scholarly journals Elbow Biomechanics, Radiocapitellar Joint Pressure, and Interosseous Membrane Strain Before and After Radial Head Arthroplasty

2019 ◽  
Vol 38 (3) ◽  
pp. 510-522 ◽  
Author(s):  
Chalotte K. Hemmingsen ◽  
Theis M. Thillemann ◽  
Brian Elmengaard ◽  
Sepp Raedt ◽  
Emil T. Nielsen ◽  
...  
Keyword(s):  
Radial Head ◽  
Interosseous Membrane ◽  
Radial Head Arthroplasty ◽  
Before And After ◽  
Membrane Strain

scholarly journals Long-term Outcome of Surgical Reconstruction of the Interosseous Membrane after Chronic Essex-Lopresti Injury

2020 ◽  
pp. 1-5
Author(s):  
Raul Barco ◽  
Minotta Quebradas MJ ◽  
Antuña SA ◽  
Raul Barco
Keyword(s):  
Radial Head ◽  
Ligament Reconstruction ◽  
Radial Head Fracture ◽  
Interosseous Membrane ◽  
Surgical Reconstruction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Radial Head Arthroplasty ◽  
Ulnar Shortening Osteotomy ◽  
Essex Lopresti

An Essex-Lopresti injury (ELI) is a rare lesion that describes an interosseous membrane (IOM) disruption associated with dislocation of the distal radio-ulnar joint (DRUJ) and radial head fracture. They are rare and have a tendency to be underdiagnosed in the ER, so it is not uncommon to see chronic cases. As part of the treatment options different IOM reconstructions have been proposed along with associated procedures to the radial head and DRUJ. One of the most effective treatment strategies has been the use of a bone-tendonbone (BTB) patellar graft for IOM reconstruction with promising outcomes. We present a case of 46-yearold man who suffered an Essex-Lopresti injury with a radial head fracture and associated posterolateral elbow instability that was managed initially non-operatively. After failure for continued pain and instability if the elbow and forearm, we treated the patient with a radial head arthroplasty, ligament reconstruction of the posterolateral complex, and DRUJ ligament reconstruction with extensor hallucis tendon without a formal IOM. This operation was successful initially, but continued forearm instability contributed to failure of the RHA and DRUJ reconstruction. A second operation was performed resecting the loosened radial head arthroplasty, performing an ulnar shortening osteotomy, and an IOM reconstruction with BTB allograft. After eight years of follow-up the patient is very satisfied with the procedure and rates his elbow as almost normal. ELI are rare and represent a severe injury of the forearm with axial and transverse instability, leading to severe symptoms and instability of the forearm. Initial diagnosis is challenging, and acute treatment yields better results than chronic cases. IOM reconstruction seems to be necessary in the setting of chronic reconstructions, along with other procedures to balance the forearm. We review different IOM grafting options and associated procedures for the treatment of these challenging injuries.

A registry study on radial head arthroplasties in the Netherlands: Indications, types and short-term survival

2021 ◽  
pp. 175857322098784
Author(s):  
Arno A Macken ◽  
Ante Prkić ◽  
Koen LM Koenraadt ◽  
Iris van Oost ◽  
Anneke Spekenbrink-Spooren ◽  
...  
Keyword(s):  
Radial Head ◽  
Register Data ◽  
Implant Survival ◽  
Short Term ◽  
Term Survival ◽  
Arthroplasty Register ◽  
Common Indication ◽  
Radial Head Arthroplasty ◽  
Kaplan Meier ◽  
Short Term Survival

Background This study aims to use the Dutch Arthroplasty Register data to report an overview of the contemporary indications and implant designs, and report the short-term survival of radial head arthroplasty. Methods From the Dutch Arthroplasty Register, data on patient demographics, surgery and revision were extracted for radial head arthroplasties performed from January 2014 to December 2019. Implant survival was calculated using the Kaplan–Meier method. Results Two hundred fifty-eight arthroplasties were included with a median follow-up of 2.2 years. The most common indication was a fracture of the radial head (178, 69%). One hundred thirty-nine (68%) of the prostheses were of bipolar design, and the most commonly used implant type was the Radial Head System (Tornier; 134, 51%). Of the 258 included radial head arthroplasties, 16 were revised at a median of six months after surgery. Reason for revision was predominantly aseptic loosening (9). The overall implant survival was 95.8% after one year, 90.5% after three years and 89.5% after five years. Discussion For radial head arthroplasties, acute trauma is the most common indication and Radial Head System the most commonly used implant. The implant survival is 89.5% after five years.

scholarly journals Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Catherine Kilmartin ◽  
Katharine D. Harper ◽  
Chirag Mehta ◽  
Joseph Thoder ◽  
Andrew Newman
Keyword(s):  
Limb Salvage ◽  
Free Flap ◽  
Radial Head ◽  
Radial Head Prosthesis ◽  
Review Of The Literature ◽  
Joint Function ◽  
Radial Head Arthroplasty ◽  
Elbow Function ◽  
Fibular Free Flap ◽  
Proximal Forearm

Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore joint function has been reported. We suggest that, for proximal forearm fractures, this technique can be used to restore elbow joint function in limb salvage.

Cemented Radial Head Arthroplasty: Surgical Technique and Outcomes

2019 ◽  
pp. 277-284
Author(s):  
Enrico Bellato ◽  
Andrea Celli ◽  
Lorenzo Mattei ◽  
Alessandro Cunotto ◽  
Giovanni Ferrero ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Radial Head ◽  
Radial Head Arthroplasty

COMMINUTED RADIAL HEAD FRACTURES TREATED WITH A MODULAR METALLIC RADIAL HEAD ARTHROPLASTY

2006 ◽  
Vol 88 (10) ◽  
pp. 2192-2200 ◽  
Author(s):  
RUBY GREWAL ◽  
JOY C. MACDERMID ◽  
KENNETH J. FABER ◽  
DARREN S. DROSDOWECH ◽  
GRAHAM J.W. KING
Keyword(s):  
Radial Head ◽  
Radial Head Fractures ◽  
Radial Head Arthroplasty
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