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Total elbow replacement with the Souter-Strathclyde prosthesis in rheumatoid arthritis. Long-term follow-up
Landor I, Vavrik P, Jahoda D, Guttler K, Sosna A.
Jazyk angličtina Země Velká Británie
- MeSH
- artroplastiky kloubů metody MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- loketní kloub chirurgie patofyziologie MeSH
- následné studie MeSH
- nestabilita kloubu chirurgie MeSH
- pooperační komplikace chirurgie MeSH
- pronace fyziologie MeSH
- protézy kloubů MeSH
- reoperace MeSH
- revmatoidní artritida chirurgie patofyziologie MeSH
- rozsah kloubních pohybů MeSH
- selhání protézy MeSH
- senioři MeSH
- supinace fyziologie MeSH
- ulna chirurgie MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
We assessed the long-term results of 58 Souter-Strathclyde total elbow replacements in 49 patients with rheumatoid arthritis. The mean length of follow-up was 9.5 years (0.7 to 16.7). The mean pre-operative Mayo Elbow Performance Score was 30 (15 to 80) and at final follow-up was 82 (60 to 95). A total of 13 elbows (22.4%) were revised, ten (17.2%) for aseptic loosening, one (1.7%) for instability, one (1.7%) for secondary loosening after fracture, and one elbow (1.7%) was removed because of deep infection. The Kaplan-Meier survival rate was 70% and 53% at ten and 16 years, respectively. Failure of the ulnar component was found to be the main problem in relation to the loosening. Anterior transposition of the ulnar nerve had no influence on ulnar nerve paresthaesiae in these patients.
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- $a First Orthopaedic Clinic, First Medical Faculty, Charles University, V Uvalu 84, 150 05 Prague 5, Czech Republic. landor@atlas.cz
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- $a We assessed the long-term results of 58 Souter-Strathclyde total elbow replacements in 49 patients with rheumatoid arthritis. The mean length of follow-up was 9.5 years (0.7 to 16.7). The mean pre-operative Mayo Elbow Performance Score was 30 (15 to 80) and at final follow-up was 82 (60 to 95). A total of 13 elbows (22.4%) were revised, ten (17.2%) for aseptic loosening, one (1.7%) for instability, one (1.7%) for secondary loosening after fracture, and one elbow (1.7%) was removed because of deep infection. The Kaplan-Meier survival rate was 70% and 53% at ten and 16 years, respectively. Failure of the ulnar component was found to be the main problem in relation to the loosening. Anterior transposition of the ulnar nerve had no influence on ulnar nerve paresthaesiae in these patients.
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