Total Elbow Arthroplasty for Complete Bony Ankylosis of the Elbow in Patients with Rheumatoid Arthritis: A Report of Three Cases

Masanori Nakayama, Yu Sakuma, Tetsuji Hosozawa, Hitoshi Imamura, Koichiro Yano and Katsunori Ikari

Department of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women's Medical University, Japan

^*Correspondance to: Masanori Nakayama 

 PDF  Full Text Case Series | Open Access

Abstract:

We report three cases of Total Elbow Arthroplasty (TEA) for complete bony ankylosis in patients with Rheumatoid Arthritis (RA). Two cases had trauma around the elbow joint before ankylosis. At the most recent examinations, the average arc of motion was 85 degrees among patients. Two patients satisfied with surgical outcomes, however, one patient complained of residual pain and numbness. There were some reports about TEA of ankylosed elbow, however, there were few reports limited to ankylosed elbow with RA. TEA for ankylotic elbows in patients with RA is a good surgical option to restore adequate function. To gain a good outcome, it should be evaluated other joints in the extremity in order to properly evaluate the mobility and function of the elbow and to prepare a comprehensive plan of pre- and post-operative management that takes into consideration the full motion of the upper extremity.

Keywords:

Ankylotic elbow; Rheumatoid arthritis, Total elbow arthroplasty

Cite the Article:

Nakayama M, Sakuma Y, Hosozawa T, Imamura H, Yano K, Ikari K. Total Elbow Arthroplasty for Complete Bony Ankylosis of the Elbow in Patients with Rheumatoid Arthritis: A Report of Three Cases. Ann Clin Case Rep. 2016; 1: 1213.