Outcome of total and revision elbow replacements

• Research type

  Research Study

• Full title

  Outcome of Total Elbow Arthroplasty with minimum follow-up for two years and outcome of Revision Elbow Arthroplasty

• IRAS ID

  159348

• Contact name

  Ian Trail

• Contact email

  upperlimb@wrightington.org.uk

• Sponsor organisation

  Wrightington, Wigan & Leigh NHS Foundation Trust

• Duration of Study in the UK

  0 years, 6 months, days

• Research summary

  We have been performing Latitude™ total elbow arthroplasty (LTEA) in our unit since 2008. We wish to evaluate the short-term outcome to assess survival and functioning of the implant.We also wish to evaluate the Revision Total Elbow Arthrolasty(RTEA)that have been performed in our unit with any implant as another arm of the study.
  LTEA system represents new generation of elbow arthroplasty.
  Usually both these groups are followed-up routinely in clinic. For these two groups we would assess functional and radiological progress, which would have been done routinely but we would formalise it with outcome scoring systems. Assessment of reasons for failure, survival of implant,and function of patients would be made.

  Study description: We propose to perform a retrospective study to evaluate outcome of Latitude Total elbow arthroplasty and revision total elbow arthroplasty.
  

  Primary Aim: To evaluate implant survival of LTEA and RTEA
  Secondary Aims: To evaluate
  1)Cause of revision/ failure
  2)function of the patients
  3)signs of early loosening, if any
  4)Survival analysis of Latitude/Revision Arthroplasty

  Study design:

  This is retrospective study where study group involves patients who have had Latitude Total Elbow Arthroplasty and Revision Elbow Arthroplasty

  Methodology:
  Study population: All patients who have had LTEA, with minimum follow-up of 2 years, and revision arthroplasty in our department will be evaluated.
  
  Patient demographics, co-morbidities, use of immunosuppressants, primary diagnosis, length of follow-up, causes of failure, infection, pain-preoperative and postoperatively will be recorded.Follow-up procedures: Normal follow-up protocol, which exists currently, will be followed

  Outcome Measures:
  Patients will be followed-up with clinical and radiological evaluation. Function of the patients will be objectively assessed with questionnaires.

  Questionnaires utilized will be
  Elbex
  ASES(E)- American Shoulder and elbow Score (Elbow)
  Quick DASH- Quick Disabilities of the Arm, Shoulder and Hand Score

  Radiological Evaluation: Patients will be evaluated with an X-ray using the Wrightington Zone Lucency system.

• REC name

  North West - Greater Manchester South Research Ethics Committee

• REC reference

  14/NW/1261

• Date of REC Opinion

  23 Oct 2014

• REC opinion

  Favourable Opinion