[Endoprosthetics of acute radial head fractures].
Radial head arthroplasty is the treatment of choice for non-reconstructble radial head fractures. Solid prostheses made of metal or pyocarbon can restore valgus stability of the elbow independent of design or stem fixation. Short-term and mid-term results show mostly good to excellent results without any evident differences between the different prosthesis philosophies. In order to obtain good results it is important to implant the prosthesis correctly without overfilling and to judge concomitant ligament injuries correctly. This article discusses the anatomical and biomechanical basis of radial head arthroplasty as well as the surgical technique and radiological diagnosis of overfilling.
Unfall-, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln, Kerpener Straße 62, Köln, Germany. klaus.burkhart@uk-koeln.de
K J
KJ
Burkhart
K
K
Wegmann
C
C
Ries
L P
LP
Müller
D001178:Arthroplasty / Q000295:instrumentation* / Q000379:methods*; D004551:Elbow Joint / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D011474:Prosthesis Design; D011885:Radius Fractures / Q000601:surgery*; D000092464:Elbow Injuries