Kudo total elbow arthroplasty in rheumatoid arthritis. Clinical and radiological results
We have analysed the results of 28 total elbow replacements in 27 patients. The replacements were made using the Kudo unconstrained, unlinked, total elbow prosthesis. The elbows were all affected by rheumatoid arthritis. The follow-up time was from 3 to 7 years, with a mean follow-up of 58 months. O...
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Veröffentlicht in: | Journal of hand surgery, British volume British volume, 2006-04, Vol.31 (2), p.162-167 |
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description | We have analysed the results of 28 total elbow replacements in 27 patients. The replacements were made using the Kudo unconstrained, unlinked, total elbow prosthesis. The elbows were all affected by rheumatoid arthritis. The follow-up time was from 3 to 7 years, with a mean follow-up of 58 months. Our results with this prosthesis in rheumatoid arthritis appear promising and only few complications were noticed. In one case, a radiological loosening of the ulnar component was observed at the 5-year visit but without any clinical symptoms and no operations were needed. In two other cases, an open reduction was performed within the first 3 months to correct a subluxation. A triceps tendon was re-inserted for a fourth patient 55 months postoperatively. In general, the range of motion became statistically significantly better with the prosthesis and there was also a high rate of relief of pain in patients in whom the elbow was severely affected by rheumatoid arthritis. |
doi_str_mv | 10.1016/j.jhsb.2005.07.010 |
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A triceps tendon was re-inserted for a fourth patient 55 months postoperatively. 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Clinical and radiological results</title><title>Journal of hand surgery, British volume</title><addtitle>J Hand Surg Br</addtitle><description>We have analysed the results of 28 total elbow replacements in 27 patients. The replacements were made using the Kudo unconstrained, unlinked, total elbow prosthesis. The elbows were all affected by rheumatoid arthritis. The follow-up time was from 3 to 7 years, with a mean follow-up of 58 months. Our results with this prosthesis in rheumatoid arthritis appear promising and only few complications were noticed. In one case, a radiological loosening of the ulnar component was observed at the 5-year visit but without any clinical symptoms and no operations were needed. In two other cases, an open reduction was performed within the first 3 months to correct a subluxation. A triceps tendon was re-inserted for a fourth patient 55 months postoperatively. In general, the range of motion became statistically significantly better with the prosthesis and there was also a high rate of relief of pain in patients in whom the elbow was severely affected by rheumatoid arthritis.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>arthroplasty</subject><subject>elbow</subject><subject>Elbow Joint - diagnostic imaging</subject><subject>Elbow Joint - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Prosthesis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>prosthesis</subject><subject>Prosthesis Design</subject><subject>Radiography</subject><subject>rheumatoid arthritis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0266-7681</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFO3DAQhi3UqmxpX4BDlVNvCePEsROJC12VUorEgSJxsxx7wjryxlvbacXbk21WrbhwsjT-v1-abwg5pVBQoPxsKIZN7IoSoC5AFEDhiKxoXZV5WVL6hqyg5DwXvKHH5H2MAwDQWrB35JhyWokG2hV5-DEZnyWflMvQdf5PpkLaBL9zKqanzI5Z2OC0Vclbs3zZZGORrZ0drZ4hNZosKGO9849_BwHj5FL8QN72ykX8eHhPyP3l15_rq_zm9tv39cVNrhmrUq67RqHhILpGd6XpBWPAeAvIWlHXlQZR9bXuFG9bzaBrhDC87KuGtRVrmW6rE_J56d0F_2vCmOTWRo3OqRH9FCUXXIAAOgfLJaiDjzFgL3fBblV4khTk3qe8ltdXd1_k3qcEIWefM_Tp0D51WzT_kYPAOXC2BKJ6RDn4KYzztq9Xni8EzlZ-WwwyaoujRmMD6iSNt__wQe4v_AJ_Bgo6lSA</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Rauhaniemi, J.</creator><creator>Tiusanen, H.</creator><creator>Kyrö, A.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Kudo total elbow arthroplasty in rheumatoid arthritis. Clinical and radiological results</title><author>Rauhaniemi, J. ; Tiusanen, H. ; Kyrö, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-cb8aed607b8cb2df74404690e497553c073f5cba699c40b877d62f38493494c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - diagnostic imaging</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>arthroplasty</topic><topic>elbow</topic><topic>Elbow Joint - diagnostic imaging</topic><topic>Elbow Joint - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Prosthesis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>prosthesis</topic><topic>Prosthesis Design</topic><topic>Radiography</topic><topic>rheumatoid arthritis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Rauhaniemi, J.</creatorcontrib><creatorcontrib>Tiusanen, H.</creatorcontrib><creatorcontrib>Kyrö, A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rauhaniemi, J.</au><au>Tiusanen, H.</au><au>Kyrö, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kudo total elbow arthroplasty in rheumatoid arthritis. Clinical and radiological results</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Br</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>31</volume><issue>2</issue><spage>162</spage><epage>167</epage><pages>162-167</pages><issn>0266-7681</issn><eissn>1532-2211</eissn><abstract>We have analysed the results of 28 total elbow replacements in 27 patients. The replacements were made using the Kudo unconstrained, unlinked, total elbow prosthesis. The elbows were all affected by rheumatoid arthritis. The follow-up time was from 3 to 7 years, with a mean follow-up of 58 months. Our results with this prosthesis in rheumatoid arthritis appear promising and only few complications were noticed. In one case, a radiological loosening of the ulnar component was observed at the 5-year visit but without any clinical symptoms and no operations were needed. 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subjects | Adult Aged Arthritis, Rheumatoid - diagnostic imaging Arthritis, Rheumatoid - surgery arthroplasty elbow Elbow Joint - diagnostic imaging Elbow Joint - surgery Female Humans Joint Prosthesis Male Middle Aged Postoperative Complications prosthesis Prosthesis Design Radiography rheumatoid arthritis Time Factors Treatment Outcome |
title | Kudo total elbow arthroplasty in rheumatoid arthritis. Clinical and radiological results |
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