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gislocation/alF858/article.ht6l
Comminuted fractures of the radial
head treated by the Judet floating
radial head prosthesis
The Mayo elbow performance scoring system.
http :// www .nc>i .nl6 .nih .goa /pu>6ed /1EFe10Ee ( VUQ[m\OTnY \VW\opP_)
njury. 2008 Dec;39(12):1329-37. doi: 10.1016/j.injury.2008.04.011. Epub 2008 Aug 13.
Displaced, unstable fractures of the radial head: fixation
vs. replacement--what is the evidence?
Ring D.
Author information
Abstract
Unstable, displaced fractures of the radial head nearly always occur in association with other
fractures or ligament injuries. Radiocapitellar contact is important to elbow and forearm stability
and should be restored in the context of such injuries. Open reduction and internal fixation of
the radial head is associated with early failure, nonunion, and poor forearm motion.
Replacement of the radial head with a metal prosthesis may be preferable. The major pitfall of a
metal prosthesis is insertion of a prosthesis that is too large in longitudinal length, which can
lead to subluxation, capitellar wear, stiffness, and pain. When this is avoided the medium- and
long-term results are satisfactory with no major problems identified
J Bone Joint Surg Br. 2010 May;92(5):661-7. doi: 10.1302/0301-620X.92B5.23067.
Failure of metal radial head replacement.
van Riet RP, Sanchez-Sotelo J, Morrey BF.
Author information
Abstract
There is little information available at present regarding the mechanisms of failure of modern
metallic radial head implants. Between 1998 and 2008, 44 consecutive patients (47 elbows)
underwent removal of a failed metallic radial head replacement. n 13 patients (13 elbows) the
initial operation had been undertaken within one week of a fracture of the radial head, at one to
six weeks in seven patients (seven elbows) and more than six weeks (mean of 2.5 years (2 to
65 months)) in 22 patients (25 elbows). n the remaining two elbows the replacement was
inserted for non-traumatic reasons. The most common indication for further surgery was painful
loosening (31 elbows). Revision was undertaken for stiffness in 18 elbows, instability in nine,
and deep infection in two. There were signs of over-lengthening of the radius in 11 elbows.
Degenerative changes were found in all but one. Only three loose implants had been fixed with
cement. nstability was not identified in any of the bipolar implants.
PMD:

20436003

[PubMed - indexed for MEDLNE]

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