Survivorship of the KUDO total elbow prosthesis--comparative study of cemented and uncemented ulnar components: 89 cases followed for an average of 6 years.
BACKGROUND
The Kudo total elbow prosthesis (TEP) is a well-established implant with good mid-term results. The ulnar component can be placed with or without cement, and the humeral component is normally placed without cement.


METHODS
89 Kudo type-5 total elbow prostheses were evaluated after a mean follow-up of 6 (1.7-11) years. The indication for joint replacement was rheumatoid arthritis in all cases. 49 prostheses were placed without cement. In 40 cases, the ulnar component was cemented and the humeral component was uncemented.


RESULTS
In the uncemented group, 7 revisions had taken place. 3 of these ulnar components were shortstemmed and 4 were long-stemmed. No revisions had been performed in the hybrid group. In the uncemented group another 7 patients showed progressive radiolucencies, while 3 patients in the hybrid group showed progressive radiolucencies.


CONCLUSIONS
In this group of RA patients, the survivorship of the cemented ulnar component was better than that of the uncemented ulnar component.
van der Heide
Huub J L
HJ
Department of Orthopedic Surgery, Maartenskliniek, Nijmegen, The Netherlands.
de Vos
Maarten J
MJ
Brinkman
J-Martijn
JM
Eygendaal
Denise
D
van den Hoogen
Frank H J
FH
de Waal Malefijt
Maarten C
MC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000295:instrumentation / Q000379:methods; D002484:Cementation; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013997:Time Factors; D016896:Treatment Outcome