title: Similar results with 21 Kudo and 21 Souter-Strathclyde total elbow arthroplasties in patients with rheumatoid arthritis.
abstract: BACKGROUND
  The results of different prostheses used for total elbow arthroplasty (TEA) in rheumatoid arthritis (RA) have been reported in only a few studies. Small differences in survival or function between implants have been reported. We retrospectively evaluated the results of 42 Souter-Strathclyde and Kudo TEAs.
  
  
  METHODS
  Between 1988 and 1994, 21 consecutive patients with RA and severe elbow destruction underwent a Souter-Strathclyde TEA. Between 1994 and 1998, another group comprising 21 consecutive patients with RA with severe elbow destruction underwent a Kudo TEA.
  
  
  RESULTS
  There were six revisions for the groups combined, including four aseptic loosenings, one fracture and one liner wear and metallosis. The 5-year survival for the Souter-Strathclyde and the Kudo were 85% (95% CI 69-100) and 95% (95% CI 85-100), respectively. The difference between the groups was not statistically significant as tested by the Cox regression analysis. The majority of the patients were free of pain at follow-up. More than half of the patients were able to perform only light housekeeping tasks and a considerable proportion even had difficulties in maintaining personal hygiene. The elbow range of motion improved only slightly after the operation.
  
  
  CONCLUSIONS
  Both the Souter-Strathclyde and the Kudo TEAs provide good pain relief in the arthritic elbow leading to high patient satisfaction despite the residual disabilities. Only small differences in the results between the Souter-Strathclyde and the Kudo TEAs were found. More than half of the patients were able to perform only light housekeeping tasks and a considerable proportion even had difficulties in maintaining personal hygiene. The elbow range of motion improved only slightly after the operation.
authors.affiliation: Department of Orthopedics, Surgical Hospital, Helsinki University Central Hospital, Hus, Finland. eerik.skytta@fimnet.fi
authors.forename: Eerik T
authors.initials: ET
authors.lastname: Skyttä
authors.forename: Ville
authors.initials: V
authors.lastname: Remes
authors.forename: Yrjänä
authors.initials: Y
authors.lastname: Nietosvaara
authors.forename: Kaj
authors.initials: K
authors.lastname: Tallroth
authors.forename: Leena
authors.initials: L
authors.lastname: Paimela
authors.forename: Pekka
authors.initials: P
authors.lastname: Ylinen
mesh_terms: D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000295:instrumentation*; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies