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Complications and revisions after semi-constrained total elbow arthroplasty: a mono-centre analysis of one hundred cases.

Toulemonde, Julien and Ancelin, David and Azoulay, Vadim and Bonnevialle, Nicolas and Rongières, Michel and Mansat, Pierre Complications and revisions after semi-constrained total elbow arthroplasty: a mono-centre analysis of one hundred cases. (2016) International Orthopaedics, 40 (1). 73-80. ISSN 0341-2695

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Official URL: http://dx.doi.org/10.1007/s00264-015-3008-z

Abstract

Background The complication rate after total elbow arthroplasties is higher than for other arthroplasties. Purpose The purpose of this study was to evaluate the complications and revision rate after 100 semi-constrained total elbow arthroplasties from various types of aetiologies performed in our university hospital. Methods One hundred linked semiconstrained total elbow arthroplasties were performed and were reviewed with 24 months minimum follow-up. Indications were rheumatoid arthritis (45), trauma (33), revisions (16) and others (6). Results At five years average follow-up (range, 2–11), the complication rate was 37 %. Most frequent complications were ulnar nerve involvement (9 %) and triceps insufficiency (7 %). Five implants were aseptically loosed. The infection rate was 4 % with loosening of the implant in two. Four fract humerus proximal or distal to the stem. The radial nerve was injured in two cases. Failure of the locking system of the prosthesis was noted in one case and a fracture of the ulnar component was found in another patient. A revision surgery was performed in 13 cases (13 %). At follow-up 94 prostheses were still in place and the survival rate was 98 % at five years and 86 % at ten years. Conclusion Total elbow arthroplasty remains a difficult procedure with sometimes a high rate of complications necessitating revision procedures. Selection of the patients, a rigorous surgical technique, and a systematic follow-up are prerequisite to limit this incidence.

Item Type:Article
Additional Information:Thanks to Springer editor. The definitive version is available at https://link.springer.com/ The original PDF of the article can be found at https://link.springer.com/article/10.1007%2Fs00264-015-3008-z
Audience (journal):International peer-reviewed journal
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Institution:Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited By: Pascal SWIDER
Deposited On:10 Nov 2017 07:25

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