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Long-term survival of GSB III elbow ..

Several studies have documented the outcome of elbow arthroplasty in rheumatoid arthritis using both linked and unlinked implants. Gill and Morrey [] published the results obtained in 78 consecutive rheumatoid elbows using the Coonrad-Morrey design. At most recent follow-up, 97 per cent of the patients had no or mild pain and the mean arc of motion was from 28 degrees of extension to 131 degrees of flexion. The main complications of this series included deep infection (2 cases), aseptic loosening (2 cases), triceps avulsion (3 cases), periprosthetic fractures (2 cases), and ulnar component fracture (1 case). Survivorship free of revision was 92.4% at ten years (Fig. ). Gschwend . [] published the results using the GSB III prosthesis in 65 elbows, 32 of which were rheumatoid, followed for a minimum of 10 years. Overall clinical results were satisfactory and the main complications included infection (6 per cent), loosening (4.6 per cent) and component disengagement (13.6 per cent).

Currently published data seem to favour the use of linked semiconstrained implants. Little et al. [] recently published a systematic review of the literature on elbow arthroplasty. The overall revision rate has been similar for linked and unlinked implants (11 vs 13 per cent). However, radiographic loosening seems to be higher with unlinked implants (especially the humeral component of the Souter prosthesis). The functional results are similar with the exception of elbow extension, which seems to be better with linked implants. On a separate study, Levy et al. reported a higher rate of revision for unlinked compared to linked implants [].

GSB III total elbow replacement in rheumatoid arthritis The Bone & Joint Journal

Rheumatoid Elbow - Hand Clinics

(Thirty-five GSB III elbow arthroplasties performed for rheumatoid arthritis were followed for a mean of 6 years (range, 2 – 10 years)

Several studies have documented the outcome of elbow arthroplasty in rheumatoid arthritis using both linked and unlinked implants. Gill and Morrey [] published the results obtained in 78 consecutive rheumatoid elbows using the Coonrad-Morrey design. At most recent follow-up, 97 per cent of the patients had no or mild pain and the mean arc of motion was from 28 degrees of extension to 131 degrees of flexion. The main complications of this series included deep infection (2 cases), aseptic loosening (2 cases), triceps avulsion (3 cases), periprosthetic fractures (2 cases), and ulnar component fracture (1 case). Survivorship free of revision was 92.4% at ten years (Fig. ). Gschwend et al. [] published the results using the GSB III prosthesis in 65 elbows, 32 of which were rheumatoid, followed for a minimum of 10 years. Overall clinical results were satisfactory and the main complications included infection (6 per cent), loosening (4.6 per cent) and component disengagement (13.6 per cent).



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Elbow kinematics : Studies of the elbow joint under …

GSB III PROSTHESIS

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