Evaluation of results of Total Elbow Arthroplasty with a Linked Semiconstrained Prosthesis
Keywords:
Total elbow arthroplasty, linked prosthesis, Semiconstrained Prosthesis
Abstract
Introduction: Extremity arthroplasties have been performed for 150 to 200 years, but no arthroplasty has been developed that universally meets the needs of every patient with a disabled elbow joint. Although the frequency of total elbow arthroplasty is much less as compared to hip and knee, it has definitely made an emphatic place for itself in the world of joint replacements.
Methods: This is a study of nine patients out of eleven, as two patients were lost to follow up very early in the process. Between August 2004 to August 2014 nine patients were taken up for total elbow replacement for different indications which included neglected supracondylar fractures of the humerus sustained in childhood, rheumatoid arthritis and grossly comminuted fractures, closed and compound, of the distal humerus.
Results: Out of the nine patients considered, seven had no pain whereas two patients with a comminuted compound fracture of the lower end of humerus, with one patient in whom myositis was excised, complained of regular pain postoperatively.
Conclusion: The aim of this prospective study is to evaluate the results of the linked prosthesis in total elbow arthroplasty for different indications.
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References
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2. Brown RF, Morgan RG. Intercondylar T-shaped fractures of the humerus: results in ten cases treated by early mobilisation. J Bone Joint Surg Br 1971;53(3):425-8. [PubMed]
3. Gofton WT, Macdermid JC, Patterson SD, et al. Functional outcome of AO type C distal humeral fractures. J Hand Surg [Am] 2003;28(2):294-308. [PubMed]
4. Korner J, Lill H, Muller LP, et al. Distal humerus fractures in elderly patients: results after open reduction and internal fixation. Osteoporos Int(Suppl 2):S73-9. [PubMed]
5. Kundel K, Braun W, Wieberneit J, et al. Intraarticular distal humerus fractures: factors affecting functional outcome. Clin Orthop Relat Res 1996;332:200-8. [PubMed]
6. Mckee MD, Jupiter JB. A contemporary approach to the management of complex fractures of the distal humerus and their sequelae. Hand Clin 1994;10(3):479-94. [PubMed]
7. Pajarinen J, Bjoerkenheim JM. Operative treatment of type C intercondylar fractures of the distal humerus: results after a mean follow up of 2 years in A series of 18 patients. J Shoulder Elbow Surg 2002;11(1):48-52. [PubMed]
8. Ring D, Jupiter JB. Complex fractures of the distal humerus and their complications. J Shoulder Elboe Surg 1999;8(1):85-97. [PubMed]
9. Robinson CM, Hill RM, Jacobs N, et al. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma 2003;17(1):38-47. [PubMed]
10. Sanders RA, Raney EM, Pipkin S. Operative treatment of bicondylar intraarticular fractures of the distal humerus. Orthopaedics 1992;15(2):159-63. [PubMed]
11. Aitken GK, Rorabeck CH. Distal humeral fractures in the adult. Clin Orthop Relat Res 1986;207:191-7. [PubMed]
12. Fevang BT, Lie SA, Havelin LI, Skredderstuen A, Furnes O. Results after 562 total elbow replacements: a report from the Norwegian Arthroplasty Register. J Shoulder Elbow Surg. 2009;18(3 ):449–56. [PubMed]
13. B. F. Morrey, L. J. Askew, K. N. An, and E. Y. Chao, “A biomechanical study of normal functional elbow motion,” Journal of Bone and Joint Surgery A, vol. 63, no. 6, pp. 872–877, 1981. [PubMed]
14. Inglis A.E., Pellicci P.M. Total elbow replacement J Bone Joint Surg [Am] 1980 ; 62A : 1252-1258.
15. Ewald FC, Scheinberg RD, Poss R, Thomas WH, Scott RD, Sledge CB. Capitellocondylar total elbow arthroplasty. J Bone Joint Surg Am. 1980 Dec;62(8):1259-63. [PubMed]
16. Quenneville CE, Austman RL, King GJ, Johnson JA, Dunning CE. Role of an anterior flange on cortical strains through the distal humerus after total elbow arthroplasty with a latitude implant. J Hand Surg Am. 2008;33(6):927–31. [PubMed]
17. Little CP, Carr AJ, Graham AJ. Total elbow arthroplasty: a systematic review of the literature in the english language until the end of 2003. J Bone Joint Surg Br. 2005;87(4):437–T44. [PubMed]
18. Levy JC, Loeb M, Chuinard C, Adams RA, Morrey BF. Effectiveness of revision following linked versus unlinked total elbow arthroplasty. J Shoulder Elbow Surg. 2009;18(3):457–62. [PubMed]
19. Joaquin Sanchez-Sotelo .Total Elbow Arthroplasty. Open Orthop J. 2011; 5: 115–123. Published online Mar 16, 2011. doi: 10.2174/1874325001105010115. [PubMed]
20. Khan HA. Primary total elbow arthroplasty. Indian J Orthop. 2014 Sep;48(5):536. doi: 10.4103/0019-5413.139891. [PubMed]
21. Gay DM, Lyman S, Do H, Hotchkiss RN, Marx RG, Daluiski A. Indications and reoperation rates for total elbow arthroplasty: an analysis of trends in New York State. J Bone Joint Surg Am. 2012 Jan 18;94(2):110-7. doi: 10.2106/JBJS.J.01128. [PubMed]
22. Mansat P, Bonnevialle N, Rongières M, Bonnevialle P; Bone, Joint Trauma Study Group . The role of total elbow arthroplasty in traumatology. Orthop Traumatol Surg Res. 2014 Oct;100(6 Suppl):S293-8. doi: 10.1016/j.otsr.2014.06.008. Epub 2014 Aug 20. [PubMed]
23. Toor AS, Jiang JJ, Shi LL, Koh JL. Comparison of perioperative complications after total elbow arthroplasty in patients with and without diabetes. J Shoulder Elbow Surg. 2014 Nov;23(11):1599-606. doi: 10.1016/j.jse.2014.06.045. Epub 2014 Sep 9.
CITATION
DOI: 10.17511/ijmrr.2014.i06.06
Published: 2014-12-31
How to Cite
1.
Saran R, Saxena A. Evaluation of results of Total Elbow Arthroplasty with a Linked Semiconstrained Prosthesis. Int J Med Res Rev [Internet]. 2014Dec.31 [cited 2024Nov.8];2(6):538-43. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/155
Section
Original Article
OAI - Open Archives Initiative
