Klinische und radiologische Ergebnisse nach bipolarer Radiuskopfprothese View Full Text


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Article Info

DATE

2011-06-01

AUTHORS

K. Burkhart, S.G. Mattyasovszky, M. Runkel, C. Schwarz, A. Rump, R. Kuechle, M.H. Hessmann, P.M. Rommens, L.P. Müller

ABSTRACT

BackgroundRadial head arthroplasty is considered to be the treatment of choice in non-reconstructable radial head fractures in the acute fracture situation. Despite the promising short-term results in the current literature, replacement of the radial head remains controversially discussed as long-term results are still missing. In our study, we report our 7.8-year results after treatment with the bipolar radial head prosthesis of Judet.Materials and methodsBetween 1997 and 2004, 34 patients were treated with Judet’s bipolar radial head prosthesis in our department. After a mean of 94 months (range 15–139), 28 of these 34 patients could be re-examined. While 20 patients were treated with radial head arthroplasty primarily in a fracture situation, 7 patients were treated secondarily after failure of fixation. One patient was treated for a tumor of the proximal radius.ResultsAccording to the Mayo Elbow Performance Score, 16 patients achieved an excellent, 10 patients a good, 1 patient a fair, and 1 patient a poor result. The mean Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) score was 12.0 (range 0–50.1). There was no distinct difference between primary and secondary implantation in terms of the clinical outcome. The elbow flexion averaged 125° (range 100–150°); the mean extension deficit was 20° (range 0–60°). The mean pronation was 66° (range 0–90°) with a mean supination of 67° (range 0–90°). The most common complications were osteoarthritis of the ulnohumeral joint (n=18) and degenerative changes of the humeral capitellum with erosions (n=12). Finally, 3 patients suffered a dislocation after the surgical intervention, 1 patient had an infection, and 1 patient developed a radioulnar synostosis.ConclusionDespite major primary complications and the high incidence of radiographic signs of degenerative changes, mainly good clinical results were achieved after 7.8 years with Judet’s bipolar prosthesis. More... »

PAGES

108-114

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11678-011-0118-0

DOI

http://dx.doi.org/10.1007/s11678-011-0118-0

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https://app.dimensions.ai/details/publication/pub.1051991246


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