Total Replacement in Posttraumatic Defects

The authors report on 40 patients with severe post- traumatic defects of bone tissue who underwent total elbow replacement using Sivash prosthesis. The prosthesis design promotes the restoration of flexion-extension in elbow joint within the limits 180-70 degrees and rotation up to 45 degrees. Good results were achieved in 31 patients. In 9 patients the implants were removed because of late suppuration and instability. In 4 patients out of 9 revision was performed and good results were achieved. The authors consider that method could be recommended for the application in traumatologic and orthopaedic clinics.