Live MediSum Demo

This single-institution series of 40 elbows (mean age 59 years, mean follow-up 9 years) evaluated total elbow arthroplasty (TEA) for post-traumatic sequelae after proximal ulna or radius fractures or fracture-dislocations. When successful, TEA provided pain relief and functional restoration, but overall revision rate was 28% with common complications including neurologic events, aseptic loosening, and deep infection; 10-year implant survival free of revision or resection was 73%.

This contemporary review synthesizes evolving evidence on lumbar adjacent segment disease (ASD) after fusion, characterizing ASD as a multifactorial process driven by postoperative biomechanical changes and amplified by genetic and patient factors. It highlights key risk factors (including elevated BMI, preexisting adjacent degeneration, and inadequate sagittal alignment such as pelvic incidence–lumbar lordosis mismatch), reviews emerging minimally invasive and robotic surgical techniques with mixed long-term evidence, and notes that advances in imaging and biologic therapies may alter understanding and prevention strategies.

This retrospective review compared 18 aseptically failed tibial metaphyseal sleeves to surviving sleeves (n=53, mean follow-up 6.7 years) after revision total knee arthroplasty, with an age/sex/BMI-matched subgroup analysis. Surviving sleeves had significantly greater stem and metaphyseal sleeve fill ratios and were more likely to have medial baseplate support (77.4% vs 44.4% in unmatched comparisons), findings that were associated with long-term sleeve survivorship.