Vitallium radial head prosthesis for acute and chronic elbow fractures and fracture-dislocations involving the radial head.
This retrospective study aims to evaluate the radiographic, functional, and patient-derived outcomes of 16 patients who each received a Vitallium radial head prosthesis for unreconstructable acute fractures of the radial head, as well as previously treated fractures of the radial head associated with residual instability, pain, and stiffness. Follow-up averaged 33 months. A trend toward greater disability and poorer motion was noted in the delayed treatment group compared with the acute replacement group. Overall, the results were excellent in 5 patients, good in 10, and poor in 1, as determined by the Mayo Elbow Performance Score. All elbows were stable at follow-up, and no patient reported wrist pain. Four required further operative treatment of their elbow injuries. Metallic radial head arthroplasty yields satisfactory results in acute unreconstructable radial head fractures or as a salvage procedure for previously treated radial head fractures.
Chapman
Cary B
CB
Trauma Training Center, New York Orthopaedic Hospital, Columbia University Medical Center, New York, NY 10032, USA.
Su
Brian W
BW
Sinicropi
Stefano M
SM
Bruno
Roderick
R
Strauch
Robert J
RJ
Rosenwasser
Melvin P
MP
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D011885:Radius Fractures / Q000601:surgery*; D014800:Vitallium
D014800:Vitallium