{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:18:40Z","timestamp":1754151520941,"version":"3.41.2"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012921","name":"Royal College of Surgeons in Ireland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012921","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Elbow arthroplasty (EA) aims to restore function and alleviate pain in the elbow joint. Research shows that a higher volume of EAs performed by surgeons and surgical centres correlates with decreased complications, reduced revision rates, and lower healthcare costs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Aims<\/jats:title>\n            <jats:p>This study aims to determine the current landscape of elbow arthroplasty in Ireland.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>A retrospective cross-sectional study was conducted through surveys distributed to upper limb surgeons in Ireland who performed EAs from October 2022 to October 2024. The survey sought to gather data on the number of procedures completed in the 2-year window. Additionally, it probed surgeons\u2019 intentions to continue performing these surgeries and their views on the necessary number of surgeons for adequate service provision in Ireland.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Nineteen surgeons participated, performing a total of 97 elbow arthroplasties over 2 years, which translates to a median of 4 procedures per surgeon (approximately 2 annually). The cohort included 32% distal humerus hemiarthroplasties (DHHs) and 68% total elbow arthroplasties (TEAs), with 60% classified as elective and 40% as trauma-related. All participants indicated a desire to continue performing these procedures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The low volume of elbow arthroplasty procedures in Ireland underscores the necessity for a national policy focused on enhancing surgical quality and patient outcomes. The insights gained from this data aim to stimulate discussions among elbow surgeons in Ireland, paving the way for effective policy implementation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11845-025-03960-1","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T02:37:13Z","timestamp":1746067033000},"page":"957-962","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elbow arthroplasty: an Irish perspective"],"prefix":"10.1007","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3470-4761","authenticated-orcid":false,"given":"Nicolaas Leon","family":"Kotze","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diarmuid","family":"Molony","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Flannery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"3960_CR1","doi-asserted-by":"publisher","first-page":"115","DOI":"10.2174\/1874325001105010115","volume":"5","author":"J Sanchez-Sotelo","year":"2011","unstructured":"Sanchez-Sotelo J (2011) Total elbow arthroplasty. Open Orthop J 5:115\u2013123. https:\/\/doi.org\/10.2174\/1874325001105010115","journal-title":"Open Orthop J"},{"key":"3960_CR2","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1177\/1758573219873001","volume":"12","author":"V Samdanis","year":"2020","unstructured":"Samdanis V, Manoharan G, Jordan RW et al (2020) Indications and outcome in total elbow arthroplasty: a systematic review. Should Elb 12:353\u2013361. https:\/\/doi.org\/10.1177\/1758573219873001","journal-title":"Should Elb"},{"key":"3960_CR3","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.Rvw.16.00089","volume":"5","author":"CL Welsink","year":"2017","unstructured":"Welsink CL, Lambers KTA, van Deurzen DFP, Eygendaal D, van den Bekerom MPJ (2017) Total elbow arthroplasty: a systematic review. JBJS Rev 5:e4. https:\/\/doi.org\/10.2106\/jbjs.Rvw.16.00089","journal-title":"JBJS Rev"},{"key":"3960_CR4","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1007\/s11552-014-9681-3","volume":"9","author":"J Dunn","year":"2014","unstructured":"Dunn J, Kusnezov N, Pirela-Cruz M (2014) Distal humeral hemiarthroplasty: indications, results, and complications. A systematic review. Hand (N Y) 9:406\u2013412. https:\/\/doi.org\/10.1007\/s11552-014-9681-3","journal-title":"Hand (N Y)"},{"key":"3960_CR5","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1016\/j.jseint.2022.06.002","volume":"6","author":"AF Nielsen","year":"2022","unstructured":"Nielsen AF, Al-Hamdani A, Rasmussen JV, Olsen BS (2022) Elbow hemiarthroplasty vs. open reduction internal fixation for acute Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen\/Orthopaedic Trauma Association (AO\/OTA) type 13C fractures-a systematic review. JSES Int 6:713\u2013722. https:\/\/doi.org\/10.1016\/j.jseint.2022.06.002","journal-title":"JSES Int"},{"key":"3960_CR6","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1530\/eor-22-0087","volume":"8","author":"A Prki\u0107","year":"2023","unstructured":"Prki\u0107 A, Vermeulen NP, Kooistra BW et al (2023) Is there a relationship between surgical volume and outcome for total elbow arthroplasty? A systematic review. EFORT Open Rev 8:45\u201351. https:\/\/doi.org\/10.1530\/eor-22-0087","journal-title":"EFORT Open Rev"},{"key":"3960_CR7","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.jse.2021.08.025","volume":"31","author":"C Poff","year":"2022","unstructured":"Poff C, Kunkle B, Li X et al (2022) Assessing the hospital volume-outcome relationship in total elbow arthroplasty. J Shoulder Elbow Surg 31:367\u2013374. https:\/\/doi.org\/10.1016\/j.jse.2021.08.025","journal-title":"JSES"},{"key":"3960_CR8","unstructured":"Society BSaE (2018) British Shoulder and Elbow Society National Guidelines. https:\/\/bess.ac.uk\/national-guidelines\/##all_0-1420-wpfd-surgical-procedure-guidelines\n. Accessed 8 Nov 2024"},{"key":"3960_CR9","unstructured":"National Office of Clinical Audit (1 Dec 2014\u201331 July 2019) Irish National Orthopaedic Register First Report. https:\/\/www.noca.ie\/documents\/irish-national-orthopaedic-register-first-report\/"},{"key":"3960_CR10","unstructured":"Office for National Statistics (2017) Population estimates for the UK, England and Wales, Scotland and Northern Ireland: mid 2016.\u00a0https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/bulletins\/annualmidyearpopulationestimates\/mid2016"},{"key":"3960_CR11","unstructured":"Central Statistics office (2022) Cencus of Population.\u00a0https:\/\/www.cso.ie\/en\/statistics\/population\/censusofpopulation2022\/censusofpopulation2022-summaryresults\/"}],"container-title":["Irish Journal of Medical Science (1971 -)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-025-03960-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11845-025-03960-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-025-03960-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T04:18:38Z","timestamp":1752898718000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11845-025-03960-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["3960"],"URL":"https:\/\/doi.org\/10.1007\/s11845-025-03960-1","relation":{},"ISSN":["0021-1265","1863-4362"],"issn-type":[{"type":"print","value":"0021-1265"},{"type":"electronic","value":"1863-4362"}],"subject":[],"published":{"date-parts":[[2025,5,1]]},"assertion":[{"value":"19 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}