Document Detail


Elbow revision arthroplasty in the situation of bone loss using an unlinked long-stem prosthesis.
MedLine Citation:
PMID:  10584964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of 16 first-revision operations using an unlinked cemented long-stem elbow arthroplasty in the situation of major bone loss are presented. Fifteen patients with a mean age of 62 years and longstanding polyarthritis were monitored for a mean period of 31 months (range, 6-62 months). Seven revision arthroplasties showed a good result and 7 a fair result with improvement of function and pain. Two patients with postoperative instability requiring further surgery had a poor result, with one infected prosthesis and one elbow with persistent instability and ulnar nerve hypersensitivity. Using a visual analog scale, patients documented good pain relief, good subjective independence, and a high level of satisfaction. In the follow-up SF-36 health survey, patients scored low physical function but good mental function. These results show that in the absence of infection and instability, revision elbow arthroplasty, even in the situation of major bone loss, can be a successful treatment option using this unlinked cemented long-stem system.
Authors:
S Ehrendorfer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  24     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-11     Completed Date:  2000-01-11     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1337-43     Citation Subset:  IM    
Affiliation:
Wrightington Orthopaedic Hospital, Wigan, Lancashire, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis, Rheumatoid / radiography,  surgery*
Bone Resorption / radiography,  surgery*
Elbow Joint / radiography,  surgery*
Follow-Up Studies
Humans
Joint Prosthesis*
Middle Aged
Postoperative Complications / radiography,  surgery*
Prosthesis Design
Prosthesis Failure
Reoperation
Retrospective Studies
Comments/Corrections
Comment In:
J Hand Surg Am. 2000 Jul;25(4):777-8   [PMID:  11041703 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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