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Total Elbow Replacement in Rheumatoid Arthritis: A Case Report

Vol 42 | Issue 1 | January-June 2021 | page: 24-27 | Amit Das, Saroj Kumar Parida


Authors: Amit Das [1], Saroj Kumar Parida [1]

[1] Department of Orthopaedics, SCB Medical College & Hospital, Cuttack, Odisha, India.

Address of Correspondence

Dr. Amit Das,
SCB Medical College & Hospital, Cuttack, Odisha, India.
E-mail: dasamit374@gmail.com


Abstract

Inflammatory arthropathies such as Rheumatoid arthritis represent the classic indication for
Total elbow arthroplasty(TEA). Indications have been expanded to include posttraumatic
osteoarthritis, acute distal humerus fractures, distal humerus nonunions and reconstruction
after tumour resection. Elbow arthroplasty successful in terms of pain relief, motion and
function. For elderly patients with deformity and ankylosis of the elbow due to Rheumatoid
arthritis, Total Elbow Arthroplasty is one of the valuable options. Here, we present a case of a
female patient suffering from the rheumatoid elbow with significant pain, deformity and
instability. The Semi Constrained hinge type elbow prosthesis was used. Clinico-radiological
follow up was done at 1 month, 3 months, 6 months, 8 months. In the present case at follow
up, supination was 70°, pronation 70°, flexion 135°. The mean Mayo elbow performance
score was 95 points. Clinico-radiologically the elbows were stable and no evidence of
loosening was seen. Elbow arthroplasty remains a valuable option for deformed and unstable
elbows especially in selective patients with crippling deformity of the elbow.
Keywords: Rheumatoid Arthritis; Total Elbow Arthroplasty; Semi-constrained prosthesis.


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How to Cite this Article: Das A, Parida SK | Total Elbow Replacement in Rheumatoid Arthritis: A Case Report | Odisha Journal of Orthopaedics & Trauma | January-June 2021; 42(1): 24-27.

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