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The modified Liverpool total elbow prosthesis

S Dhar1, F H Beddow

  • 1Department of Orthopaedic Surgery, Royal Liverpool University Hospital, UK.

Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1994
PubMed
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The modified Liverpool total elbow replacement significantly reduced pain and improved function in rheumatoid arthritis patients. This enhanced prosthesis design shows promising long-term stability and joint mobility.

Area of Science:

  • Orthopedic surgery
  • Rheumatology
  • Biomedical engineering

Background:

  • The original Liverpool total elbow prosthesis had a high incidence of humeral component loosening.
  • Rheumatoid arthritis often necessitates joint replacement surgery for pain relief and functional restoration.

Purpose of the Study:

  • To evaluate the clinical outcomes of a modified Liverpool total elbow prosthesis.
  • To assess the efficacy of the modified design in addressing loosening issues and improving patient function.

Main Methods:

  • A retrospective review of 19 patients who underwent total elbow replacement for rheumatoid arthritis.
  • 14 patients received the modified Liverpool prosthesis, with an average follow-up of 8 years.

Main Results:

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  • Significant pain relief and improved joint function were observed post-surgery.
  • The modified prosthesis led to reduced fixed flexion deformity and increased range of motion.
  • No revisions were required for the humeral components of the modified prosthesis during the follow-up period.

Conclusions:

  • The modified Liverpool total elbow prosthesis is a predictably successful procedure in selected patients.
  • The enhanced prosthesis design provides a pain-free, stable, and mobile joint, addressing the limitations of the original design.