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Long-term results of the lateral resurfacing elbow arthroplasty.

Abstract Aim The aim of this study was to report the long-term outcome and implant survival of the lateral resurfacing elbow (LRE) arthroplasty in the treatment of elbow arthritis. Patients and Methods We reviewed a consecutive series of 27 patients (30 elbows) who underwent LRE arthroplasty between December 2005 and January 2008. There were 15 women and 12 men, with a mean age of 61 years (25 to 82). The diagnosis was primary hypotrophic osteoarthritis (OA) in 12 patients (14 elbows), post-traumatic osteoarthritis (PTOA) in five (five elbows) and rheumatoid arthritis (RA) in ten patients (11 elbows). The mean clinical outcome scores including the Mayo Elbow Performance Score (MEPS), the American Shoulder and Elbow Surgeons elbow score (ASES-e), the mean range of movement and the radiological outcome were recorded at three, six and 12 months and at a mean final follow-up of 8.3 years (7.3 to 9.4). A one sample t-test comparing pre and postoperative values, and survival analysis using the Kaplan-Meier method were undertaken. Results A statistically significantly increased outcome score was noted for the whole group at each time interval. This was also significantly increased at each time in each of the subgroups (OA, RA, and PTOA). Implant survivorship was 100%. Conclusion We found that the LRE arthroplasty, which was initially developed for younger patients with osteoarthritis, is an effective form of surgical treatment for a wider range of patients with more severe degenerative changes, irrespective of their cause. It is therefore a satisfactory alternative to total elbow arthroplasty (TEA) and has lower rates of complications in the subgroups of patients we have studied. It does not require activities to be restricted to the same extent as following TEA. Based on this experience, we now recommend LRE arthroplasty rather than TEA as the primary form of implant for the treatment of patients with OA of the elbow. Cite this article: Bone Joint J 2018;100-B:338-45.
PMID
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Authors

Mayor MeshTerms
Keywords

Elbow arthritis

Lateral resurfacing elbow

Long-term results

Radiocapitellar joint arthroplasty

Total elbow arthroplasty

Journal Title the bone & joint journal
Publication Year Start




PMID- 29589504
OWN - NLM
STAT- MEDLINE
DCOM- 20180402
LR  - 20180402
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 3
DP  - 2018 Mar 1
TI  - Long-term results of the lateral resurfacing elbow arthroplasty.
PG  - 338-345
LID - 10.1302/0301-620X.100B3.BJJ-2017-0865.R1 [doi]
AB  - Aim The aim of this study was to report the long-term outcome and implant
      survival of the lateral resurfacing elbow (LRE) arthroplasty in the treatment of 
      elbow arthritis. Patients and Methods We reviewed a consecutive series of 27
      patients (30 elbows) who underwent LRE arthroplasty between December 2005 and
      January 2008. There were 15 women and 12 men, with a mean age of 61 years (25 to 
      82). The diagnosis was primary hypotrophic osteoarthritis (OA) in 12 patients (14
      elbows), post-traumatic osteoarthritis (PTOA) in five (five elbows) and
      rheumatoid arthritis (RA) in ten patients (11 elbows). The mean clinical outcome 
      scores including the Mayo Elbow Performance Score (MEPS), the American Shoulder
      and Elbow Surgeons elbow score (ASES-e), the mean range of movement and the
      radiological outcome were recorded at three, six and 12 months and at a mean
      final follow-up of 8.3 years (7.3 to 9.4). A one sample t-test comparing pre and 
      postoperative values, and survival analysis using the Kaplan-Meier method were
      undertaken. Results A statistically significantly increased outcome score was
      noted for the whole group at each time interval. This was also significantly
      increased at each time in each of the subgroups (OA, RA, and PTOA). Implant
      survivorship was 100%. Conclusion We found that the LRE arthroplasty, which was
      initially developed for younger patients with osteoarthritis, is an effective
      form of surgical treatment for a wider range of patients with more severe
      degenerative changes, irrespective of their cause. It is therefore a satisfactory
      alternative to total elbow arthroplasty (TEA) and has lower rates of
      complications in the subgroups of patients we have studied. It does not require
      activities to be restricted to the same extent as following TEA. Based on this
      experience, we now recommend LRE arthroplasty rather than TEA as the primary form
      of implant for the treatment of patients with OA of the elbow. Cite this article:
      Bone Joint J 2018;100-B:338-45.
FAU - Watkins, C E L
AU  - Watkins CEL
AD  - Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK.
FAU - Elson, D W
AU  - Elson DW
AD  - Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust, Sheriff Hill,
      Gateshead, Tyne and Wear NE9 6SX, UK.
FAU - Harrison, J W K
AU  - Harrison JWK
AD  - Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust, Sheriff Hill,
      Gateshead, Tyne and Wear NE9 6SX, UK.
FAU - Pooley, J
AU  - Pooley J
AD  - Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust, Sheriff Hill,
      Gateshead, Tyne and Wear NE9 6SX, UK.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthritis, Rheumatoid/*surgery
MH  - Arthroplasty, Replacement, Elbow/*methods
MH  - Arthroscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis/*surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Elbow arthritis
OT  - Lateral resurfacing elbow
OT  - Long-term results
OT  - Radiocapitellar joint arthroplasty
OT  - Total elbow arthroplasty
EDAT- 2018/03/29 06:00
MHDA- 2018/04/03 06:00
CRDT- 2018/03/29 06:00
PHST- 2018/03/29 06:00 [entrez]
PHST- 2018/03/29 06:00 [pubmed]
PHST- 2018/04/03 06:00 [medline]
AID - 10.1302/0301-620X.100B3.BJJ-2017-0865.R1 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Mar 1;100-B(3):338-345. doi:
      10.1302/0301-620X.100B3.BJJ-2017-0865.R1.