title: Long-term survival of the Souter-Strathclyde total elbow replacement in patients with rheumatoid arthritis.
abstract: Between 1982 and 1997, 403 consecutive patients (522 elbows) with rheumatoid arthritis underwent Souter-Strathclyde total elbow replacement. By the end of 2007, there had been 66 revisions for aseptic loosening in 60 patients. The mean time of follow-up was 10.6 years (0 to 25) The survival rates at five-, ten, 15 and 19 years were 96% (95%, confidence interval (CI) 95 to 98), 89% (95% CI 86 to 92), 83% (95% CI 78 to 87), and 77% (95% CI 69 to 85), respectively. The small and medium-sized short-stemmed primary humeral components had a 5.6-fold and 3.6-fold risk of revision for aseptic loosening respectively, compared to the medium-sized long-stemmed component. The small and medium-sized all-polyethylene ulnar components had respectively a 28.2-fold and 8.4-fold risk of revision for aseptic loosening, compared to the metal-backed ulnar components. The use of retentive ulnar components was not associated with an increased risk of aseptic loosening compared to non-retentive implants.
authors.affiliation: Rheumatism Foundation Hospital, Pikijärventie 1, 18120 Heinola, Finland. mikko.ikavalko@fimnet.fi
authors.forename: M
authors.initials: M
authors.lastname: Ikävalko
authors.forename: R
authors.initials: R
authors.lastname: Tiihonen
authors.forename: E T
authors.initials: ET
authors.lastname: Skyttä
authors.forename: E A
authors.initials: EA
authors.lastname: Belt
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000295:instrumentation*; D001696:Biomechanical Phenomena; D004551:Elbow Joint; D005260:Female; D006801:Humans; D007595:Joint Prosthesis / Q000592:standards / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D020959:Polyethylene / Q000009:adverse effects; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D016019:Survival Analysis; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D020959:Polyethylene