Journal ArticleDOI
Primary Souter-Strathclyde total elbow prosthesis in rheumatoid arthritis.
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TLDR
Total elbow replacement is associated with a high complication rate and therefore may be warranted only for seriously disabled patients, and loosening of the humeral component remains a concern.Abstract:
BACKGROUND:
Total elbow arthroplasty is a well-established treatment for the painful elbow joint in patients with rheumatoid arthritis We present the results of what we believe to be the first prospective study of the Souter-Strathclyde total elbow prosthesis
METHODS:
Between June 1982 and December 2000, 204 primary total elbow prostheses were inserted in 166 patients who had rheumatoid arthritis No patient was lost to follow-up The mean duration of follow-up was 64 years All patients were examined preoperatively, at one and two years postoperatively, and at regular intervals thereafter
RESULTS:
Six of the 204 elbows had pain at rest at the time of the latest follow-up Ten patients (ten elbows) without previous neurological symptoms had development of paresthesias in the distribution of the ulnar nerve postoperatively Patients who had pain at rest or at night and those who had ulnar nerve symptoms preoperatively were found to have a significant chance of having the same complaints postoperatively Pain at rest or at night and a decrease in function during the follow-up period were associated with humeral loosening Twenty-four elbows had revision of the total elbow prosthesis because of loosening of the humeral component (ten), loosening after fracture (six), dislocation (four), infection (two), restricted range of motion (one), or fracture of the middle part of the humeral shaft, proximal to the prosthesis (one) One prosthesis was removed because of humeral loosening, and eight were removed because of deep infection Another five prostheses were radiographically loose at the time of the latest follow-up The rate of implant survival, according to the method of Kaplan-Meier, was 774% after ten years and 652% after eighteen years
CONCLUSIONS:
Total elbow replacement is associated with a high complication rate and therefore may be warranted only for seriously disabled patients Currently, the results associated with the Souter-Strathclyde total elbow prosthesis are comparable with the results associated with other prostheses, but loosening of the humeral component remains a concernread more
Citations
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Journal ArticleDOI
Complications of total elbow replacement: a systematic review
TL;DR: A variety of technical advances have been made within the last decade in the areas of prosthetic design and surgical technique to reduce complications following total elbow arthroplasty.
Journal ArticleDOI
Outcomes of total elbow arthroplasty for rheumatoid arthritis: comparative study of three implants.
TL;DR: The clinical function of these implants was similar in terms of pain relief and range of motion and it is believed that component linkage with the Coonrad-Morrey implant prevents dislocation without increasing the risk of loosening.
Journal ArticleDOI
Results after 562 total elbow replacements: A report from the Norwegian Arthroplasty Register
Bjørg-Tilde Svanes Fevang,Stein Atle Lie,Leif Ivar Havelin,Leif Ivar Havelin,Arne Skredderstuen,Ove Furnes,Ove Furnes +6 more
TL;DR: Good results in terms of prosthesis survival were obtained with total elbowArthroplasty, although results were worse than for knee- and hip arthroplasties, and the best results were achieved in patients with inflammatory arthritis.
Journal ArticleDOI
Indications and reoperation rates for total elbow arthroplasty: an analysis of trends in New York State.
TL;DR: The purposes of this study were to evaluate the changes with time in the indications for total elbow arthroplasties and to examine the complications of this procedure in a large database, and to provide useful information regarding patients undergoing total elbowArthroplasty in New York State.
Journal ArticleDOI
Total Elbow Arthroplasty: A Systematic Review
Chantal L. Welsink,Kaj T. A. Lambers,Derek F.P. van Deurzen,Denise Eygendaal,Michel P.J. van den Bekerom +4 more
TL;DR: It appears that there are small differences between designs of TEA, and despite the fairly good functional results and elbow scores, the survival and complication rates are still not as favorable as those following arthroplasties in other joints.
References
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Revision total hip arthroplasty with the use of structural acetabular allograft and reconstruction ring: A case series with a 10-year average follow-up****
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Journal ArticleDOI
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