Abstract
To assess the outcome of semi-constrained total elbow arthroplasty (TEA) in osteoarthritis and compare it to the rheumatoid group.
Two groups of patients assessed. In group-one with the diagnosis of rheumatoid arthritis 40 replaced elbows in 31 patients (25 female and 1 male), with average age of 67 (49–82) were reviewed. Group-two consisted of 14 elbows in 14 patients (9 female and 5 male) with post-traumatic osteoarthritis. Average age in this group was 71 (54–84). Mayo elbow performance (MEPS) and Liverpool elbow scores (LES) were used as the outcome measure.
The average follow up for group-one was 53 (20–90) and group-two 60 months (21–103). According to the MEPS 87.1% of patients in group 1 and 63.6% in group 2 had excellent or good outcome (p=0.09). Only one patient from group one and none in group two had the joint revised. No difference was observed in MEPS of group-one (86 ± 17) and group-two (77 ± 24), (p=0.25). Also the LES in the two groups were not different (p=0.85).
The outcome of TEA is satisfactory in both groups. No statistically significant difference was noted in the two groups. The recommendation of TEA in patients with osteoarthritis is supported by this study.
Correspondence should be addressed to David Bracey, Honorary Secretary c/o Royal Cornwall Hospitals Trust, Truro, Cornwall TR1 3LJ
