Abstract
Between 1990 and 1997 we undertook 57 Kudo type-4 total elbow replacements in 45 patients with rheumatoid arthritis. A total of 34 patients (44 elbows) were evaluated at an average of 7 (4.4–11.2) years using the Mayo Clinic Performance Index. At review 29 elbows were excellent or good and four were fair or poor. The main complications were intraoperative fractures and ulnar neuropathy. No luxations were seen. Loosening of the ulnar component and breakage of the humeral component were most frequent indications for revision. Preoperative radiographic joint destruction was not correlated with revision rate.
Résumé
Entre 1990 et 1997 nous avons réalisés 57 prothèses totales du coude Kudo type-4 chez 45 malades atteints de polyarthrite rhumatoïde. Un total de 34 malades (44 coudes) a été évalué à une moyenne de 7 ans (4.4–11.2) en utilisant l'index de performance de la Mayo Clinique. À la révision 29 coudes étaient excellents ou bons et quatre étaient médiocres ou mauvais . Les principales complications étaient les fractures opératoires et les neuropathies ulnaires. Il n'y a eu aucune luxation. Le descellement du composant ulnaire et la rupture du composant huméral étaient les indications les plus fréquentes de révision. La destruction radiographique pré-opératoire de l'articulation n'avait pas de correspondance avec le taux de révision.
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Reinhard, R., van der Hoeven, M., de Vos, M.J. et al. Total elbow arthroplasty with the Kudo prosthesis. International Orthopaedics (SICOT) 27, 370–372 (2003). https://doi.org/10.1007/s00264-003-0491-4
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DOI: https://doi.org/10.1007/s00264-003-0491-4