Long-term results with the Kudo type 3 total elbow arthroplasty

Theis Muncholm Thillemann; Bo Sanderhoff Olsen; Hans Viggo Johannsen; Jens Ole Søjbjerg

doi:10.1016/j.jse.2005.09.002

Long-term results with the Kudo type 3 total elbow arthroplasty

Theis Muncholm Thillemann, Bo Sanderhoff Olsen, Hans Viggo Johannsen, Jens Ole Søjbjerg

14 Citations (Scopus)

Abstract

From 1992 to 1993, 17 elbows were replaced with the unlinked Kudo type 3 total elbow arthroplasty in 16 patients with arthritic joint destruction. Of these elbows, 8 were available for clinical examination after a mean of 9.5 years. Of the 17 elbow implants, 5 were revised: 2 because of loosening of the ulnar component, 1 because of dislocation, 1 because of a periprosthetic fracture, and 1 because of a late deep infection. At 9.5 years' follow-up, 67.9% of the prostheses had survived, and the mean survival of the implant was 8.7 years (95% confidence interval, 7.5-10 years). In this study, we observed high rates of progressive valgus tilting of the ulnar component. This valgus tilting is of major concern because it provides more stress to a smaller area on the polyethylene. It may, therefore, cause an increased degree of polyethylene wear and, thereby, reduce the final implant survival rate.

Original language	English
Journal	Journal of Shoulder and Elbow Surgery
Volume	15
Issue number	4
Pages (from-to)	495-9
Number of pages	5
ISSN	1058-2746
DOIs	https://doi.org/10.1016/j.jse.2005.09.002
Publication status	Published - Jul 2006

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title = "Long-term results with the Kudo type 3 total elbow arthroplasty",

abstract = "From 1992 to 1993, 17 elbows were replaced with the unlinked Kudo type 3 total elbow arthroplasty in 16 patients with arthritic joint destruction. Of these elbows, 8 were available for clinical examination after a mean of 9.5 years. Of the 17 elbow implants, 5 were revised: 2 because of loosening of the ulnar component, 1 because of dislocation, 1 because of a periprosthetic fracture, and 1 because of a late deep infection. At 9.5 years' follow-up, 67.9% of the prostheses had survived, and the mean survival of the implant was 8.7 years (95% confidence interval, 7.5-10 years). In this study, we observed high rates of progressive valgus tilting of the ulnar component. This valgus tilting is of major concern because it provides more stress to a smaller area on the polyethylene. It may, therefore, cause an increased degree of polyethylene wear and, thereby, reduce the final implant survival rate.",

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T1 - Long-term results with the Kudo type 3 total elbow arthroplasty

AU - Thillemann, Theis Muncholm

AU - Olsen, Bo Sanderhoff

AU - Johannsen, Hans Viggo

AU - Søjbjerg, Jens Ole

PY - 2006/7

Y1 - 2006/7

N2 - From 1992 to 1993, 17 elbows were replaced with the unlinked Kudo type 3 total elbow arthroplasty in 16 patients with arthritic joint destruction. Of these elbows, 8 were available for clinical examination after a mean of 9.5 years. Of the 17 elbow implants, 5 were revised: 2 because of loosening of the ulnar component, 1 because of dislocation, 1 because of a periprosthetic fracture, and 1 because of a late deep infection. At 9.5 years' follow-up, 67.9% of the prostheses had survived, and the mean survival of the implant was 8.7 years (95% confidence interval, 7.5-10 years). In this study, we observed high rates of progressive valgus tilting of the ulnar component. This valgus tilting is of major concern because it provides more stress to a smaller area on the polyethylene. It may, therefore, cause an increased degree of polyethylene wear and, thereby, reduce the final implant survival rate.

AB - From 1992 to 1993, 17 elbows were replaced with the unlinked Kudo type 3 total elbow arthroplasty in 16 patients with arthritic joint destruction. Of these elbows, 8 were available for clinical examination after a mean of 9.5 years. Of the 17 elbow implants, 5 were revised: 2 because of loosening of the ulnar component, 1 because of dislocation, 1 because of a periprosthetic fracture, and 1 because of a late deep infection. At 9.5 years' follow-up, 67.9% of the prostheses had survived, and the mean survival of the implant was 8.7 years (95% confidence interval, 7.5-10 years). In this study, we observed high rates of progressive valgus tilting of the ulnar component. This valgus tilting is of major concern because it provides more stress to a smaller area on the polyethylene. It may, therefore, cause an increased degree of polyethylene wear and, thereby, reduce the final implant survival rate.

U2 - 10.1016/j.jse.2005.09.002

DO - 10.1016/j.jse.2005.09.002

M3 - Journal article

C2 - 16831656

SN - 1058-2746

VL - 15

SP - 495

EP - 499

JO - Journal of Shoulder and Elbow Surgery

JF - Journal of Shoulder and Elbow Surgery

IS - 4

ER -

Long-term results with the Kudo type 3 total elbow arthroplasty

Abstract

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