The Kudo total elbow arthroplasty in patients with rheumatoid arthritis

Journal of Shoulder and Elbow Surgery
Karel Willems, Luc De Smet

Abstract

A Kudo total elbow arthroplasty (TEA) was performed in 36 elbows in 35 patients with rheumatoid arthritis. Of those 35, 4 died, 6 prostheses were revised, and 2 were lost to follow-up. Twenty-four elbows with a mean follow-up of 58 months were radiologically and clinically reviewed. Sixteen were scored as excellent by use of the Mayo score and Hospital for Special Surgery 2 score. The mean increase in active motion was 25 degrees. Two humeral and four ulnar radiologic loosenings were noted. Two early dislocations were successfully treated with closed reduction and cast immobilization, two patients used an elbow brace after the closed reduction, and one patient underwent a resection arthroplasty for instability and deep wound infection. Four aseptic loosenings, of which three had an intraoperative fracture at the index operation and one had instability, were revised. Despite initially excellent results, longer follow-up of TEA in rheumatoid patients demonstrated deterioration of the outcome and increased loosening.

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Citations

Aug 1, 2020·The Bone & Joint Journal·Te-Feng A ChouWei-Ming Chen
Oct 5, 2010·The Journal of Bone and Joint Surgery. British Volume·F QureshiD Stanley
May 18, 2011·The Open Orthopaedics Journal·Joaquin Sanchez-Sotelo
Jul 19, 2013·The Journal of Bone and Joint Surgery. American Volume·Kelly Riedel, Dorcas E Beaton
Sep 3, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J RauhaniemiA Kyrö
Jul 12, 2017·JBJS Reviews·Chantal L WelsinkMichel P J van den Bekerom
Sep 1, 2011·Revista Brasileira De Ortopedia·Eduardo BenegasArnaldo Amado Ferreira Neto
Sep 22, 2005·Techniques in Hand & Upper Extremity Surgery·Gregory D GramstadKen Yamaguchi
Apr 10, 2017·Archives of Orthopaedic and Trauma Surgery·Ante PrkicDenise Eygendaal
Jul 17, 2021·JBJS Reviews·Daniëlle MeijeringMichel P J van den Bekerom
Dec 8, 2010·Journal of Shoulder and Elbow Surgery·Ilya VoloshinBernard F Morrey

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