Radial head arthroplasty with an uncemented modular metallic radial head prosthesis: short- and mid-term results

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
M MuhmH Winkler

Abstract

In comminuted radial head fractures, arthroplasty is an alternative treatment to open reduction and internal fixation or radial head excision. The purpose of this study was to evaluate the short- and mid-term results after the implantation of the EVOLVE™ uncemented modular metallic radial head prosthesis. Twenty-five patients with an unreconstructible comminuted radial head fracture were treated with the EVOLVE™ prosthesis. Two groups were formed in order to evaluate short-term (mean 1.6 years, range 1-2.3 years) and mid-term (mean 5.1 years, range 3-7.2 years) results. The short-term group consisted of 10 patients and the mid-term group of 15 patients. Objective physical outcome (ROM, grip strength) and outcome scores (Broberg/Morrey score, DASH) as well as radiological findings (periprosthetic lucency, prosthetic sizing, heterotopic ossification, posttraumatic osteoarthritis) were evaluated. Significant impairments in ROM and grip strength were observed in the affected arm. Differences in impairment of the affected arm between the two groups were not significant. There were no significant differences in the outcome scores between the two groups, with good results obtained overall. Understuffing was observed in 3 patients. Thr...Continue Reading

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Nov 13, 2014·ANZ Journal of Surgery·Irfan N AbdullaBenjamin Cass
Sep 14, 2017·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Hongwei ChenYongjun Shang
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Apr 15, 2020·Journal of Shoulder and Elbow Surgery·Rafael Carbonell-EscobarSamuel Antuña
Apr 27, 2021·Shoulder & Elbow·Pierre LaumoneriePierre Mansat

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