Published results in the Journal of Shoulder and Elbow Surgery showed that the failure of total elbow arthroplasty due to infection led to a higher likelihood of revision failure and a greater number of subsequent operations compared with failure due to other etiologies.
The study included 46 patients with a mean age of 62.7 years and minimum 2-year follow-up. The etiologies of failure included, aseptic loosening, periprosthetic fracture, and bushing wear. All noninfectious etiologies were grouped into an additional cohort. Patients who underwent revision for infection showed significantly greater failure rate and greater number of additional revisions per patient than those with aseptic loosening, those with periprosthetic fracture, and the noninfectious group, as well as a shorter time to failure than the noninfectious group.
DeBernardis DA, et al. J Shoulder Elbow Surg. 2020;doi:10.1016/j.jse.2019.10.010.