Vitallium radial head prosthesis for acute and chronic elbow fractures and fracture-dislocations involving the radial head

Chapman, Cary B; Su, Brian W.; Sinicropi, S.; Bruno, Roderick J.; Strauch, Robert J.; Rosenwasser, Melvin P.

doi:10.1016/j.jse.2005.09.010

Cited by 55 publications

(38 citation statements)

References 24 publications

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“…When a radial head is irreparable, the radial head prosthesis is useful to restore elbow and forearm stability both in acute and in chronic lesions [21,22].…”

Section: Discussionmentioning

confidence: 99%

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

2010

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For the acute treatment of radial head fractures, radial head arthroplasty can be considered if open reduction and internal fixation is not technically possible and if simple radial head resection is contraindicated. We report our experience with a bipolar Judet radial head prosthesis. After a mean follow-up of 41.7 months, 16 patients were assessed following radial head replacement. The outcome was assessed clinically, functionally, and radiographically. Outcome was satisfactory in 87.5% of cases. The mean post-operative ranges of motion were greater than the functional arcs both in flexion-extension and in pronation-supination, and the results did not appear to be influenced in a significant way by the type of original lesion. All elbows were stable. The main complication was the development of heterotopic ossifications. Bipolar radial head prosthesis represents a suitable option for acute treatment of unreconstructable radial head fractures, either isolated or associated with elbow dislocation and in the absence of other bony lesions.

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“…When a radial head is irreparable, the radial head prosthesis is useful to restore elbow and forearm stability both in acute and in chronic lesions [21,22].…”

Section: Discussionmentioning

confidence: 99%

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

2010

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“…The prosthesis may provide some element of stability, allowing early rehabilitation. Some authors believe that an arthroplasty with radial head prosthesis, at least in the short term, is a safe and effective option for the treatment of severe radial head fractures [4,6,7,11].…”

Section: Discussionmentioning

confidence: 99%

A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III

Ruan¹,

Fan²,

Liu³

et al. 2007

International Orthopaedics (SICO

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Although several treatment options for radial head fractures are available, no clear solutions exist. In this study we therefore compare open reduction and internal fixation (ORIF) with bipolar radial head prosthesis replacement in treatment of radial head fractures of Mason type III. Cement stem and bipolar radial prosthesis were used to treat 12 fresh cases and two old cases of Mason type III radial head fracture. As a control group, another eight cases of radial head type III fracture were treated with ORIF with cannulated screws and Kirschner (K) wires. The 14 patients who received radial head prosthesis replacement were followed-up for 15.9 months (range 10-27 months). According to elbow functional evaluation criteria by Broberg and Morrey, we found excellent results in nine cases, good in four, and fair in one. Mean follow-up of the eight cases in the ORIF group was 14 months (range 10-21 months), with good results in one case, fair in four, and poor in three. The result was good or excellent in 92.9% of prosthesis replacement patients and in 12.5% of ORIF patients. This difference is statistically significant (P=0.0004; Fisher's exact test). We concluded that bipolar radial head prosthesis replacement is better than ORIF in treatment of Mason type III radial head fracture.

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“…Options for treatment include nonoperative management [1,20], fragment or whole-head excision [6,15,21,24,30], open reduction and internal fixation (ORIF) [2,13,25,26,28], and radial head arthroplasty [7,8,10,14,[16][17][18]. In addition to the particular characteristics of the radial head fracture, associated injuries may influence treatment selection.…”

Section: Introductionmentioning

confidence: 99%

Open Reduction and Internal Fixation of Radial Head Fractures: Do Outcomes Differ Between Simple and Complex Injuries?

Pike

Grewal

Athwal

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Radial head fractures can occur in isolation or in association with elbow and forearm injuries. Treatment options include nonoperative management, fragment or whole-head excision, open reduction and internal fixation (ORIF), and radial head arthroplasty. However, the evidence supporting ORIF for repairable radial head fractures is inconclusive. Questions/purposes We compared patients undergoing ORIF for isolated radial head fractures or for radial head fractures associated with other fractures or elbow dislocations in terms of patient-related disability, presence of posttraumatic arthritis, complications, and rate of reoperation for capsular release. Methods Between 1997 and 2008, 52 patients underwent ORIF of the radial head for isolated radial head fractures (simple group) and 29 underwent ORIF for radial head fracture with an associated fracture or dislocation (complex group). General indications for ORIF included displaced radial fractures, large articular surface fragments, and greater than 2 mm of displacement and/or a mechanical block to forearm rotation or associated fractures or ligament injuries requiring surgery. Thirty-one patients (60%) in the simple group and 20 (69%) in the complex group were available for followup at a mean of 4 years (range, 1.0-9.5 years). We evaluated the patients using a validated self-reported pain and disability questionnaire (Patientrated Elbow Evaluation [PREE]). Records review included radiographic examination and assessment of major complications and secondary surgery rates for capsular release. Results With the numbers available, the groups were not different in terms of the mean PREE scores (8 versus 15 for the simple and complex groups, respectively; p = 0.13, lower values indicate lower pain and disability). The simple and complex groups were also not different with the numbers available in terms of major complications (13% versus 25%, respectively; p = 0.29) or secondary capsular release (3% versus 20%, respectively; p = 0.07). Conclusions At short term, we found no differences between patients treated with ORIF for isolated radial head fractures and those treated for radial head fractures in

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Vitallium radial head prosthesis for acute and chronic elbow fractures and fracture-dislocations involving the radial head

Cited by 55 publications

References 24 publications

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III

Open Reduction and Internal Fixation of Radial Head Fractures: Do Outcomes Differ Between Simple and Complex Injuries?

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