Coonrad-Morrey total elbow arthroplasty for patients with rheumatoid arthritis: 54 prostheses reviewed at 7 years' average follow-up (maximum, 16 years)
| Autor: | Pierre Mansat, Thuy Trang Pham, Nicolas Bonnevialle, Sandrine Huguet, Matthieu Wargny, Stéphanie Delclaux |
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| Přispěvatelé: | Centre National de la Recherche Scientifique - CNRS (FRANCE), Institut National de la Santé et de la Recherche Médicale - INSERM (FRANCE), Université de Nantes (FRANCE), Centre Hospitalier Universitaire de Nancy - CHU Nancy (FRANCE), Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE), Unité de recherche de l'institut du thorax - UMR 1087, UMR 6291 |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Survival rate medicine.medical_treatment Elbow Elbow Prosthesis Médecine humaine et pathologie Prosthesis Linked prosthesis Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Survivorship curve Elbow Joint medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Rheumatoid arthritis Aged Aged 80 and over 030222 orthopedics business.industry Arthroplasty Replacement Elbow Semiconstrained 030229 sport sciences General Medicine Middle Aged medicine.disease Confidence interval Surgery Total elbow arthroplasty Treatment Outcome medicine.anatomical_structure Female Implant Range of motion business Coonrad-Morrey total elbow prosthesis Follow-Up Studies Forecasting |
| Zdroj: | Journal of Shoulder and Elbow Surgery. |
| ISSN: | 1058-2746 |
| Popis: | BACKGROUND: Total elbow arthroplasty is a therapeutic option for severe rheumatoid arthritis. We hypothesized that the semiconstrained characteristics of the Coonrad-Morrey prosthesis do not compromise the survival rate of the implant in a rheumatoid elbow. METHODS: Between 1997 and 2012, there were 54 Coonrad-Morrey total elbow prostheses performed for rheumatoid arthritis in 46 patients. Minimum follow-up was 2 years. There were 35 women and 11 men with a mean age of 60 years (29-83 years). According to the Mayo classification for rheumatoid elbow, there were 30 type IIIA, 21 type IIIB, and 3 type IV. The surgical procedure was the same for all patients. Survivorship was assessed with use of the Kaplan-Meier method, with revision surgery as the end point. RESULTS: The survival rate was 97% (95% confidence interval, 83.6-99.6) at 5 years and 85% (95% confidence interval, 68.3-93.7) at 10 years. At an average of 7 years of follow-up (2-16 years), the mean Mayo Elbow Performance Score was 91 points (55-100 points), and the shortened version of the Disabilities of the Arm, Shoulder, and Hand score was 34 points (0-75 points). There was a significant improvement in Mayo Elbow Performance Score and in all range of motion at latest follow-up in comparison to preoperative values (P |
| Databáze: | OpenAIRE |
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