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Indications for Radial Head Arthroplasty and Classification of Current Implants

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Elbow Arthroplasty

Abstract

Radial head arthroplasty is indicated in patients with complex pattern of radial head fractures. Restoration of radiocapitellar contact is a key point of the treatment. Capitellum wear due to the use of implant arthroplasty remains a concern. Several systems of classification have been described for radial head fractures, including injuries of bone and ligaments. Prosthetic models for radial head replacement can be divided into (1) silicone prostheses, (2) unipolar and bipolar, (3) monoblock and modular, (4) anatomical and non-anatomical, and (5) cemented and press-fit. Arthroplasty is indicated for Mason type III and IV radial head fractures. The goal of arthroplasty is the restoration of radiocapitellar stability, preservation of range of motion, and preservation of appropriate radial length in patients with complex radial head fractures.

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Authors and Affiliations

  1. Shoulder and Elbow Unit, D. Cervesi Hospital, Cattolica–AUSL della Romagna Ambito Rimini, Rimini, Italy

    Giovanni Merolla, Antonio Padolino, Paolo Paladini & Giuseppe Porcellini

  2. Biomechanics Laboratory, D. Cervesi Hospital, Cattolica–AUSL della Romagna Ambito Rimini, Rimini, Italy

    Giovanni Merolla & Antonio Padolino

Authors
  1. Giovanni Merolla
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  2. Antonio Padolino
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  3. Paolo Paladini
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  4. Giuseppe Porcellini
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Correspondence to Giovanni Merolla .

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Editors and Affiliations

  1. Department of Surgical Sciences, University of Turin Medical School, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy

    Filippo Castoldi

  2. Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome - Policlinico Umberto I, Rome, Italy

    Giuseppe Giannicola

  3. Department Shoulder and Elbow Surgery, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy

    Roberto Rotini

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Merolla, G., Padolino, A., Paladini, P., Porcellini, G. (2020). Indications for Radial Head Arthroplasty and Classification of Current Implants. In: Castoldi, F., Giannicola, G., Rotini, R. (eds) Elbow Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-14455-5_22

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  • DOI: https://doi.org/10.1007/978-3-030-14455-5_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14454-8

  • Online ISBN: 978-3-030-14455-5

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