BACKGROUND: @entity3564 are among the most challenging complications of elbow arthroplasty, and published information about the outcome of treatment is limited. The purpose of the present study was to determine the results of implant revision and strut allograft augmentation for the treatment of @entity3564 that occur around a loose humeral component. METHODS: Between 1991 and 1999, @entity3564 that occurred around a loose humeral component were treated with cortical strut allograft augmentation and revision arthroplasty with use of a Coonrad-Morrey semiconstrained implant. Six @entity174 occurred after a primary arthroplasty, and five occurred after a revision arthroplasty. Two parallel strut grafts were used for @entity174 fixation in most cases. @entity1 were followed for an average of three years (range, nine months to 7.8 years) and were evaluated clinically and radiographically. RESULTS: Clinical and radiographic @entity174 union was obtained in ten of the eleven @entity1 . One @entity1 required revision surgery because of aseptic loosening of the humeral component seven years and nine months after @entity174 union; there were no other implant failures. Complications included one additional nondisplaced humeral @entity3564 after surgery that failed to heal with closed treatment, one @entity174 , one permanent @entity3165 , and one case of @entity1887 . At the time of the most recent follow-up, seven of the eight @entity1 with an intact reconstruction had a functional arc of motion and no or slight @entity158 and one had limited motion and moderate @entity158 . CONCLUSIONS: @entity3564 that are associated with a loose humeral component can be effectively treated with revision elbow arthroplasty and strut allograft augmentation. The technique is associated with a high rate of @entity174 union, implant survival, and satisfactory clinical results. However, the complication rate is substantial.

XXXX after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity3165 :: ('MESH:D020424', 'Disease') :: ['ulnar nerve injury'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'olecranon fracture', 'fracture'] @entity1887 :: ('MESH:D000309', 'Disease') :: ['triceps insufficiency'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3564 :: ('MESH:D057068', 'Disease') :: ['Periprosthetic fractures', 'humeral periprosthetic fractures', 'Periprosthetic humeral fractures', 'periprosthetic fracture', 'eleven periprosthetic fractures']
@entity3564 :: (MESH:D057068,Disease) :: ['Periprosthetic humeral fractures']
