Mid-term outcome of GSB-III total elbow arthroplasty in patients with rheumatoid arthritis and patients with post-traumatic arthritis

Arch Orthop Trauma Surg. 2009 Nov;129(11):1505-10. doi: 10.1007/s00402-009-0876-y. Epub 2009 Apr 17.

Abstract

Introduction: We reviewed the mid-term outcome of GSB-III semi-constrained total elbow arthroplasty (TEA) and compared the results of patients with rheumatoid arthritis (RA) and those suffering from post-traumatic arthritis (PTA).

Patients: Forty-five patients with 54 replaced elbows, with an average age of 69 (range 49-84) were clinically [using Mayo Clinical Performance Index (MCPI) and Liverpool Elbow Score (LES)] and radiographically assessed. The average follow-up was 54 (range 20-103) months.

Results: Based on MCPI 82% of patients had excellent or good outcome. This figure was 88% for RA and 64% for PTA group (P = 0.22). Overall MCPI was 83.7(+/- 19) and LES 7.5 (+/- 1.8). Neither the MCPI (P = 0.39) nor the LES (P = 0.95) were statistically different between the RA and PTA groups. The mid-term outcome of GSB-III TEA is satisfactory.

Conclusion: The recommendation of TEA, including in patients with PTA, is supported.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthritis, Rheumatoid / surgery*
  • Arthroplasty, Replacement / methods*
  • Chi-Square Distribution
  • Elbow Injuries
  • Elbow Joint / surgery*
  • Female
  • Humans
  • Joint Prosthesis
  • Male
  • Middle Aged
  • Osteoarthritis / etiology
  • Osteoarthritis / surgery*
  • Treatment Outcome