Mid-term results of the Latitude primary total elbow arthroplasty

Daniëlle Meijering; Alexander L Boerboom; Carina L E Gerritsma; Astrid J de Vries; Riemer J K Vegter; Sjoerd K Bulstra; Denise Eygendaal; Martin Stevens

doi:10.1016/j.jse.2021.08.028

Mid-term results of the Latitude primary total elbow arthroplasty

J Shoulder Elbow Surg. 2022 Feb;31(2):382-390. doi: 10.1016/j.jse.2021.08.028. Epub 2021 Oct 4.

Authors

Daniëlle Meijering¹, Alexander L Boerboom², Carina L E Gerritsma³, Astrid J de Vries³, Riemer J K Vegter⁴, Sjoerd K Bulstra², Denise Eygendaal⁵, Martin Stevens²

Affiliations

¹ Department of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Electronic address: d.meijering@umcg.nl.
² Department of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
³ Department of Orthopedic Surgery, Martini Hospital, Groningen, The Netherlands.
⁴ Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
⁵ Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands; Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands.

PMID: 34619349
DOI: 10.1016/j.jse.2021.08.028

Abstract

Background: The Latitude total elbow prosthesis is a third-generation implant, developed to restore the natural anatomy of the elbow. Literature on this prosthesis is scarce. The aim of this study was to analyze the mid-term results of the Latitude total elbow prosthesis.

Methods: We retrospectively evaluated 62 patients (21 men and 41 women). The mean age at the time of surgery was 65 years (range, 28-87 years). The main indication for surgery was inflammatory arthritis. The outcome measures were complications, reoperations, self-reported physical functioning, pain, satisfaction, objectively measured physical functioning, and radiologic signs of loosening. Kaplan-Meier survival analysis was used to determine survival with revision as the endpoint.

Results: Sixty-nine primary Latitude prostheses were placed in 62 patients between 2008 and 2019. Six patients (7 prostheses) died, 3 elbows underwent revision, and 9 patients were lost to follow-up. A total of 44 patients (50 prostheses) were available for follow-up. The mean length of follow-up was 51 months (range, 10-144 months). Kaplan-Meier survival analysis showed a survival rate of 82% at 10 years after surgery. The main reason for revision was aseptic loosening. Radial head dissociation was seen in 8 patients (24%), but none had complaints. Self-reported and objectively measured physical functioning yielded good results, although 23 patients (46%) did show radiolucent lines on radiographs.

Conclusion: Latitude total elbow arthroplasty is considered a successful procedure with low pain scores, high patient satisfaction, and good physical functioning. Survival rates nonetheless remain low and complication rates remain high yet are comparable to those of other elbow arthroplasties. We recommend biomechanical studies to concentrate on specific postoperative loading instructions to minimize wear and consequent loosening.

Keywords: Latitude total elbow prosthesis; elbow arthritis; primary total elbow arthroplasty.

MeSH terms

Arthroplasty, Replacement, Elbow*
Elbow
Elbow Joint* / diagnostic imaging
Elbow Joint* / surgery
Elbow Prosthesis*
Female
Follow-Up Studies
Humans
Male
Prosthesis Failure
Range of Motion, Articular
Reoperation
Retrospective Studies
Treatment Outcome