Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: a multicenter study

Giannicola, Giuseppe; Angeloni, R.; Mantovani, Alberto; Rebuzzi, Enrico; Merolla, Giovanni; Greco, Alessandro; Sacchetti, Federico; Nofroni, Italo; Cinotti, Gianluca; Postacchini, Franco

doi:10.1016/j.jse.2011.08.071

Cited by 38 publications

(24 citation statements)

References 28 publications

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“…When applying the LRE TM arthroplasty, the main implant- and/or iatrogenic insertion- related concern is probably overstuffing that was found in 25% of cases by Giannicola et al [7]. This specific complication is also known with the use of radial head replacement and Copeland resurfing humeral head implant [25, 26].…”

Section: Discussionmentioning

confidence: 99%

A Complicated Course of a Coronal Shear Fracture Type IV of the Distal Part of Humerus Resulting in Resurfacing Radiocapitellar Joint Replacement

Schmidt¹

2017

TOORTHJ

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Background:Coronal shear fracture type IV of the distal part of humerus is a very rare injury with articular complexity potentially leading to posttraumatic osteoarthritis. One option for surgical treatment of advanced unicompartmental radiocapitellar osteoarthritis is resurfacing radiocapitellar joint replacement.Method:A 62-year- old female sustained a coronal shear fracture type IV of the distal part of left humerus that was primarily treated with open reduction and internal fixation using headless compression screws. Three years postoperatively, there was a migration of one screw into radiocapitellar joint that led to circular deep cartilage defect of radial head. Four years after ORIF, a distinctive radiocapitellar osteoarthritis has evolved leading to a resurfacing radiocapitellar joint replacement using the Lateral Resurfacing ElbowTM (LRE) system.Result:At the 2-year follow-up after that procedure, there was an excellent subjective and functional outcome. Radiographically, no loosening or subsidence of implant without any signs of overstuffing could be found. The patient reported that she would have the same procedure again.Conclusion:The goal of unicompartmental radiocapitellar replacement is to obtain stability in elbow joint by avoiding cubitus valgus with subsequent instability of the distal radioulnar joint, and it does not alter the unaffected ulnohumeral joint. Additionally, the feature of the LRETM system is that the radial head is not excised, and so will receive the anatomical length of the overall radius articulating with the capitellum by preserving the annular ligament. In the literature only three publications could be found in which short-term results with the use of the LRETM system have been described. Hence, further studies are needed to validate this concept.

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Section: Discussionmentioning

confidence: 99%

A Complicated Course of a Coronal Shear Fracture Type IV of the Distal Part of Humerus Resulting in Resurfacing Radiocapitellar Joint Replacement

Schmidt¹

2017

TOORTHJ

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“…Studies have shown that not only do inflammatory and degenerative conditions frequently affect the radiohumeral joint first, but that this lateral compartment is also more susceptible to trauma than the medial elbow compartment. [60][61][62][63] Rajeev and Pooley found that most patients with elbow pain resistant to treatment had changes solely confined to the lateral compartment. 63 Capitellar resurfacing allows preservation of the native ulnotrochlear articulation, resulting not only in preservation of bone stock but also providing for less disruption of the native joint kinematics than a total elbow arthroplasty.…”

Section: Capitellar Resurfacingmentioning

confidence: 99%

“…Although long-term data are lacking, early study results are encouraging. 13,62,64 For example, Kachooei et al, in a study of 19 elbows with a mean follow-up of 35 months, showed no major complications and a survival of 100%. 64 This study also showed good functional outcomes including decreased postoperative pain and improved stability and function of the elbow.…”

Section: Capitellar Resurfacingmentioning

confidence: 99%

Elbow Arthroplasty: From Normal to Failure

Levin

Plotkin

2019

Semin Musculoskelet Radiol

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Total elbow arthroplasty is currently an established surgical treatment for several pathologies of the elbow. Although initially used primarily in the treatment of rheumatoid arthritis, indications for total elbow arthroplasty have expanded and now include trauma, primary and secondary osteoarthritis, fracture nonunion, and following neoplasm resection. Desired outcomes of elbow arthroplasty include decreasing patient pain, restoration of function and mobility, and prevention of or treatment for instability. In comparison with total elbow arthroplasty, radial head replacements are most commonly performed following trauma. An additional technique, capitellar resurfacing arthroplasty, was developed in an effort to prevent early-onset osteoarthritis secondary to altered elbow biomechanics following radial head replacement. Complications of these surgeries include loosening, fracture, instability and dissociation, bushing wear, and particle disease.

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“…6 Although little has been reported on this type of arthroplasty, one multicentre case-series has shown good short-term results. 7 …”

Section: Radial Head Replacement and Unicompartmental Arthroplastymentioning

confidence: 99%

Current concepts in elbow arthroplasty

Bachman

Çil

2017

EFORT Open Reviews

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Distal humeral replacement and the total elbow are two commonly-used arthroplastiesEach prosthesis has evolving indications and surgical techniquesRecent changes in device design and implantation methods are due to biomechanical and clinical outcome-based researchNew prostheses and methods provide: better elbow kinematics, more durable bearings and longer-lasting joint replacement potentialCite this article: EFORT Open Rev 2017;2:83-88. DOI: 10.1302/2058-5241.2.160064

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Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: a multicenter study

Cited by 38 publications

References 28 publications

A Complicated Course of a Coronal Shear Fracture Type IV of the Distal Part of Humerus Resulting in Resurfacing Radiocapitellar Joint Replacement

A Complicated Course of a Coronal Shear Fracture Type IV of the Distal Part of Humerus Resulting in Resurfacing Radiocapitellar Joint Replacement

Elbow Arthroplasty: From Normal to Failure

Current concepts in elbow arthroplasty

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