Related Experiment Videos
Souter-Strathclyde total elbow arthroplasty in rheumatoid arthritis: medium-term results
1Department of Orthopaedic Surgery Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK. mkhatri9@hotmail.com
The Journal of Bone and Joint Surgery. British Volume
|June 24, 2005
Summary
The Souter-Strathclyde total elbow arthroplasty significantly improved pain relief and function in rheumatoid arthritis patients. This study shows its value for improving quality of life after elbow replacement surgery.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Rheumatoid arthritis frequently affects the elbow joint, leading to pain and functional limitations.
- Total elbow arthroplasty is a surgical option for managing severe elbow joint destruction in rheumatoid arthritis.
Purpose of the Study:
- To evaluate the clinical outcomes of Souter-Strathclyde total elbow arthroplasty in rheumatoid patients.
- To assess pain reduction, functional improvement, and implant survival rates.
Main Methods:
- A retrospective review of 47 Souter-Strathclyde total elbow arthroplasties.
- Clinical results were assessed using a condition-specific outcome measure over a mean follow-up of 82 months.
Main Results:
- Significant improvements were observed in the total score (47.21 to 79.92, p < 0.001), pain score (21.41 to 46.70, p < 0.001), and functional component (11.19 to 18.65, p < 0.001).
- Mean elbow flexion improved from 124 to 136 degrees (p < 0.001).
- Cumulative survival was 75% at nine years for all causes of failure, with 97% survival at ten years for aseptic loosening.
Conclusions:
- The Souter-Strathclyde total elbow arthroplasty provides significant pain relief and functional improvement for rheumatoid patients.
- The procedure demonstrates good long-term survival, particularly for aseptic loosening, making it a valuable treatment option.