The outcome of peri-operative humeral condylar fractures after total elbow replacement in patients with rheumatoid arthritis.
We compared the outcome of peri-operative humeral condylar fractures in patients undergoing a Coonrad-Morrey semiconstrained total elbow replacement with that of patients with rheumatoid arthritis undergoing the same procedure without fractures. In a consecutive series of 40 elbows in 33 patients, 1...
| Publicado en: | Journal of Bone & Joint Surgery, British Volume Vol. 89; no. 1; pp. 62 - 66 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
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British Editorial Society of Bone & Joint Surgery
Jan2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105997366&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105997366 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0301620X 1H3 jtl: Journal of Bone & Joint Surgery, British Volume issn: 0301620X maglogo: N pubinfo: dt: Jan2007 vid: 89 iid: 1 pid: 78731 pub: British Editorial Society of Bone & Joint Surgery artinfo: ui: 105997366 105997366 2009555445 10.1302/0301-620x.89b1.18264 NLM17259418 105997366 ppf: 62 ppct: 4 formats: tig: atl: The outcome of peri-operative humeral condylar fractures after total elbow replacement in patients with rheumatoid arthritis. aug: au: Ito H Matsumoto T Yoshitomi H Kakinoki R Nakamura T sug: subj: Arthritis, Rheumatoid Surgery Arthroplasty, Replacement Adverse Effects Elbow Joint Surgery Humeral Fractures Etiology Adult Aged Arthroplasty, Replacement Methods Elbow Joint Physiopathology Female Fracture Fixation Humeral Fractures Radiography Humeral Fractures Surgery Joint Prosthesis Male Middle Age Muscle, Skeletal Physiopathology Prognosis Range of Motion Retrospective Design Risk Factors Treatment Outcomes Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: We compared the outcome of peri-operative humeral condylar fractures in patients undergoing a Coonrad-Morrey semiconstrained total elbow replacement with that of patients with rheumatoid arthritis undergoing the same procedure without fractures. In a consecutive series of 40 elbows in 33 patients, 13 elbows had a fracture in either condyle peri-operatively, and 27 elbows were intact. The fractured condyle was either fixed internally or excised. We found no statistical difference in the patients' background, such as age, length of follow-up, immobilisation period, Larsen's radiological grade, or Steinbrocker's stage and functional class. There was also no statistical difference between the groups in relation to the Mayo Elbow Performance Score, muscle strength, range of movement, or radiolucency around the implants at a mean of 4.8 years (1.1 to 8.0) follow-up. We conclude that fractured condyles can be successfully treated with either internal fixation or excision, and cause no harmful effect. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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