Total Elbow Replacement
Treatment of elbow arthritis begins with determining the cause and severity. Nonsurgical Treatment Options
- Anti-inflammatory medications selected by a rheumatologist
- Therapy with a certified therapist
- Steroid injections in the elbow
- Activity modifications
If a conservative trial of nonsurgical options is unsuccessful, then surgical treatment can be considered.
Surgical Treatment Options:
- Arthroscopic debridement
- Elbow resurfacing arthroplasty with transferred tissue – Autograft or Allograft
- Formal elbow replacement with an implant arthroplasty
Conditions Treated by an Arthroscopic Debridement if the condition is mild to moderate in severity:
- Rheumatoid arthritis
- Post-traumatic arthritis
- Removal of loose bodies
- Ostoechondral dessicans
- Pigmented Villonodular Synovitis (PVNS)
PVNS is a rare type of synovial tumor. It is caused by the proliferation of the elbow synovial membrane. This produces giant cells, a cell type that normally cleans up necrotic tissue in the body. However, when there is no necrotic tissue, it invades the normal tissue like a tumor. This creates joint destruction, which leaves behind the products of red cell rupture, called hemosiderin.
After an arthroscopic debridement, low dose radiation to the elbow should be considered due to the high recurrence rate of PVNS.