ICL 205: Elbow Arthritis in the Young Athlete-Elbow Arthroplasty

Video Transcription

Video Summary

Dr. Young Kwon discusses the challenges of elbow arthroplasty in young athletes with end-stage arthritis. Key indications include severe arthritis and non-reconstructible fractures. While partial replacements (radial head, capitellum, distal humerus) and total elbow arthroplasty options exist, none are ideal for young, active patients due to longevity concerns and high complication and revision rates. Radial head replacements have moderate success but complications like loosening and cartilage wear are common. Capitellum and distal humerus replacements show limited data and significant complications. Total elbow replacements provide definitive relief but require activity restrictions (no lifting over 10 pounds), making them incompatible with contact or aggressive sports. Studies show reasonable function but high revision rates (around 20-25%) in younger populations. Importantly, no current research directly examines athletic outcomes post-arthroplasty. Overall, elbow arthroplasty is generally not recommended for young athletes who wish to maintain high-demand activity levels.

Asset Caption

Presented by Young Kwon, MD

Keywords

elbow arthroplasty

young athletes

end-stage arthritis

radial head replacement

total elbow replacement