The LRE began to be used clinically in 2005 and since then the satisfactory results of the LRE System obtained in the design centre have been replicated by other groups in a wide range of patients including manual workers. The LRE has been found to be appropriate for patients with primary OA and secondary OA due either to trauma or treated inflammatory arthropathies, in whom intra-operative observations have confirmed that the pattern of articular degeneration is similar.

Whereas any of the described lateral surgical approaches to the elbow can be used to insert the components of the LRE we recommend the following approach particularly for patients with more advanced degenerative changes and limitation of movement as it enables arthrolysis/debridement and facilitates component alignment.

A full breakdown and our surgical approach document can be found here or on our Resources page.