Orthopedics

Your Article Summary

See Latest Articles

Kudo 5 total elbow replacement in patients with rheumatoid arthritis. A two centre 2 year to 11 year follow-up study
Shoulder & Elbow, 07/29/09

Thomas M et al. – Study reports that the results of the Kudo 5 total elbow replacement in patients with adult rheumatoid arthritis (RA) are acceptable and comparable with other reported series and to other unlinked implants with similar follow-up.

• An investigation of the long term follow-up results of elbow replacements
• 87 Kudo 5 total elbow replacements in 70 RA pts since 1994 were performed
• These were evaluated at a mean f/u of 79 mo (29-137 mo) using Mayo Clinic performance index
• Post-operative radiographs were also reviewed for loosening using standard antero-posterior and lateral films

• 8 pts were lost to f/u and 16 pts died, leaving 62 total elbow replacements in 46 pts
• Pre-operatively 6 had moderate pain and 56 had severe pain
• Post-operatively the pain was rated as none by 58 and moderate by 4
• Average Mayo elbow score improved from 37 pre-operatively to 86 post-operatively
• Flexion extension arc improved from 60 to 99, whilst pronation and supination improved by 18 and 20 respectively
• Overall complication rate was 24% with ulnar neuropraxia being the commonest problem
• 6 cases were revised, 4 for aseptic loosening and 2 for sepsis
• The ulnar component was the more commonly affected and appeared to be the cause of more problems
• However with revision as the endpoint, the probability of survival of the Kudo 5 at 79 mo was 96% reducing to 86% at 100 mo

Related Articles

See all related articles

ACR70-disease activity score remission achievement from switches between all the available biological agents in rheumatoid arthritis: a systematic review of the literature
Arthritis Research & Therapy, 11/17/09    Relevance Score: 81%

Significance of anti-CCP antibodies in modification of 1987 ACR classification criteria in diagnosis of rheumatoid arthritis
Clinical Rheumatology, 10/21/09    Relevance Score: 81%

Abatacept for rheumatoid arthritis
Cochrane Reviews, 10/09/09    Relevance Score: 81%

Total cholesterol and LDL levels decrease before rheumatoid arthritis
Annals of Rheumatic Diseases, 11/10/09    Relevance Score: 80%

Switching to the anti-interleukin-6 receptor antibody tocilizumab in rheumatoid arthritis patients refractory to antitumor necrosis factor biologics
Modern Rheumatology, 10/08/09    Relevance Score: 80%

Today in Arthritis/Rheumatology...keeping you current

Receive free subspecialty "5-minute updates" via email

Both weight-bearing and non-weight-bearing exercise improved function in patients with knee osteoarthritis
Evidence-Based Medicine, 12/08/09

Impact of Age, Sex, Physical Function, Health-related Quality of Life, and Treatment with Adalimumab on Work Status and Work Productivity of Patients with Ankylosing Spondylitis
Journal of Rheumatology, 12/08/09

Therapeutic effects of magnetic and copper bracelets in osteoarthritis: A randomised placebo-controlled crossover trial
Complementary Therapies in Medicine, 12/08/09

 See all of Arthritis/Rheumatology

Today in Shoulder and Elbow...keeping you current

Receive free subspecialty "5-minute updates" via email

Beware of glenoid dysplasia mimicking bone trauma in the injured shoulder
International Journal of Shoulder Surgery, 12/08/09

The Pretzel knot: a new simple locking slip-knot
Knee Surgery, Sports Traumatology, Arthroscopy, 12/08/09

Arthroscopic removal of proximal humerus locking plates
Knee Surgery, Sports Traumatology, Arthroscopy, 12/08/09

 See all of Shoulder and Elbow

Today in Surgical Technique...keeping you current

Receive free subspecialty "5-minute updates" via email

Early clinical outcomes of floating platform mobile-bearing TKA: longitudinal comparison with fixed-bearing TKA
Knee Surgery, Sports Traumatology, Arthroscopy, 12/08/09

The Pretzel knot: a new simple locking slip-knot
Knee Surgery, Sports Traumatology, Arthroscopy, 12/08/09

Valgus and flexion deformity after reconstruction of the anterior cruciate ligament in a skeletally immature patient
Knee Surgery, Sports Traumatology, Arthroscopy, 12/08/09

 See all of Surgical Technique