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J Shoulder Elbow Surg. 2009 May-Jun;18(3):449-56. doi: 10.1016/j.jse.2009.02.020.

Results after 562 total elbow replacements: a report from the Norwegian Arthroplasty Register.

Author information

1
Department of Rheumatology, Haukeland University Hospital, Bergen, Norway. bjorg.tilde.svanes.fevang@helse-bergen.no

Abstract

BACKGROUND:

The aim of this study was to give results of elbow arthroplasty for a relatively large population and compare different prosthesis brands and different patient subgroups.

METHODS:

Between 1994 and 2006, 562 total elbow replacement operations were reported to the Norwegian Arthroplasty Register. Revisions of prostheses were shown using Kaplan-Meier failure curves, and risk of revision was calculated using Cox regression analysis.

RESULTS:

The overall 5- and 10-year failure rates were 8% and 15%, respectively. There were only minor differences between the different implants. Patients who developed traumatic arthritis after fracture had the worst prognosis compared with inflammatory arthritis (P = .005). Risk of revision was also increased when the ulnar component was inserted without cement (P = .02.)

CONCLUSIONS:

Good results in terms of prosthesis survival were obtained with total elbow arthroplasty, although results were worse than for knee- and hip arthroplasties. The best results were achieved in patients with inflammatory arthritis.

PMID:
19393935
DOI:
10.1016/j.jse.2009.02.020
[Indexed for MEDLINE]
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