Outcome of total elbow replacement for rheumatoid arthritis: Single surgeon's series with Souter-Strathclyde and Coonrad-Morrey prosthesis

Prasad, N.; Dent, Chris

doi:10.1016/j.jse.2009.09.016

Cited by 54 publications

(26 citation statements)

References 22 publications

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“…The overall rates of complications range in the literature between 14 and 33% [29][30][31][32]. In our series, complications were observed in 4 cases (22.2%), but only one required prosthetic revision.…”

Section: Discussionmentioning

confidence: 49%

Linked semi-constrained total elbow prosthesis in chronic arthritis: results of 18 cases

et al. 2010

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During the second half of the 1900s, total elbow joint replacement began its ascent. Since then, many prosthetic models have been used. The main objective of elbow joint replacement in arthritic diseases is to decrease pain, increase joint stability and improve overall range of motion. In this study, 18 patients affected with elbow arthritis were treated with the Coonrad-Morrey and Discovery total elbow prostheses. All patients were assessed clinically before and after surgery using the Mayo Elbow Performance Score, the Disabilities of the Arm, Shoulder and Hand questionnaire and through radiograph analysis. Excellent and good results were observed in 88.9% of the cases at a mean follow-up of 5 years. Significant statistical differences in all parameters between preoperative and final follow-up values confirm the efficacy of these devices.

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Section: Discussionmentioning

confidence: 49%

Linked semi-constrained total elbow prosthesis in chronic arthritis: results of 18 cases

et al. 2010

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“…Among the patients with nerve lesions (4/46), two presented neuropraxia (one of the ulnar nerve and one of the radial nerve). Complete tears occurred in two patients, in the median arthritis (6,11,12) . In mixed series, there has generally been a large predominance of rheumatoid arthritis cases (9) , but our series different in this respect (54.35% with sequelae of trauma and 32.61% with rheumatoid arthritis).…”

Section: Resultsmentioning

confidence: 98%

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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“…Prasad et al reported on 99 elbow arthroplasties performed for rheumatoid arthritis by a single surgeon [15]. The Souter prosthesis was used in 44 elbows and the Coonrad-Morrey design in 55 elbows.…”

Section: Outcomementioning

confidence: 99%

Elbow rheumatoid elbow: surgical treatment options

Sánchez-Sotelo

2016

Curr Rev Musculoskelet Med

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Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by peripheral polyarthritis. The elbow joint is estimated to be involved in 20 to 65 % of the patients with RA. The development of new pharmacologic agents and the adoption of early therapeutic interventions have translated into milder forms of polyarticular destruction. As a result, the traditional crippled rheumatoid patient has been replaced by rheumatoid patients with higher activity levels, higher expectations, and more demands on any reconstructive procedures performed. When nonoperative treatment is insufficient, surgery may be considered. Arthroscopic synovectomy has become the procedure of choice for rheumatoid patients with uncontrolled symptoms. Patients with more advanced joint destruction can be considered for elbow arthroplasty. Interposition arthroplasty may be considered for patients interested in avoiding the potential complications of elbow arthroplasty.

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Outcome of total elbow replacement for rheumatoid arthritis: Single surgeon's series with Souter-Strathclyde and Coonrad-Morrey prosthesis

Cited by 54 publications

References 22 publications

Linked semi-constrained total elbow prosthesis in chronic arthritis: results of 18 cases

Linked semi-constrained total elbow prosthesis in chronic arthritis: results of 18 cases

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

Elbow rheumatoid elbow: surgical treatment options

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