Indications :
1. Bone injury or bone loss contributing to elbow instability
2. Abnormal stiffness, immobility, and consolidation
of the Elbow joint (ankylosis)
3. Painful deterioration of the elbow joint cartilage
(osteoarthritis)
4. Painful inflammation in the lining of the elbow joint
(rheumatoid arthritis)
5. Arthritis resulting from physical injury to the elbow
joint (traumatic arthritis)
6. Revision Arthroplasty
Post-traumatic lesions or bone contributing to elbow
instability; ankylosed joints, especially in cases of
bilateral ankylosis from causes other than sepsis; advanced
rheumatoid or degenerative arthritis with incapacitating
pain;revision arthroplasty;and instability or loss of
motion when the degree of joint damage precludes less
radical procedures. The candidate
for total elbow arthroplasty should exhibit joint
destruction which significantly compromises the activities
of daily living. Patients with single joint involvement(generally
those with traumatic or degenerative arthritis)or
significant lower extrimity disability which require
walking aids are less amenable to treatment than patients
with advanced and predominately upper extremity involvement.
If possible, elbow replacemeent should be done after
hip or knee surgery to avoid excessive stress to the
prosthesis required by the crutch walking during total
hip or knee rehabilitation.
Prior infection, paralysis, joint
neuropathy, significant hand dysfunction, or excessive
scarring of the skin which could prevent adequate
soft tissue coverage are each distinct contraindications.
Use of the TEXX Total Elbow should
not be considered for patients whose activities would
subject the device to significant stress (Ie. heavy
labour, torsional stree or competitive sports).
Additionally, distal foci of infection,
such as genitourinary, pulmonary, skin (chronic lesions
or ulcerations) , or other sites, are relative contradications
because hemotogenous dissemination to the implant
site may occur. The foci of maximum stress has been
found to occur.
In those patients having both shoulder
and elbow pathology, the most severely involved joint
should be done first. |
