Five- to thirteen-year follow-up of the GSB III total elbow arthroplasty

Kelly, Edward W.; Coghlan, Jennifer; Bell, Simon

doi:10.1016/j.jse.2004.01.028

Cited by 66 publications

(49 citation statements)

References 13 publications

(27 reference statements)

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“…There were no superficial or deep infections, which we attribute to our use of a plaster-of-Paris slab cast for 2 weeks post-operatively. In contrast to comparable series, in which ulnar nerve injury or entrapment has been a common complication of the procedure (Hilde brand et al 2000, Kelly et al 2004, none of our patients had ulnar neuropathy. 17/40 components showed marginal or inadequate cementing technique, similar to the findings of Schneeberger et al (2000).…”

Section: Discussioncontrasting

confidence: 91%

“…Ideally, these features will contribute to postoperative stability of the implant and reduce peak forces at the interfaces (Herren et al 2001, McKee et al 2003. In our study of 20 GSB III semi-constrained total elbow arthroplasties in 16 patients with RA, the overall complication rate was one-third, which is comparable to other studies using semi-constrained designs (Ramsey et al 1999, Hildebrand et al 2000, Kelly et al 2004. 1 of the 20 replacements was revised due to aseptic loosening, and 5 replacements were reoperated for other reasons.…”

Section: Discussionsupporting

confidence: 65%

“…In a series of 14 GSB III replacements followed up for 6 years, Schneeberger et al (2000) reported aseptic loosening in 4 of 14 replacements and deep infection in 1. In a recent study of 28 GSB III replacements followed for 8 years, 5 patients were re-operated (Kelly et al 2004). There were 2 cases of persistent ulnar nerve paresthesia, 2 cases of superficial infection, and 1 case of deep infection.…”

Section: Discussionmentioning

confidence: 99%

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The GSB III elbow prosthesis in rheumatoid arthritis: A 2- to 9-year follow-up

et al. 2006

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BackgroundThe optimal design of an elbow prosthesis for badly damaged elbows is unkown. We evaluated 23 GSB III semi-constrained (sloppy-hinged) total elbow arthroplasties in 16 consecutive patients with rheumatoid arthritis.Patients and methods After a mean follow-up period of 5 (2-9) years, we assessed quality of the cementing technique, signs of aseptic loosening, patient satisfaction, range of movement, and determined the Hospital for Special Surgery (HSS) elbow score. 3 patients had died before follow-up; thus, 20 replacements in 16 patients were available for clinical and radiographic study. All patients had end-stage rheumatoid arthritis (RA) of the elbow joint.Results In 2 patients, humeral components were revised due to malorientation. 1 arthroplasty was revised due to aseptic loosening of the humeral component. There were 4 cases of intraoperative fracture which healed uneventfully. The total rate of complications was thus one-third. In 17 of 40 components, the cementing technique was rated as marginal or inadequate. We found no association between cementing technique and loosening. The arc of extension/flexion increased by 19º (0-80), and the range of pronation/supination increased by 31º (0-130). There were no cases of infection or ulnar nerve dysfunction. At the latest follow-up, the HSS elbow score was 84 (40-100) points. 11 of 20 elbows were rated as excellent, 4 elbows were rated as good, 2 elbows were rated as fair, and 3 elbows were rated as poor. 14 of 16 patients were satisfied with the result and the 2 patients who were not satisfied had persistent pain.Interpretation Despite the inherent problems of cementing in small-calibre medullary cavities, the clini-

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Section: Discussioncontrasting

confidence: 91%

Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

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The GSB III elbow prosthesis in rheumatoid arthritis: A 2- to 9-year follow-up

et al. 2006

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“…The length of follow-up in our series (median of 2.08 years) is short compared with other studies (mean of 4.5 to 10.6 years) (2)(3)(4)(5)(6)9,14) . The complication rate found was greater than what has been reported in the literature.…”

Section: Resultscontrasting

confidence: 59%

“…These results are better than those presented by Kelly et al (3) (37° in flexion-extension and 57° in pronosupination), Malone et al (4) (26° in flexion-extension and 40° in pronosupination), Naqui et al (5) (40° inflexion-extension) and Willems and De Smet (6) (26° in flexion-extension), although the gain in amplitude depends not only on the success of the procedure but also on the initial limitation of the disease. The range of motion did not present any correlation with the diagnosis (p = 0.25 for flexionextension and p = 0.19 for pronosupination).…”

Section: Resultscontrasting

confidence: 48%

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

Benegas¹,

Malavolta

Gracitelli³

et al. 2011

Rev. bras. ortop.

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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.

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Reoperative Conditions Following Total Elbow Arthroplasty

King

2012

Reoperative Hand Surgery

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Five- to thirteen-year follow-up of the GSB III total elbow arthroplasty

Cited by 66 publications

References 13 publications

The GSB III elbow prosthesis in rheumatoid arthritis: A 2- to 9-year follow-up

The GSB III elbow prosthesis in rheumatoid arthritis: A 2- to 9-year follow-up

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

Reoperative Conditions Following Total Elbow Arthroplasty

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