Journal of Shoulder and Elbow Surgery
Volume 8, Issue 4 , Pages 291-295 , July 1999

Surgery for rheumatoid arthritis of the elbow: A comparison of radial-head excision and synovectomy with total elbow replacement

  • David A Woods, FRCS(Orth)

      Affiliations

    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.
    • ,
  • John R Williams, FRCS

      Affiliations

    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.
    • ,
  • Nagui S.T Gendi, MRCP

      Affiliations

    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.
    • ,
  • Alastair G Mowat, FRCP(Ed)

      Affiliations

    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.
    • ,
  • Peter D Burge, FRCS

      Affiliations

    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.
    • ,
  • Andrew J Carr, FRCS

      Affiliations

    • Corresponding Author InformationReprint requests: Mr A.J. Carr, FRCS, Consultant Orthopaedic Surgeon, Upper Limb Unit, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK.
    • Department of Orthopaedic Surgery Nuffield Orthopaedic Centre Oxford, England.
    • the Department of Rheumatology, Nuffield Orthopaedic Centre Oxford, England.

References 

  1. Brumfield RH, Kuschner SH, Gellman H, Redix L, Stevenson DV. Total elbow arthroplasty. J Anthroplasty. 1990;5:359–363
  2. Brumfield RH, Resnick CT. Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg. 1985;67A:16–20
  3. Carr AJ, Morris RW, Murray DW, Pynsent PB. Survival analysis in joint replacement surgery. J Bone Joint Surg. 1993;75B:178–182
  4. Ewald FC, Simmons ED, Sullivan JA, Thomas WH, Scott RD, Poss R, et al.  Capitellocondylar total elbow replacement in theumatoid arthritis: long-term results. J Bone Joint Surg. 1993;75A:498–507
  5. Ferlic DC, Patchett CE, Clayton ML, Freeman AC. Elbow synovectomy in rheumatoid arthritis. Long-term results. Clin Orthop. 1987;220:119–125
  6. Gendi NST, Axon JMC, Carr AJ, Pile KD, Burge PD, Mowat AG. Outcome of radial head excision and synovectomy in the rheumatoid elbow. Ann Rheum Dis. 1997;79B:918–923
  7. Hagana FW. Synovectomy of the elbow in rheumatoid arthritis. [In German] Aktuelle Rheumatologie. 1994;19:38–43
  8. Herold N, Schroder HA. Synovectomy and radial head excision in rheumatoid arthritis. Acta Orthop Scand. 1995;66:252–254
  9. Kraay MJ, Figgie MP, Inglis AE, Wolfe SW, Ranawat CS. Primary semiconstrained total elbow arthroplasty. Survival analysis of 113 consecutive cases. J Bone Joint Surg. 1994;76B:636–640
  10. Larsen A, Dale K, Eek M. Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol (Diagn) Stockh. 1977;18:481–491
  11. Morrey BF, Adams RA. Semiconstrained arthroplasty for the treatment of rheumatoid arthritis of the elbow. J Bone Joint Surg. 1992;74A:479–490
  12. Morrey BF, Bryan RS. Infection after total elbow arthroplasty. J Bone Joint Surg. 1983;65A:330–338
  13. Ruth JT, Wilde AH. Capitellocondylar total elbow replacement. A long-term follow-up study. J Bone Joint Surg. 1992;74A:95–100
  14. Rymaszewski LA, Mackay I, Amis AA, Millar JH. Long-term effects of excision of the radial head in rheumatoid arthritis. J Bone Joint Surg. 1984;66B:109–113
  15. Smith SR, Pinder IM, Ang SC. Elbow synovectomy in rheumatoid arthritis: present role and value of repeat synovectomies. J Orthop Rheumatol. 1993;6:155–157
  16. Souter WA. Surgery of the rheumatoid elbow. Ann Rheum Dis. 1990;49:871–882
  17. Summers GD, Taylor AR, Webley M. Elbow synovectomy and excision of the radial head in rheumatoid arthritis: a short-term palliative procedure. J Rheumatol. 1988;15:566–569
  18. Tulp N, Winia W. Synovectomy of the elbow in rheumatoid arthritis: long-term results. J Bone Joint Surg. 1989;71B:664–666
  19. Vahvanen V, Eskola A, Peltonen J. Results of elbow synovectomy in rheumatoid arthritis. Arch Orthop Trauma Surg. 1991;110:151–154
  20. Wolfe SW, Figgie MP, Inglis AE, Bohn WW, Ranawat CS. Management of infection about total elbow prostheses. J Bone Joint Surg. 1990;72A:198–212

PII: S1058-2746(99)90147-7

Journal of Shoulder and Elbow Surgery
Volume 8, Issue 4 , Pages 291-295 , July 1999

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