Document Detail


Souter-Strathclyde total elbow arthroplasty in rheumatoid arthritis: medium-term results.
MedLine Citation:
PMID:  15972909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the outcome of 47 Souter-Strathclyde replacements of the elbow with a mean follow-up of 82 months (12 to 129). The clinical results were assessed using a condition-specific outcome measure. The mean total score (maximum 100) before the operation was 47.21 and improved to 79.92 (p < 0.001). The mean pain score (maximum 50) improved from 21.41 to 46.70 (p < 0.001) and the mean functional component of the score (maximum 30) from 11.19 to 18.65 (p < 0.001). There was negligible change in the score for the range of movement although a significant improvement in mean flexion from 124 degrees to 136 degrees was noted (p < 0.001). Revision surgery was required in four patients, for dislocation, wound dehiscence and early infection in one, late infection in two and aseptic loosening in one. The cumulative survival was 75% at nine years for all causes of failure and 97% at ten years for aseptic loosening alone. Our study demonstrates the value of the Souter-Strathclyde total elbow arthroplasty in providing relief from pain and functional improvement in rheumatoid patients.
Authors:
M Khatri; A N Stirrat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  87     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-23     Completed Date:  2005-08-09     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  950-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK. mkhatri9@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid / physiopathology,  radiography,  surgery*
Arthroplasty, Replacement / methods*
Elbow Joint / physiopathology,  radiography,  surgery*
Female
Humans
Joint Prosthesis*
Male
Middle Aged
Pain / physiopathology
Postoperative Complications
Prosthesis Failure
Prosthesis-Related Infections / etiology
Range of Motion, Articular / physiology
Treatment Outcome

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


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