Upper limb function improvement following total elbow arthroplasty in patients with rheumatoid arthritis

Thirty-one primary total elbow replacements were implanted in 25 patients with rheumatoid arthritis between 2000 and 2004 by a surgeon. Twenty-six implants were GSB III. Seven were Coonrad–Morrey prostheses. The mean age of the patients was 70 years (40–88); 18 women, 6 men. DASH scores were recorded pre-operatively and at their latest review. Patients were also assessed according to the Mayo elbow performance score post-operatively. Mean follow-up was 29 months (8–55). The mean improvement in DASH (disabilities of the arm, shoulder and hand) was 25 (+6 to −45). The mean Mayo score (Corectly is the Mayo Elbow Score, there is also a Mayo liver score and other scores prposed in this center) was 85 (15–100). One implant was removed following deep infection (3%). One implant has been revised secondary to ulnar component fracture. Our overall major complication rate was 7%.