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Total elbow replacement

A E Inglis, P M Pellicci

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Total elbow replacement surgery offers significant benefits for patients with rheumatoid arthritis experiencing pain. However, outcomes are less favorable for those with post-traumatic arthritis and limited motion. Careful patient selection is crucial for successful total elbow arthroplasty.

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    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Total elbow replacement is a complex orthopedic procedure.
    • Understanding patient selection criteria is vital for optimizing outcomes.

    Purpose of the Study:

    • To evaluate the long-term results of total elbow replacement.
    • To identify patient factors influencing the success of elbow arthroplasty.

    Main Methods:

    • Retrospective follow-up of 31 patients (36 total elbow replacements) from 1974-1977.
    • Minimum two-year follow-up with an average of 3.7 years.
    • Utilized a scoring system to quantify functional outcomes.

    Main Results:

    • Patients with rheumatoid arthritis and pain-related disability showed the most benefit.

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  • Patients with post-traumatic arthritis and motion loss benefited the least.
  • Overall complication rate was 53%, with a 22% reoperation rate; however, only 25% of complications negatively impacted final outcomes.

    • Conclusions:

    • Total elbow replacement can yield favorable results in carefully selected patient populations.
    • Patient diagnosis and the nature of functional disability are key determinants of success.
    • Despite high complication rates, many do not adversely affect the final outcome.