Recent Shift in Indication for Total Elbow Arthroplasty

Change from 48 percent due to inflammatory arthritis in '97 to 69 percent due to trauma in '06

TUESDAY, Jan. 24 (HealthDay News) -- The most common indication for total elbow arthroplasty in New York State changed from inflammatory conditions in 1997 to trauma in 2006, with revision and complication rates remaining high, according to a study published in the Jan. 18 issue of The Journal of Bone & Joint Surgery.

David M. Gay, M.D., from Flagler Orthopedics and Sports Medicine in Palm Coast, Fla., and colleagues analyzed a state census of all ambulatory and inpatient surgical procedures between 1997 to 2006, and evaluated 1,155 primary total elbow arthroplasties performed in New York State for complications, readmission, and subsequent surgery data.

The researchers found that 43 percent of total elbow arthroplasties performed in 1997 were associated with trauma and 48 percent with inflammatory conditions, compared with 69 and 19 percent, respectively, in 2006. Twelve percent of all patients were readmitted to the hospital within 90 days, and 5.6 percent were admitted for problems related to the primary surgery. The revision rates were 4.8 percent for traumatic arthroplasties, 8.3 percent for inflammatory arthritis, and 14.7 percent for osteoarthritis, representing an overall revision rate of 6.4 percent. Surgeons with no recorded experience performed 90.5 percent of the total elbow arthroplasties.

"Further investigations into implant design and possibly a higher referral rate to surgeons with greater experience with elbow arthroplasty may result in a reduction in the revision rates and perioperative complications," the authors write.

One or more of the study authors disclosed a financial relationship with an entity in the biomedical arena.

Abstract
Full Text (subscription or payment may be required)
Editorial

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events