Joint replacement surgery for elbow tumours: a systematic review of outcomes

Manoharan, Gopikanthan; Jordan, Robert W; Orfanos, Georgios; Cheruvu, Manikandar S; Cool, Paul; Hay, Stuart M

Abstract

Background
Tumour resection followed by joint reconstruction is a surgical option in the appropriate patient. The evidence for such reconstructive surgery of the elbow joint is limited. The aim of this study is to review the literature to evaluate the outcomes of joint replacement surgery in tumours of the elbow.
Methods
A systematic review of PUBMED and EMBASE databases was conducted. Case series and comparative studies reporting results after total elbow arthroplasty, modular endo-prosthetic replacement and custom prosthesis were eligible for inclusion.
Results
Eleven eligible studies were identified (n = 134). At mean follow-up of 44 months, the overall revision rate was 14% and complication rate was 28%. The mean Mayo Elbow Performance Score was 75, with 56% of patients reporting good or excellent outcomes. The mean post-operative range of motion was 97°.
Discussion
Elbow prosthesis reconstruction after tumour resection can provide good functional outcomes at mid-term follow-up. The complication and revision rates are comparable to other indications for elbow replacement surgery. Further prospective studies are required to compare outcomes between different elbow arthroplasty options after tumour resection.

Citation

Manoharan, G., Jordan, R. W., Orfanos, G., Cheruvu, M. S., Cool, P., & Hay, S. M. (2021). Joint replacement surgery for elbow tumours: a systematic review of outcomes. Shoulder and Elbow, 13(6), 656-670. https://doi.org/10.1177/17585732211014832

• Journal Article Type: Review
• Acceptance Date: Apr 13, 2021
• Online Publication Date: May 20, 2021
• Publication Date: 2021-10
• Deposit Date: Jun 23, 2023
• Journal: Shoulder & Elbow
• Print ISSN: 1758-5732
• Electronic ISSN: 1758-5740
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Issue: 6
• Pages: 656-670
• DOI: https://doi.org/10.1177/17585732211014832
• Keywords: Rehabilitation; Physical Therapy, Sports Therapy and Rehabilitation; Orthopedics and Sports Medicine; Surgery; Total elbow arthroplasty; endo-prosthetic replacement; custom prosthesis; elbow; tumour; outcomes