Abstract
The long term results of the ulnohumeral arthroplasty have not previously been reported using a recognised elbow scoring system.
Kashiwagi reported his results in 1986 but no validated scoring system was used in the publication. Morrey in 1992 evaluated his results using the Mayo Elbow Performance Score but the mean follow-up interval was only 33 months.
Between 1990 and 1996 twenty consecutive ulnohumeral arthroplasties were performed for primary degenerative disease of the elbow.
Outcome assessment using the DASH questionnaire and the Mayo Elbow Performance Score was taken at a mean follow-up of 75 months (range 58 to 132). Excellent or good results were identified in 85% (17/20) using the DASH questionnaire, and 65% (13/20) on assessment with the Mayo Elbow Performance Score (correlation coefficient 0.79).
Eighty percent (16/20) felt that the benefits of surgery had been maintained, and of those working at the time of surgery, 75% (12/16) were still employed in the same vocation.
There was no correlation between radiographic recurrence and the degree of fixed flexion deformity, flexion arc or elbow scores.
The abstracts were prepared by David Stanley. Correspondence should be addressed to him c/o British Orthopaedic Association, Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PN.
