The souter-strathclyde elbow arthroplasty: A clinical and radiological study of 525 consecutive cases

• Published in: Journal of bone and joint surgery. British volume Vol. 84; no. 1; pp. 77 - 82
• Main Authors: IKÄVALKO, M, LEHTO, M. U. K, REPO, A, KAUTIAINEN, H, HÄMÄLÄINEN, M
• Format: Journal Article
• Language: English
• Published: London British Editorial Society of Bone and Joint Surgery 2002; British Editorial Society of Bone & Joint Surgery
• Edition: British volume
• Subjects: Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid - surgery; Arthroplasty, Replacement - adverse effects; Arthroplasty, Replacement - methods; Biological and medical sciences; Elbow Joint; Female; Humans; Male; Medical sciences; Middle Aged; Orthopedic surgery; Prosthesis Design; Prosthesis Failure; Prosthesis-Related Infections - surgery; Reoperation; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Human; Postoperative; Reoperation; Luxation; Prognosis; Prosthesis; Epidemiology; Incidence; Infection; Orthopedic surgery; Treatment; Total; Complication; Biomaterial; Technique; Elbow; Public health
• ISSN: 0301-620X; 2049-4394; 2044-5377; 2049-4408
• DOI: 10.1302/0301-620X.84B1.0840077

We present the results of 525 primary Souter elbow arthroplasties undertaken in 406 patients between 1982 and 1997. There were 372 women and 34 men with a mean age of 57 years; 119 patients had a bilateral procedure. The elbows were affected by chronic inflammatory disease, usually rheumatoid arthritis, which had been present for a mean of 24.7 years (2 to 70). In about 30% the joints were grossly destroyed with significant loss of bone. In 179 elbows the ulnar components were metal-backed and retentive; in the remaining 346, with better bone stock, non-retentive, all-polyethylene prostheses were used. Because of complications, 108 further operations were required in 82 patients. During the early years the incidence of complications was higher. Dislocation was the indication for 30 further procedures in 26 patients. Thirty patients underwent 33 revision procedures for aseptic loosening, 12 had 29 operations because of deep infection, two for superficial infection, and 14 further operations were done for other reasons. The cumulative rate of success, without aseptic loosening, five and ten years after surgery, was 96% and 85%, respectively.