RESULTS FROM BI-CONTACT(®) TOTAL ELBOW ARTHROPLASTY: MULTICENTER STUDY.

Autor:	Benegas E; Attending Physician in the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, SP, Brazil., Malavolta EA; Attending Physician in the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, SP, Brazil., Gracitelli ME; Attending Physician in the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, SP, Brazil., de Sousa AT; Attending Physician in the Orthopedics and Traumatology Service, Dr. José Frota Institute, Fortaleza, CE, Brazil., Miyazaki AN; Head of the Shoulder and Elbow Group, Department of Orthopedics and Traumatology, 'Fernandinho Simonsen' Wing, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil., Fregoneze M; Attending Physician in the Shoulder and Elbow Group, Department of Orthopedics and Traumatology, 'Fernandinho Simonsen' Wing, Santa Casa de Misericòrdia de São Paulo, São Paulo, SP, Brazil., Ikemoto RY; Head of the Shoulder and Elbow Group, ABC School of Medicine, and Ipiranga State Hospital, São Paulo, SP, Brazil., Murachovsky J; Attending Physician in the Shoulder and Elbow Group, ABC School of Medicine, and Ipiranga State Hospital, São Paulo, SP, Brazil., Matsumoto MH; Head of the Shoulder and Elbow Group, Department of Orthopedics and Traumatology, São Paulo Medical School, UNIFESP, São Paulo, SP, Brazil., Tamaoki MJ; Attending Physician in the Shoulder and Elbow Group, Department of Orthopedics and Traumatology, São Paulo Medical School, UNIFESP, São Paulo, SP, Brazil., Neto AA; Head of the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Dec 06; Vol. 46 (5), pp. 565-71. Date of Electronic Publication: 2015 Dec 06 (Print Publication: 2011).
DOI:	10.1016/S2255-4971(15)30413-4
Abstrakt:	Objective: To describe the initial experience of four orthopedic clinics from using Bi-Contact(®) total elbow arthroplasty (TEA), reporting the results and complications of the procedure. Methods: This was a retrospective study, through analysis on the medical records of patients who underwent primary TEA using a prosthesis model developed in conjunction with IOT-HCFMUSP. Forty-six elbows (45 patients) that were operated at four orthopedic clinics between 2000 and 2009 were evaluated. Results: The majority of the patients were female (74%), and the median age was 62.5 years. The diagnoses encountered were trauma sequelae (47.83%), rheumatoid arthritis (32.61%), primary osteoarthrosis (8.7%), acute fractures (6.52%) and heterotopic ossification (2.17%). The median length of follow-up was 2.08 years (0.25-9). The procedure significantly alleviated pain and improved range of motion. It was observed that at least one complication was present in 69.57% of the cases, and the main ones were infection (28.26%), need for revision (28.26%), intraoperative fracture (15.22%) and aseptic loosening (15.22%). Conclusion: Bi-Contact(®) TEA provided significant alleviation of pain and improvement of range of motion in the present series. The complication rate was high, and the most frequently observed complications were infection, aseptic loosening and intraoperative fracture.
Databáze:	MEDLINE
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