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Journal of Hand Surgery (British and European Volume)
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Kudo Total Elbow Arthroplasty in Rheumatoid Arthritis. Clinical and Radiological Results

J. RAUHANIEMI
H. TIUSANEN
A. KYRÖ

From the Paimio Hospital, University of Turku, Paimio, Finland and Rheumatism Foundation Hospital, Heinola, Finland

Correspondence: Jyrki Rauhaniemi, c/o Tiusanen, Paimio Hospital, Alvar Aallon tie 275, 21540 Preitilä, Finland. Tel.: +358 409 000 429; fax: +358 227 1200. E-mail: jyrrauha{at}utu.fi

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.

Key Words: arthroplasty • elbow • prosthesis • rheumatoid arthritis

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2, 162-167 (2006)
DOI: 10.1016/J.JHSB.2005.07.010
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