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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 124-128
Short term evaluation of total elbow arthroplasty (tea) using baksi's sloppy hinge prosthesis to manage elbow dysfunction
Sunil Handralmath1, Chinmay Ghaisas2, P Endigeri3, J Surannawar4
1Associate Professor and Unit Chief, 3,4SR, Department of Orthopaedics, Dr. V M Medical College and Hospital Solapur, INDIA.
2Assistant Professor, Department of Orthopaedics, Government Medical College, Miraj, Maharashtra, INDIA.
This article aims to evaluate Total Elbow Arthroplasty using Baksi’s sloppy hinge prosthesis an operative intervention for patients who have limitations in using the elbow joints due to trauma or chronic inflammatory conditions. With improvements in technique, introduction of newer semi-constrained and unconstrained prosthesis, it is being increasingly used for a wide variety of indications like rheumatoid arthritis, severe osteoarthritis, post traumatic arthritis, chronic instability, comminute fractures not suitable for fixation in the elderly, non unions of distal humerus, tuberculosis elbow with extensive joint destruction, tumours around the elbow, revision arthroplasty. A case series has been prepared for the duration of two years from April 2013 to April 2015. After appropriate preoperative workup and case evaluation, 5 patients were operated with total elbow arthroplasty at a tertiary government teaching hospital .The parameters evaluated were indications for the procedure, intraoperative and postoperative complications, recovery and return to normal joint function. Patients were followed up for at regular intervals upto 1year. Mayo Elbow performance score was used for quantifying anatomical and functional results.The candidate for total elbow arthroplasty should exhibit joint destruction which significantly compromises the activities of daily living. Even though elbow replacements are far more rare than hip or knee arthroplasties, it an come close to an ideal arthroplastic operative procedure resulting in a stable, mobile and painless joint with good patient satisfaction and being reproducible as a technique to perform.