RESUMO
Fifty-seven elbows in 46 rheumatoid arthritis patients were followed from one to 20 years, with an average follow-up period of 86 months, and were treated with synovectomy and radial head resection. A silicone radial head prosthesis was inserted in 13 elbows. Surgery was performed through a lateral incision. Long-term follow-up study showed 77% of the elbows to fall in the excellent and improved categories. A trend toward better results was seen if the surgery was done at an earlier stage of the disease. The radial head prosthesis did not influence the results of synovectomy.
Assuntos
Artrite Reumatoide/cirurgia , Articulação do Cotovelo/cirurgia , Sinovectomia , Adulto , Articulação do Cotovelo/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Prótese Articular , Pessoa de Meia-Idade , Radiografia , Rádio (Anatomia)/cirurgia , Elastômeros de SiliconeRESUMO
Bilateral traumatic dislocations of Volz total wrist arthroplasties in a patient with rheumatoid arthritis occurred 7 years after the initial surgical procedures. Treatment consisted of closed manipulation and reduction of both wrists followed by temporary splinting. Good function was restored in both wrists without operative intervention. No fractures or loosening at the bone cement interface was encountered.
