Total Elbow Arthropasty (TEA) 24363

synonyms:

TEA CPT

  • 24363 (total elbow arthroplasty)
  • 24586 (open treatment of periarticular fracture and/or dislocation of the elbow; fracture distal humerus and proximal ulna and or proximal radius with implant arthroplasty)

TEA Indications

  • Distal humerus fracture in elderly, low demand patient. (Frankle MA, JOT 2003;17:473).

TEA Contraindications

TEA Alternatives

TEA Pre-op Planning / Special Considerations

TEA Technique

  • Pre-operative antibiotics, +/- regional block
  • General endotracheal anesthesia
  • position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Irrigate.
  • Close in layers.

TEA Complications

  • loosening, poly wear
  • poly wear can be managed by bushing exchange for pts with semiconstrained liked TEA.  Poly wear is more common in young active pts who should be cautioned about recommended activity limitions and lifting restrictions.  (Lee BP. JBJS 2005;87A;1080-87)
  • Periprosthetic Infection

TEA Follow-up care

TEA Outcomes

  • Outcome Measures: Mayo Elbow Performance Index (Frankle MA, JOT 2003;17:473).
  • 93% good/excellent outcomes, 22% revision rate for TEA in patients <40yrs old. Revision rate is higher for post-traumatic arthritis patients (Celli A, JBJS 2009;91A:1414).

TEA Review References

Advanced Reconstruction-Elbow, AAOS 2007

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer.