.
47.
HildebrandKAPattersonSDReganWDMacDermidJCKingGJ. Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint Surg Am2000; 82A: 1379–1386.
48.
ÖzerHAçarHİCömertATekdemirİElhanATuranliS. Course of the innervation supply of medial head of triceps muscle and anconeus muscle at the posterior aspect of humerus (anatomical study). Arch Orthop Trauma Sur2006; 126: 549–553.
49.
BertelliJAGhizoniMF. Nerve transfer from triceps medial head and anconeus to deltoid for axillary nerve palsy. J Hand Surg2014; 39: 940–947.