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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 1, 47-53.
doi: 10.1302/0301-620X.87B1.14543  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Total elbow arthroplasty after previous resection of the radial head and synovectomy

A. Whaley, MD, Consultant

Christus Santa Rosa, Medical Tower 1, 2829 Babcock Road, Su.700, San Antonio, Texas 78229, USA.

B. F. Morrey, MD, Professor of Orthopaedics; and R. Adams, MA, RPA

Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.

Correspondence should be sent to Professor B. F. Morrey.

We examined the effects of previous resection of the radial head and synovectomy on the outcome of subsequent total elbow arthroplasty in patients with rheumatoid arthritis.

Fifteen elbows with a history of resection and synovectomy were compared with a control group of patients who had elbow arthroplasty with an implant of the same design. The mean age in both groups was 63 years. In the study group, resection of the radial head and synovectomy had been undertaken at a mean of 8.9 years before arthroplasty. The mean radiological follow-up for the 13 available patients in the study group was 5.89 years (0.3 to 11.0) and in the control group was 6.6 years (2.2 to 12.6). There were no revisions in either group. The mean Mayo elbow performance score improved from 29 to 96 in the study group, with similar improvement in the control group (28 to 87). The study group had excellent results in 13 elbows and good results in two. The control group had excellent results in seven and good results in six.

Our experience indicates that previous resection of the radial head and synovectomy are not associated with an increased rate of revision following subsequent arthroplasty of the elbow. However, there was a higher rate of complication in the study group compared with the control group.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General