Causes for early and late surgical re-intervention after radial head arthroplasty

International Orthopaedics
Pierre LaumoneriePierre Mansat

Abstract

The primary objective was to describe the reasons for surgical re-intervention after radial head arthroplasty. The secondary objective was to analyze the radiographic and clinical outcomes after surgical re-intervention at the elbow with implant conservation. Among the 70 radial head arthroplasties with bipolar radial head implant performed between 2002 and 2014, 29 required surgical re-interventions. Reasons for surgical re-intervention were gathered from operative notes and follow-up documentation. Patients who underwent re-intervention with implant retention were reassessed via clinical and radiographic examinations by an independent reviewer. Twenty nine re-operations were performed at a mean follow-up of 16 ± 11.7 months (0.2-36 months). The prosthesis was removed in 18 cases and retained in 11. There was a significant difference in mean time to re-intervention between the implant removal and preservation groups, 23.1 ± 8.3 months (7-36 months) and 4.4 ± 4.7 months (0.2-13 months), respectively (p < 0.001). The primary reason for surgical re-intervention was painful loosening (13 cases). Radio-capitellar instability was the most frequent reason for re-intervention with implant retention (5 cases). Midterm quickDASH and MEP...Continue Reading

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Citations

Dec 8, 2017·The Bone & Joint Journal·P LaumonerieP Mansat
Sep 25, 2017·International Orthopaedics·Pierre LaumoneriePierre Mansat
Sep 2, 2017·The Bone & Joint Journal·P LaumonerieP Mansat
Aug 1, 2018·International Orthopaedics·Pierre LaumoneriePierre Mansat
Aug 12, 2018·International Orthopaedics·Pierre LaumoneriePierre Mansat
Oct 10, 2018·International Orthopaedics·Andreas F MavrogenisMarius M Scarlat
Jun 23, 2020·Shoulder & Elbow·R P van RietA C Watts
Jan 23, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Maxime AntoniPhilippe Clavert
Aug 10, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Luis Lobo-EscolarAnna Escolà-Benet
Mar 17, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Maxime AntoniPhilippe Clavert

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