Document Detail


Variation in the position of the elbow flexion axis after total joint replacement with three different prostheses.
MedLine Citation:
PMID:  18619867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The instantaneous flexion axes in rheumatoid patients treated with a Kudo (Biomet UK Ltd, Swindon, UK), Capitellocondylar (Johnson & Johnson Orthopaedics Inc, Raynham, MA), or GSB III (Zimmer GmbH, Winterthur, Switzerland) elbow prosthesis were calculated using radiostereometric analysis and compared with those previously found in the normal elbow in vivo. Variability in the flexion axis position was greater in the prosthetic elbows than reported for healthy subjects. This was especially evident for the unlinked Kudo prosthesis, with dispersions of the axes up to 84.3 degrees in the frontal and 45.0 degrees in the horizontal plane. Corresponding values for the unlinked Capitellocondylar prosthesis were 19.7 degrees and 20.9 degrees. The linked GSB III prosthesis was the most constrained, with dispersions within 15.4 degrees in the frontal and 4.6 degrees in the horizontal plane. The unlinked elbow prostheses displayed considerable axis dispersion under physiologic conditions. Implant design seems to be able to compensate for this to some extent, as indicated, for example, by the results of the Capitellocondylar prosthesis.
Authors:
Anne Ericson; André Stark; Anton Arndt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-10
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  17     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-15     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  760-7     Citation Subset:  IM    
Affiliation:
Department of Molecular Medicine and Surgery, Section of Orthopaedics and Sports Medicine, Karolinska Institute at Karolinska University Hospital Solna, Stockholm, Sweden. anne.ericson@karolinska.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis, Rheumatoid / surgery*
Arthroplasty, Replacement*
Biomechanics
Elbow Joint / physiopathology,  surgery*
Female
Humans
Joint Prosthesis*
Male
Middle Aged
Movement
Posture
Prosthesis Design
Range of Motion, Articular

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


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