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The Guildford elbow

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Summary

A new unconstrained elbow replacement is described and the results of 44 primary and 5 revision operations assessed. A high incidence of pain relief (82%) and functional improvement (73%) was achieved. However 23% of primary replacements later underwent loosening as assessed radiologically and 12% have undergone revision for pain. Minor complications not affecting the final result occurred in 28%. The causes and significance of the complications are analysed.

Résumé

Description d'une nouvelle prothèse non contrainte du coude et présentation des résultats de 44 interventions et de 5 reprises. On a obtenu dans 82% des cas la diminution des douleurs et dans 73% une notable amélioration fonctionnelle. Cependant, après les contrôles radiologiques ultérieurs, 23% des prothèses présentent une image de descellement et 12% ont dû être reprises pour des phénomènes douloureux. Des complications mineures ont été notées dans 28% des cas, sans pour autant altérer le résultat final. Les causes de ces complications et leur signification sont analysées.

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Karanjia, N.D., Stiles, P.J. The Guildford elbow. International Orthopaedics 14, 315–319 (1990). https://doi.org/10.1007/BF00178766

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