Kinematics and laxity of the Souter-Strathclyde total elbow prosthesis

The motion pattern and laxity of 8 cadaveric elbows were recorded with a 3- dimensional electromagnetic tracking device before and after the Souter-Str athclyde total elbow prosthesis was implanted. The Souter-Strathclyde prost hesis replicates the valgus-varus motion pattern of the intact elbow but ca uses a significant internal rotation of the ulnar shaft of 8.9 degrees +/- 4.1 degrees (P <.0005) at 110 degrees of elbow flexion. One of the reasons for this unphysiological motion pattern is positioning of the humeral compo nent in a mean of 5.4 degrees +/- 6.4 degrees of external rotation compared with the intact elbow (P = .05). This positioning is related to the design of this device. The Souter-Strathclyde elbow prosthesis has a mean maximum valgus-varus laxity of 6.5 degrees +/- 1.5 degrees compared with 4.3 degre es +/- 2.3 degrees for the intact elbow (P =.004). This implant is more con strained than previously tested devices, which may explain its relatively h igher loosening rate.