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Related Experiment Videos

Late complications in elbow arthroplasty

N Gschwend1, B R Simmen, Z Matejovsky

  • 1Department of Orthopaedic Surgery, Clinic W. Schulthess, Zurich, Switzerland.

Journal of Shoulder and Elbow Surgery
|March 1, 1996
PubMed
Summary

Elbow arthroplasty complication rates are high in literature, but the GSB III prosthesis shows significantly lower rates. Long-term results with this prosthesis approach those of hip and knee arthroplasty.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Elbow arthroplasty literature reports high complication rates (43%) and revision rates (18%).
  • Specific prosthesis designs have unique complication profiles, necessitating clear distinctions in reporting.

Purpose of the Study:

  • To evaluate the complication and revision rates of the GSB III elbow prosthesis.
  • To compare the performance of the GSB III prosthesis with existing literature data.
  • To analyze specific complications associated with elbow arthroplasty.

Main Methods:

  • Retrospective analysis of elbow arthroplasty cases using the GSB III prosthesis.
  • Comparison of complication rates with published data from 1986-1992.
  • Detailed review of specific complications including loosening, neuropathy, infection, and implant failure.

Main Results:

  • The GSB III prosthesis demonstrated complication rates two to four times lower than reported literature for rheumatoid elbows.
  • Specific complications analyzed include radiologic/clinical loosening, ulnar neuropathy, infection, dislocation, uncoupling, and implant failure.
  • Long-term follow-up (>10 years) indicates results comparable to hip and knee arthroplasty.

Conclusions:

  • The GSB III elbow prosthesis exhibits a favorable complication profile compared to historical data.
  • Careful prosthesis selection and analysis of specific complication types are crucial for successful elbow arthroplasty.
  • Long-term outcomes suggest elbow arthroplasty can achieve results similar to more established joint replacements.

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