Revision interposition arthroplasty of the elbow.
Between 1996 and 2008, nine patients with severe post-traumatic arthritis underwent revision of a failed interposition arthroplasty of the elbow with a further interposition procedure using an allograft of tendo Achillis at a mean of 5.6 years (0.7 to 13.1) after the initial procedure. There were eight men and one woman with a mean age of 47 years (36 to 56). The mean follow-up was 4.7 years (2 to 8). The mean Mayo Elbow Performance score improved from 49 (15 to 65) pre-operatively to 73 (55 to 95) (p = 0.04). The mean Disability of the Arm, Shoulder and Hand score was 26 (7 to 42). One patient was unavailable for clinical follow-up and one underwent total elbow replacement three months post-operatively. Of the remaining patients, one had an excellent, two had good, three fair and one a poor result. Subjectively, five of the nine patients were satisfied. Four continued manual labour. Revision interposition arthroplasty is an option for young, active patients with severe post-traumatic arthritis who require both mobility and durability of the elbow.
Larson
A N
AN
Department of Orthopaedic Surgery, University of Minnesota, 2512 South 7th Street, Minneapolis, MN 55454, USA.
Adams
R A
RA
Morrey
B F
BF
D000125:Achilles Tendon / Q000637:transplantation*; D000328:Adult; D019643:Arthroplasty, Replacement / Q000379:methods*; D004185:Disability Evaluation; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology / Q000601:surgery; D017060:Patient Satisfaction; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D013709:Tendon Transfer / Q000379:methods; D014184:Transplantation, Homologous