Non-constrained elbow arthroplasty for mutilans deformity in rheumatoid arthritis: a report of six cases

The Journal of Bone and Joint Surgery. British Volume
H Kudo

Abstract

Six highly unstable elbows with severe bone loss due to rheumatoid arthritis were replaced by a non-constrained, unlinked prosthesis. Bone defects were filled with autogenous bone grafts. The mean follow-up was 4.5 years (2 to 8). The clinical results were excellent in four elbows and good in two, with good varus-valgus stability in all. Radiological follow-up showed no appreciable signs of loosening, and the bone grafts had retained most of their original size, with minimal resorption. There were no major complications such as dislocation, skin necrosis, infection or ulnar neuropathy. The study has shown that the so-called mutilans elbow can be successfully replaced using a properly selected type of non-constrained, unlinked prosthesis with bone grafting of the major defects.

Citations

Apr 28, 2009·Journal of Shoulder and Elbow Surgery·Bjørg-Tilde S FevangOve Furnes
Mar 15, 2006·Acta Orthopaedica·Claus Hjorth JensenStig Sonne-Holm
Aug 27, 2002·Journal of Shoulder and Elbow Surgery·Bernd FinkWolfgang Rüther
Jul 13, 2006·Journal of Shoulder and Elbow Surgery·Theis Muncholm ThillemannJens Ole Søjbjerg
Nov 2, 2001·The Orthopedic Clinics of North America·S W O'Driscoll, G J King
Jul 3, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·O JohnellC De Laet
Dec 6, 2006·Clinical Orthopaedics and Related Research·Masuhiro TomitaYasuhiro Kondo
Jun 27, 2006·The Journal of Bone and Joint Surgery. British Volume·T MoriT Juji
Sep 27, 2000·The Journal of Bone and Joint Surgery. American Volume·P Mansat, B F Morrey
Oct 27, 2001·The Journal of Bone and Joint Surgery. American Volume·N TanakaS Ishii

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