[ XXXX . Indications, operative technique and results after implantation of an Acclaim elbow prosthesis].

@entity1 @entity4040 @entity174 @entity348 @entity158 @entity282 @entity309 @entity3029
@entity348 has become a reliable treatment option for @entity1 with @entity309 as well as primary or posttraumatic @entity4040 . The aim of this study is to present the indications, operative technique and results for the implantation of an Acclaim elbow prosthesis. Case reports are given to demonstrate the indications for prosthesis implantation. Furthermore, the follow-up results are reported for 65 @entity1 after implantation of an Acclaim prosthesis. Pre- and @entity282 were evaluated using the visual analogue scale. The pain level decreased from 8.0 to 2.3 postoperatively. After implantation of an elbow prosthesis, there was a significant improvement in the range of motion. The mean flexion increased from 103 degrees preoperatively to 140 degrees postoperatively. An increase of 10 degrees was found for both supination and pronation. Complications included temporary ulnary nerve irritation in seven @entity1 , intraoperative @entity174 in four cases and postoperative @entity3029 in one case. In conclusion, total elbow arthroplasty results in a @entity158 and an improvement in elbow movement. However, selection of the right @entity1 is important. @entity1 are advised not to lift heavy objects or to perform hard physical work. If @entity1 ' compliance can not be ensured preoperatively, no total elbow arthroplasty should be performed.
