Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Osteolysis in Kudo Type Total Elbow Arthroplasty

Kudo형 주관절 전치환술에서 골용해

  • Kim Jung-Man (Department of Orthopaedic Surgery, Kang-Nalll St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Chang Cheong-Ho (Department of Orthopaedic Surgery, Kang-Nalll St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Ha Joo-Hyun (Department of Orthopaedic Surgery, Kang-Nalll St. Mary's Hospital, The Catholic University of Korea, College of Medicine)
  • 김정만 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 장정호 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 하주현 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실)
  • Published : 1998.03.01
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Abstract

This study evaluated the development of osteolysis of Kudo total elbow arthroplasties according to the fixation with or without cement. Twenty-four elbows of nineteen patients of rheumatoid arthritis underwent total elbow arthroplasty from 1986 to 1993. The patients were followed for an average of 42 months ranging from 36 months to 59 months. In cemented humeri, 1 of 13 (7.7%) showed osteolysis. In the humeri of cementless fixation, 5 of II (45.5%) revealed osteolysis, representing higher rate compared to cement fixation (P<0.05). In the ulna, osteolysis was identified in none of 16 (0%) of cement fixation, which was significantly less than the incidence of osteolysis in cement less fixation (3 of 8,37.5%) (P<0.01). It was concluded that the cement fixation result in less osteolysis than the cementless fixation in Kudo type total elbow arthroplasty.

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