Resultados da artroplastia total do cotovelo Bi-Contact®: estudo multicêntrico

Abstract

Objective: To describe the initial experience of four orthopedic clinics from using Bi-Contact ® total elbow arthroplasty (TEA), reporting the results and complications of the procedure. Methods: This was a retrospective study, through analysis on the medical records of patients who underwent primary TEA using a prosthesis model developed in conjunction with IOT-HCFMuSP. Forty-six elbows (45 patients) that were operated at four orthopedic clinics between 2000 and 2009 were evaluated. Results: The majority of the patients were female (74%), and the median age was 62.5 years. The diagnoses encountered were trauma sequelae (47.83%), rheumatoid arthritis (32.61%), primary osteoarthrosis (8.7%), acute fractures (6.52%) and heterotopic ossification (2.17%). The median length of follow-up was 2.08 years (0.25-9). The procedure significantly alleviated pain and improved range of motion. It was observed that at least one complication was present in 69.57% of the cases, and the main ones were infection (28.26%), need for revision (28.26%), intraoperative fracture (15.22%) and aseptic loosening (15.22%). Conclusion: Bi-Contact ® TEA provided significant alleviation of pain and improvement of range of motion in the present series. The complication rate was high, and the most frequently observed complications were infection, aseptic loosening and intraoperative fracture.

Artroplastia De Interposição Com Retalho Fascial Livre Do Tríceps Braquial Para O Tratamento Da Rigidez Do Cotovelo: Descrição De Técnica Cirúrgica

“…Artroplastia total do cotovelo, artrodese e artroplastia de interposição são opções cirúrgicas quando falharam as medidas não operatórias (1). No entanto, a artroplastia total do cotovelo apresenta alto índice de complicações, como soltura e infecção (2), o que restringe a sua indicação nos pacientes mais jovens ou nos idosos ativos (1)(2)(3). A artrodese do cotovelo, por sua vez, gera uma limitação funcional significativa e tem sido pouco indicada atualmente (4).…”