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The Guildford elbow

O Brady1, W Quinlan

  • 1St Mary's Orthopaedic Hospital Cappagh, Dublin, Eire.

Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

The Guildford elbow arthroplasty demonstrated excellent pain relief and functional improvement in 95% of rheumatoid arthritis patients. Complications were minimal, with few cases of loosening and temporary ulnar nerve issues.

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Area of Science:

  • Orthopedic Surgery
  • Rheumatology

Background:

  • Rheumatoid arthritis frequently affects the elbow joint, causing pain and functional limitations.
  • Unconstrained elbow arthroplasty offers a surgical solution for severe rheumatoid arthritis of the elbow.

Purpose of the Study:

  • To evaluate the efficacy and safety of the novel Guildford elbow arthroplasty.
  • To assess pain relief and functional outcomes in patients with rheumatoid arthritis undergoing this procedure.

Main Methods:

  • A cohort of 24 patients with rheumatoid arthritis received the Guildford elbow arthroplasty between 1985 and 1991.
  • Patients were followed for an average of 28 months (range: 4-59 months).
  • Outcomes assessed included pain, function, and complications such as loosening and neurological issues.

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Main Results:

  • 95% of patients experienced good to excellent pain relief.
  • Significant functional improvement was observed in the majority of patients.
  • Complications were infrequent, with one clinical and three radiological loosening cases. Ulnar nerve hypoesthesia occurred but did not impact final results.

Conclusions:

  • The Guildford elbow arthroplasty is a safe and effective treatment for rheumatoid arthritis of the elbow.
  • High rates of pain relief and functional improvement support its use.
  • Low complication rates, particularly for loosening, indicate favorable long-term potential.