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Total elbow arthroplasty. An 18-year experience
1Department of Orthopaedic Surgery, University of California, San Francisco 94143-0728.
Clinical Orthopaedics and Related Research
|May 1, 1993
Summary
Total elbow arthroplasties (TEAs) for rheumatoid arthritis (RA) showed high complication rates but satisfactory function in most patients. Revision rates were also high, indicating ongoing challenges with this procedure.
Area of Science:
- Orthopedic Surgery
- Rheumatology
Background:
- Rheumatoid arthritis (RA) and traumatic arthritis are primary indications for total elbow arthroplasty (TEA).
- Pain and decreased range of motion are the main symptoms necessitating TEA.
Purpose of the Study:
- To evaluate the outcomes of primary and revision total elbow arthroplasties (TEAs).
- To assess complication rates, functional outcomes, and patient satisfaction following TEA.
Main Methods:
- Retrospective review of 34 primary and 18 revision TEAs.
- Analysis of indications, complications, functional outcomes, and revision rates.
- Average follow-up of 7.6 years for index arthroplasties.
Main Results:
- Rheumatoid arthritis was the most common indication for TEA.
- Primary TEAs had high complication rates: 40% neural problems, 9.3% aseptic loosening, 13.3% early infection.
- 68% of RA patients reported satisfactory function, with good overall satisfaction and fair function in TEA patients.
Conclusions:
- Total elbow arthroplasty can provide satisfactory function and good satisfaction for patients, particularly those with RA.
- High complication and revision rates necessitate careful patient selection and surgical technique in TEA procedures.