Early aseptic loosening of a press-fit radial head prosthesis - A case series of 6 patients.
Details
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_9056AD54754A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Early aseptic loosening of a press-fit radial head prosthesis - A case series of 6 patients.
Journal
The Journal of international medical research
ISSN
1473-2300 (Electronic)
ISSN-L
0300-0605
Publication state
Published
Issued date
04/2023
Peer-reviewed
Oui
Volume
51
Number
4
Pages
3000605221135881
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Radial head arthroplasty (RHA) is the principal treatment option for comminuted radial head (RH) fractures. Here, we present six cases of failed RHA using a modular monopolar press-fit RHA that was subsequently withdrawn from the market because it was associated with a high incidence of loosening.
We retrospectively collected data from six patients who had received Radial Head Prothesis System <sup>TM</sup> at our centre between July 2015 and June 2016. The average follow-up was 40 months.
Aseptic loosening of the stem affected five (83%) of the six RHA. Four of these were symptomatic and RHA removal was performed. For these patients, the pain subsided and their elbow range of motion (ROM) improved.
While the ideal design for an RHA is still debatable, RHA is an efficient treatment option that restores elbow stability and function after a comminuted RH fracture. Importantly, removal of the prosthesis is an effective remedy following RHA associated elbow pain and decreased ROM.
We retrospectively collected data from six patients who had received Radial Head Prothesis System <sup>TM</sup> at our centre between July 2015 and June 2016. The average follow-up was 40 months.
Aseptic loosening of the stem affected five (83%) of the six RHA. Four of these were symptomatic and RHA removal was performed. For these patients, the pain subsided and their elbow range of motion (ROM) improved.
While the ideal design for an RHA is still debatable, RHA is an efficient treatment option that restores elbow stability and function after a comminuted RH fracture. Importantly, removal of the prosthesis is an effective remedy following RHA associated elbow pain and decreased ROM.
Keywords
Humans, Treatment Outcome, Retrospective Studies, Radius/diagnostic imaging, Radius/surgery, Elbow Prosthesis, Radius Fractures/complications, Range of Motion, Articular, Pain, RHA, Radial head prosthesis, loosening, radial head fracture
Pubmed
Web of science
Open Access
Yes
Create date
01/05/2023 9:52
Last modification date
09/08/2024 15:02
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