Early results of Latitude primary total elbow replacement with a minimum follow-up of 2 years

Saurabh S. Mehta, Adam C. Watts, Sumedh C. Talwalkar, Ann Birch, David Nuttall, Ian A. Trail*

*Corresponding author for this work

Research output: Contribution to journalArticle (journal)peer-review

12 Citations (Scopus)

Abstract

Background The aim of this study was to present outcomes of primary Latitude total elbow replacement (TER) with a minimum follow-up of 2 years. Methods A retrospective cohort study was undertaken with prospective outcome data collection for the latest outcome. Included were 63 consecutive primary Latitude TERs in 58 patients performed during a period of 5 years at a specialist orthopedic hospital. Results The mean age of the patients was 62 years (33-85 years). Five primary TERs (4 patients) were lost to follow-up. The primary diagnosis was rheumatoid arthritis in 49, osteoarthritis in 8, and trauma in 6 elbows. The mean flexion-extension arc was 75° preoperatively and 97° postoperatively. Mean postoperative Elbex pain score was 19/100, and function score was 37/100. Mean postoperative scores were 42/100 for the Quick Disabilities of the Arm, Shoulder, and Hand and 38/50 for the elbow-specific American Shoulder and Elbow Surgeons assessment. Four patients died of unrelated causes, and 8 of 63 underwent further surgical intervention, including explantation and conversion from unlinked to linked implant. On radiographic review of 41 surviving TERs, aseptic radiologic loosening was observed of the humeral component in 4 elbows and of the ulnar component in 9. Seven elbows had no radial component, and of the remaining 34 elbows, 16 (47%) had signs of loosening of the radial implant. Complications included 1 heterotopic ossification, 1 olecranon fracture, and 3 further procedures for ulnar nerve entrapment. Conclusion The results indicate that the early outcome of Latitude TER is comparable to that of other prostheses. There is concern about early radiologic loosening of the radial component.

Original languageEnglish
Pages (from-to)1867-1872
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Volume26
Issue number10
DOIs
Publication statusPublished - 1 Oct 2017

Keywords

  • ASES-E score
  • early results
  • Elbex score
  • Elbow
  • QuickDASH score
  • total elbow replacement

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