Surgical alternatives for elbow arthritis in the young adult.

Most surgeons agree that total elbow arthroplasty is best avoided or deferred in patients younger than 60 years of age, although, at times, there may be no reasonable alternative. Other reconstructive options are available that may provide years of useful function, even if they are sometimes considered a surgical bridge to allow the patient to achieve the age at which implant arthroplasty would be appropriate. The patient and surgeon must have a clear understanding of the expectations and limitations of any proposed procedure. The key to success in reconstructive elbow surgery is the choice of the option that best addresses the articular pathology and the needs and desires of the specific patient.