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Revision total elbow replacement using the Souter-Strathclyde prosthesis.

D R Redfern1, A B Dunkley, I A Trail

  • 1Wrightington Hospital NHS Trust, Wigan, England.

The Journal of Bone and Joint Surgery. British Volume
|July 31, 2001
PubMed
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The Souter-Strathclyde prosthesis offers reliable pain relief and preserves motion for total elbow replacements (TERs). However, revision surgery has a significant complication rate, necessitating further procedures in some cases.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total elbow replacement (TER) is a complex procedure for end-stage elbow arthritis.
  • Revision arthroplasty is often necessary following the failure of primary elbow joint replacement.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Souter-Strathclyde prosthesis in revision total elbow replacements (TERs).

Main Methods:

  • Prospective follow-up of 50 revision TERs using the Souter-Strathclyde prosthesis in 45 patients.
  • Data collection included pain relief, range of motion, and adverse events over a mean of 53 months.

Main Results:

  • The Souter-Strathclyde prosthesis provided reliable pain relief and maintained elbow range of motion.
  • A 30% incidence of adverse events was observed, with 12 patients requiring further surgical intervention.

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Conclusions:

  • Revision total elbow replacement with the Souter-Strathclyde prosthesis is a viable option for failed primary arthroplasty when sepsis is absent.
  • While effective for pain and motion, the procedure carries a notable risk of complications requiring additional surgeries.