Abstract
Introduction
We reviewed the mid-term outcome of GSB-III semi-constrained total elbow arthroplasty (TEA) and compared the results of patients with rheumatoid arthritis (RA) and those suffering from post-traumatic arthritis (PTA).
Patients
Forty-five patients with 54 replaced elbows, with an average age of 69 (range 49–84) were clinically [using Mayo Clinical Performance Index (MCPI) and Liverpool Elbow Score (LES)] and radiographically assessed. The average follow-up was 54 (range 20–103) months.
Results
Based on MCPI 82% of patients had excellent or good outcome. This figure was 88% for RA and 64% for PTA group (P = 0.22). Overall MCPI was 83.7(± 19) and LES 7.5 (± 1.8). Neither the MCPI (P = 0.39) nor the LES (P = 0.95) were statistically different between the RA and PTA groups. The mid-term outcome of GSB-III TEA is satisfactory.
Conclusion
The recommendation of TEA, including in patients with PTA, is supported.
Similar content being viewed by others
References
Bell S, Gschwend N, Steiger U (1986) Arthroplasty of the elbow. Experience with the Mark III GSB prosthesis. Aust N Z J Surg 56:823–827
Cesar M, Roussanne Y, Bonnel F et al (2007) GSB III total elbow replacement in rheumatoid arthritis. J Bone Joint Surg Br 89:330–334
Cheung EV, O’Driscoll SW (2007) Total elbow prosthesis loosening caused by ulnar component pistoning. J Bone Joint Surg Am 89:1269–1274
Faber KJ, Cordy ME, Milne AD et al (1997) Advanced cement technique improves fixation in elbow arthroplasty. Clin Orthop Relat Res 334:150–156
Fink B, Krey D, Schmielau G et al (2002) Results of elbow endoprostheses in patients with rheumatoid arthritis in correlation with previous operations. J Shoulder Elbow Surg 11:360–367
Gschwend N (2002) Present state-of-the-art in elbow arthroplasty. Acta Orthop Belg 68:100–117
Gschwend N, Loehr J, Ivosevic-Radovanovic D et al (1988) Semiconstrained elbow prostheses with special reference to the GSB III prosthesis. Clin Orthop Relat Res 232:104–111
Gschwend N, Scheier NH, Baehler AR (1999) Long-term results of the GSB III elbow arthroplasty. J Bone Joint Surg Br 81:1005–1012
Gschwend N, Simmen BR, Matejovsky Z (1996) Late complications in elbow arthroplasty. J Shoulder Elbow Surg 5:86–96
Herren DB, O’Driscoll SW, An KN (2001) Role of collateral ligaments in the GSB-linked total elbow prosthesis. J Shoulder Elbow Surg 10:260–264
Hildebrand KA, Patterson SD, Regan WD et al (2000) Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint Surg Am 82:1379–1386
Jensen CH, Jacobsen S, Ratchke M et al (2006) The GSB III elbow prosthesis in rheumatoid arthritis: a 2- to 9-year follow-up. Acta Orthop 77:143–148
Kelly EW, Coghlan J, Bell S (2004) Five- to thirteen-year follow-up of the GSB III total elbow arthroplasty. J Shoulder Elbow Surg 13:434–440
Larsen A, Dale K, Eel M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn (Stockh) 18:481–491
Little CP, Graham AJ, Carr AJ (2005) Total elbow arthroplasty: a systematic review of the literature in the English language until the end of 2003. J Bone Joint Surg Br 87:437–444
Morrey BF, Adams RA, Bryan RS (1991) Total replacement for post-traumatic arthritis of the elbow. J Bone Joint Surg Br 73:607–612
Morrey BF, Adams RA (1992) Semiconstrained arthroplasty for the treatment of rheumatoid arthritis of the elbow. J Bone Joint Surg Am 74:479–490
Pooley J, Singh R (2000) Elbow arthroplasty. Biomet Merck Limited, Swindon
Sathyamoorthy P, Kemp GJ, Rawal A et al (2004) Development and validation of an elbow score. Rheumatology (Oxford) 43:1434–1440
Schneeberger AG, Adams R, Morrey BF (1997) Semiconstrained total elbow replacement for the treatment of post-traumatic osteoarthrosis. J Bone Joint Surg Am 79:1211–1222
Schneeberger AG, Hertel R, Gerber C (2000) Total elbow replacement with the GSB III prosthesis. J Shoulder Elbow Surg 9:135–139
Shi LL, Zurakowski D, Jones DG et al (2007) Semiconstrained primary and revision total elbow arthroplasty with use of the Coonrad-Morrey prosthesis. J Bone Joint Surg Am 89:1467–1475
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Amirfeyz, R., Blewitt, N. Mid-term outcome of GSB-III total elbow arthroplasty in patients with rheumatoid arthritis and patients with post-traumatic arthritis. Arch Orthop Trauma Surg 129, 1505–1510 (2009). https://doi.org/10.1007/s00402-009-0876-y
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-009-0876-y