constraint

Indications

RA 

- very good results

- 97% 10 year survival Coonrad-Morrey prosthesis

Other Dx 

- OA / post-traumatic arthritis / nonunion

- tend to have worse survival than RA

Haemophilia

- elbow joint commonly involved

- 90% of haemophiliacs

Acute unreconstructable fracture > 60

Definition

A valgus knee has a tibiofemoral angle of > 10^o

Causes

Inflammatory

- RA

Incidence

2-3% of cases 

- doubles with infrequent operator

- second most common reason for revision after loosening

Australian Joint Registry

- dislocation accounts for 14.8% of revisions

Positions

Posterior dislocation

- hip flexed, adducted, IR