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- W3083382561 abstract ": As with any surgical reconstruction of a joint, changes in the biomechanics of the elbow following prosthesis reconstruction including elbow hemiarthroplasty or total joint arthroplasty can have unintended negative consequences that will reduce long-term survival of the joint or patient satisfaction. Hemiarthroplasty replaces only one side of the joint with a highly polished metallic component that articulates with the remaining opposing native cartilage, as is the case during distal humeral and radial head hemiarthroplasty. Total joint arthroplasty replaces both the distal humerus and the proximal ulna and radius. While both of these types of reconstructions can be effective treatment options to reduce pain and restore mobility to elbow joints suffering from moderate to severe arthritis or trauma, there are also several potential biomechanical consequences associated with each intervention including alterations in cartilage contact mechanics, changes in elbow kinematics, the potential for joint instability, wear of the remaining articular cartilage in hemiarthroplasty, and implant articular wear in total elbow arthroplasty. This narrative report reviews these biomechanical consequences associated with elbow hemiarthroplasty and total elbow arthroplasty, briefly summarizes their clinical impacts, and discusses recent studies that attempt to elucidate the biomechanical reasons for these problems, how these issues are impacted by variables such as implant design, positioning, material selection, and soft tissue status, as well as postulates how future work can attempt to improve the current state of elbow arthroplasty." @default.
- W3083382561 created "2020-09-11" @default.
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- W3083382561 date "2021-01-01" @default.
- W3083382561 modified "2023-09-25" @default.
- W3083382561 title "A narrative review of the biomechanical consequences of prosthesis reconstruction of the elbow" @default.
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- W3083382561 doi "https://doi.org/10.21037/aoj-20-72" @default.
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