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La prothèse totale du coude GUEPAR

The Guepar total elbow arthroplasty

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Summary

The Guepar total elbow replacement is a low friction, minimally constrained gliding prosthesis. The humeral and ulnar components are of metal with intramedullary stems, which are cemented. There is a sigmoid shaped, high density polyethylene interposition bearing. The authors have used the prosthesis in 33 patients with rheumatoid arthritis, 4 with post-traumatic problems, one with chondrocalcinosis and another with degenerative changes of uncertain aetiology. In the patients with rheumatoid arthritis, one sustaine a posterior dislocation and two suffered deep infection. In the remaining 30, the overall results were good at an average review of 32 months. The mean range of movement had increased by 31° and pain was absent in 28 elbows. In the management of rheumatoid arthritis total elbow arthroplasty must be part of an overall plan of treatment. Severe involvement of the wrist and shoulder must be dealt with before elbow replacement is considered.

Résumé

Un grand nombre de prothèses du coude sont actuellement disponibles, beaucoup de critères les opposent les unes aux autres. Après les premières prothèses à charnière contrainte, les prothèses semicontraintes et plus récemment les prothèses à glissement se sont imposées. La prothèse à glissement GUEPAR se situe dans l'évolution récente des implants du coude. Nous rapportons ici les résultats des trente-neuf premières arthroplasties réalisées au sein du Guepar de 1986 à 1991, sur 33 coudes rhumatoïdes, 4 destructions post-traumatiques, 1 spondylarthrite ankylosante et 1 arthrose sur chondrocalcinose.

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Authors and Affiliations

  1. Service de Chirurgie Orthopédique et Traumatologique, Département de Chirurgie du Membre Supérieur, Hôpital Bichat, 46, rue Henri Huchard, F-75877, Paris Cedex 18, France

    J. Y. Alnot, B. Augereau & Ph. Bellemère

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  1. J. Y. Alnot
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  2. B. Augereau
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  3. Ph. Bellemère
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GUEPAR

Additional information

Nous remercions Mr J. H. Aubriot, M. Condamine, A Deburge, B Lassale, T Le Balc'h, J. Y. Nordin et J Witvoet, membres du GUEPAR (Groupe pour l'utilisation et l'étude des prothèses articulaires) de nous avoir donné leurs observations

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Alnot, J.Y., Augereau, B., Bellemère, P. et al. La prothèse totale du coude GUEPAR. International Orthopaedics 18, 80–89 (1994). https://doi.org/10.1007/BF02484416

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  • DOI: https://doi.org/10.1007/BF02484416

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