The authors present a review on the development of arthroplasties of the elbow. Modern arthroplasties are divided into basic groups and their main advantages and disadvantages are characterized. The authors describe in detail the construction and technique of Souter-Strathclyde total endoprostheses of the elbow based on the authors' own experience. Total endoprostheses of the elbow are the only solution which can ensure at the same time marked relief from pain, a satisfactory range of movement and stability of the operated joint.