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TOTAL ELBOW ARTHROPLASTY IN RHEUMATOID ARTHRITIS (AN 16-YEAR EXPERIENCE)


Abstract

We evaluated the clinical results of Total Elbow Arthroplasties(TEA) that had been performed from Febrary 1986 through December 2001 in 95 patients. We used non-constrained, surface-arthroplasty prostheses (DOH type, MRCH type and Yamamoto elbow). The duration of follow up averaged 8 years(range 1 year to 13 years). 95 patients had rtheumatoid arthritis. There were 85 women and 10 men. Their mean age at surgery was 56 years. The results of TEA were evaluated according to range of motion, degree of pain, radiographical findings, patient‘s assessment and complications.

Post-operative arc of motion of the elbow (flexion, pro-nation and supination) improved from pre-operative arc of motion. 84% of elbows were pain-free. At the average 8 year follow-up, 80% of patients had satisfactory results clinically. The roentgenograms showed a radiolucent line adjacent to 32% of humeral and 15% of ulnar components. We experienced post-operative complications such as ulnar nerve palsies, radial nerve palsies, infections and dislocations.

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