• Elbow replacement;
  • metal-on-metal;
  • unlinked;
  • rheumatoid arthritis

We present a case report of a total elbow replacement that survived 31 years in a young female patient with, early onset rheumatoid arthritis. Professor Michael Devas inserted this self-designed, unlinked elbow prosthesis in 1973. The ulnar component loosened after 17 years and was revised using impaction grafting to restore bone stock. The original prosthesis demonstrated minimal wear and it was therefore reinserted. It functioned for a further 14 years, allowing the patient to continue working virtually pain free as a secretary, mother and housewife. To our knowledge, this is the longest surviving unlinked elbow replacement reported in the literature.