Abstract
Since the introduction of radial head prostheses (RHP), comminuted fractures of the radial head are more frequently treated with use of a prosthesis. Good functional outcomes of primary RHP have been reported, although the complication and revision rates are still relatively high. If the prosthesis fails, several surgical interventions are possible, including removal, revision to a radiocapitellar or total elbow arthroplasty, or replacement by another RHP. The decision which type of secondary surgery should be performed depends on the stability and chondral condition of the elbow joint. Unfortunately, to date, little is known about the functional outcomes after either removal or revision surgery of RHP. Some reports indicate improvement of pain and function after revision surgery, but these conclusions should be interpreted with some caution, since they were based on small patient cohorts with limited follow-up.
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References
Shore BJ, Mozzon JB, MacDermid JC, Faber KJ, King GJ. Chronic posttraumatic elbow disorders treated with metallic radial head arthroplasty. J Bone Joint Surg Am. 2008;90(2):271ā80. https://doi.org/10.2106/JBJS.F.01535.
Speed K. Ferrule caps for the head of the radius. Surg Gynecol Obstet. 1941;73:845ā50.
Duckworth AD, Wickramasinghe NR, Clement ND, Court-Brown CM, McQueen MM. Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal? Clin Orthop Relat Res. 2014;472(7):2136ā43. https://doi.org/10.1007/s11999-014-3516-y.
Heijink A, Kodde IF, Mulder PG, Veltman ES, Kaas L, van den Bekerom MP, et al. Radial head arthroplasty: a systematic review. JBJS Rev 2016;4(10). https://doi.org/10.2106/JBJS.RVW.15.00095.
Kodde IF, Heijink A, Kaas L, Mulder PG, van Dijk CN, Eygendaal D. Press-fit bipolar radial head arthroplasty, midterm results. J Shoulder Elb Surg. 2016;25(8):1235ā42. https://doi.org/10.1016/j.jse.2016.02.007.
Kachooei AR, Baradaran A, Ebrahimzadeh MH, van Dijk CN, Chen N. The rate of radial head prosthesis removal or revision: a systematic review and meta-analysis. J Hand Surg Am. 2017;43(1):39ā53.e1. https://doi.org/10.1016/j.jhsa.2017.08.031.
Makela KT, Matilainen M, Pulkkinen P, Fenstad AM, Havelin LI, Engesaeter L, et al. Countrywise results of total hip replacement. An analysis of 438,733 hips based on the Nordic Arthroplasty Register Association database. Acta Orthop. 2014;85(2):107ā16. https://doi.org/10.3109/17453674.2014.893498.
Sarris IK, Kyrkos MJ, Galanis NN, Papavasiliou KA, Sayegh FE, Kapetanos GA. Radial head replacement with the MoPyC pyrocarbon prosthesis. J Shoulder Elb Surg. 2012;21(9):1222ā8. https://doi.org/10.1016/j.jse.2011.12.004.
Neuhaus V, Christoforou DC, Kachooei AR, Jupiter JB, Ring DC, Mudgal CS. Radial head prosthesis removal: a retrospective case series of 14 patients. Arch Bone Jt Surg. 2015;3(2):88ā93.
Kachooei AR, Claessen FM, Chase SM, Verheij KK, van Dijk CN, Ring D. Factors associated with removal of a radial head prosthesis placed for acute trauma. Injury. 2016;47(6):1253ā7. https://doi.org/10.1016/j.injury.2016.02.023.
Frank SG, Grewal R, Johnson J, Faber KJ, King GJ, Athwal GS. Determination of correct implant size in radial head arthroplasty to avoid overlengthening. J Bone Joint Surg Am. 2009;91(7):1738ā46. https://doi.org/10.2106/JBJS.H.01161.
Taylor TK, OāConnor BT. The effect upon the inferior radio-ulnar joint of excision of the head of the radius in adults. J Bone Joint Surg Br. 1964;46:83ā8.
Somerson JS, Morrey ME, Sanchez-Sotelo J, Morrey BF. Diagnosis and management of periprosthetic elbow infection. J Bone Joint Surg Am. 2015;97(23):1962ā71. https://doi.org/10.2106/JBJS.O.00170.
OāDriscoll SW, Herald J. Symptomatic failure of snap-on bipolar radial head prosthesis. J Shoulder Elb Surg. 2009;18(5):e7ā11. https://doi.org/10.1016/j.jse.2008.11.010.
Heijink A, Kodde IF, Mulder PG, Van Dijk CN, Eygendaal D. Cemented bipolar radial head arthroplasty: midterm follow-up results. J Shoulder Elb Surg. 2016;25(11):1829ā38. https://doi.org/10.1016/j.jse.2016.05.017.
Viveen J, Kodde IF, Koenraadt KL, Beumer A, The B, Eygendaal D. Clinical and radiographic outcome of revision surgery of radial head prostheses: midterm results in 16 patients. J Shoulder Elb Surg. 2017;26(3):394ā402. https://doi.org/10.1016/j.jse.2016.09.047.
Hackl M, Burkhart KJ, Wegmann K, Hollinger B, Lichtenberg S, Muller LP. From radial head to radiocapitellar to total elbow replacement: A case report. Int J Surg Case Rep. 2015;15:35ā8. https://doi.org/10.1016/j.ijscr.2015.08.015.
Heijink A, Morrey BF, Eygendaal D. Radiocapitellar prosthetic arthroplasty: a report of 6 cases and review of the literature. J Shoulder Elb Surg. 2014;23(6):843ā9. https://doi.org/10.1016/j.jse.2014.01.042.
Throckmorton T, Zarkadas P, Sanchez-Sotelo J, Morrey B. Failure patterns after linked semiconstrained total elbow arthroplasty for posttraumatic arthritis. J Bone Joint Surg Am. 2016;92(6):1432ā41. https://doi.org/10.2106/JBJS.I.00145.
Conversie van een radiuskopprothese naar een totale elleboogprothese in Nederland in 2015 (n=50). http://www.lroi-rapportage.nl/elleboog-revisie-ingrepen-operatie-conversie-naar-tep. Assessed 30 Dec 2017.
Aantal gereviseerde componenten bij partiele revisie-ingrepen aan de elleboog in Nederland in 2015. http://www.lroi-rapportage.nl/elleboog-revisie-ingrepen-gereviseerde-componenten-bij-partiele-revisies. Assessed 30 Dec 2017.
Lapner PC, Leith JM, Regan WD. Arthroscopic debridement of the elbow for arthrofibrosis resulting from nondisplaced fracture of the radial head. Arthroscopy. 2005;21(12):1492.
Zeckey C, Hildebrand F, Frink M, Krettek C. Heterotopic ossifications following implant surgeryāepidemiology, therapeutical approaches and current concepts. Semin Immunopathol. 2011;33(3):273ā86. https://doi.org/10.1007/s00281-011-0240-5.
Sun Y, Cai J, Li F, Liu S, Ruan H, Fan C. The efficacy of celecoxib in preventing heterotopic ossification recurrence after open arthrolysis for post-traumatic elbow stiffness in adults. J Shoulder Elb Surg. 2015;24(11):1735ā40. https://doi.org/10.1016/j.jse.2015.07.006.
Menth-Chiari WA, Ruch DS, Poehling GG. Arthroscopic excision of the radial head: Clinical outcome in 12 patients with post-traumatic arthritis after fracture of the radial head or rheumatoid arthritis. Arthroscopy. 2001;17(9):918ā23.
Antuna SA, Sanchez-Marquez JM, Barco R. Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old. J Bone Joint Surg Am. 2010;92(3):558ā66. https://doi.org/10.2106/JBJS.I.00332.
Iftimie PP, Calmet Garcia J, de Loyola Garcia Forcada I, Gonzalez Pedrouzo JE, Gine Goma J. Resection arthroplasty for radial head fractures: Long-term follow-up. J Shoulder Elb Surg. 2011;20(1):45ā50. https://doi.org/10.1016/j.jse.2010.09.005.
Vanni S, Marenco S, Calo M, Battiston B. Resection arthroplasty after failure of a radial head prosthesis: a case report. Case Reports Plast Surg Hand Surg. 2016;3(1):28ā31. https://doi.org/10.3109/23320885.2016.1167607.
Karl JW, Redler LH, Tang P. Delayed proximal migration of the radius following radial head resection for management of a symptomatic radial neck nonunion managed with radial head replacement: a case report and review of the literature. Iowa Orthop J. 2016;36:64ā9.
Solarino G, Vicenti G, Abate A, Carrozzo M, Picca G, Moretti B. Mason type II and III radial head fracture in patients older than 65: is there still a place for radial head resection? Aging Clin Exp Res. 2015;27(Suppl 1):S77ā83. https://doi.org/10.1007/s40520-015-0425-1.
Herbertsson P, Josefsson PO, Hasserius R, Besjakov J, Nyqvist F, Karlsson MK. Fractures of the radial head and neck treated with radial head excision. J Bone Joint Surg Am. 2004;86-A(9):1925ā30.
Karlsson MK, Herbertsson P, Nordqvist A, Hasserius R, Besjakov J, Josefsson PO. Long-term outcome of displaced radial neck fractures in adulthood: 16-21 year follow-up of 5 patients treated with radial head excision. Acta Orthop. 2009;80(3):368ā70. https://doi.org/10.3109/17453670902967307.
Yalcinkaya M, Bagatur AE, Erdogan S, Zorer G. Resection arthroplasty for Mason type III radial head fractures yield good clinical but poor radiological results in the long term. Orthopedics. 2013;36(11):e1358ā64. https://doi.org/10.3928/01477447-20131021-15.
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Viveen, J., Kodde, I.F., Prkic, A., The, B., Eygendaal, D. (2020). Complications and Revision of Radial Head Arthroplasty: Management and Outcomes. In: Castoldi, F., Giannicola, G., Rotini, R. (eds) Elbow Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-14455-5_27
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DOI: https://doi.org/10.1007/978-3-030-14455-5_27
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