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Article: Souter-Strathclyde elbow replacement for severe rheumatoid arthritis

TitleSouter-Strathclyde elbow replacement for severe rheumatoid arthritis
Authors
KeywordsElbow Replacement
Rheumatoid Arthritis
Issue Date1996
Citation
Journal Of Orthopaedic Rheumatology, 1996, v. 9 n. 4, p. 194-199 How to Cite?
AbstractTwenty Souter-Strathclyde elbow replacements were performed for severe rheumatoid arthritis in 15 patients. They were followed-up for an average of 43 (range 26-63) months. While there was-severe pain in every elbow before the operation, 16 elbows were pain free and four elbows had mild pain at final follow-up. All elbows were unstable before surgery, especially in five elbows with 'fork and knife' deformity. However, there was only one dislocation at final follow-up. For the range of motion, flexion improved by an average of 21°, supination improved by an average of 7°and pronation improved by an average of 17°. There was an average loss of extension by 7°. The Mayo Clinic Performance Index improved from 30 points before the operation to 88 points at final follow-up. Complications affected nine elbows. One elbow was revised due to humeral loosening. It was related to a postoperative fracture of the supracondylar ridge after the use of a standard humeral component. A long-stemmed humeral component should be used primarily if the integrity of the supracondylar ridge is doubtful.
Persistent Identifierhttp://hdl.handle.net/10722/170008
ISSN
1998 Impact Factor: 0.444
1999 SCImago Journal Rankings: 0.163

 

DC FieldValueLanguage
dc.contributor.authorChiu, KYen_US
dc.contributor.authorLuk, KDKen_US
dc.contributor.authorPun, WKen_US
dc.date.accessioned2012-10-30T06:04:41Z-
dc.date.available2012-10-30T06:04:41Z-
dc.date.issued1996en_US
dc.identifier.citationJournal Of Orthopaedic Rheumatology, 1996, v. 9 n. 4, p. 194-199en_US
dc.identifier.issn0951-9580en_US
dc.identifier.urihttp://hdl.handle.net/10722/170008-
dc.description.abstractTwenty Souter-Strathclyde elbow replacements were performed for severe rheumatoid arthritis in 15 patients. They were followed-up for an average of 43 (range 26-63) months. While there was-severe pain in every elbow before the operation, 16 elbows were pain free and four elbows had mild pain at final follow-up. All elbows were unstable before surgery, especially in five elbows with 'fork and knife' deformity. However, there was only one dislocation at final follow-up. For the range of motion, flexion improved by an average of 21°, supination improved by an average of 7°and pronation improved by an average of 17°. There was an average loss of extension by 7°. The Mayo Clinic Performance Index improved from 30 points before the operation to 88 points at final follow-up. Complications affected nine elbows. One elbow was revised due to humeral loosening. It was related to a postoperative fracture of the supracondylar ridge after the use of a standard humeral component. A long-stemmed humeral component should be used primarily if the integrity of the supracondylar ridge is doubtful.en_US
dc.languageengen_US
dc.relation.ispartofJournal of Orthopaedic Rheumatologyen_US
dc.subjectElbow Replacementen_US
dc.subjectRheumatoid Arthritisen_US
dc.titleSouter-Strathclyde elbow replacement for severe rheumatoid arthritisen_US
dc.typeArticleen_US
dc.identifier.emailChiu, KY:pkychiu@hkucc.hku.hken_US
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_US
dc.identifier.authorityChiu, KY=rp00379en_US
dc.identifier.authorityLuk, KDK=rp00333en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-0030513523en_US
dc.identifier.hkuros23778-
dc.identifier.volume9en_US
dc.identifier.issue4en_US
dc.identifier.spage194en_US
dc.identifier.epage199en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridChiu, KY=7202988127en_US
dc.identifier.scopusauthoridLuk, KDK=7201921573en_US
dc.identifier.scopusauthoridPun, WK=7003726073en_US

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