Radial Head Fractures: Indications and Technique for Primary Arthroplasty

Madsen, Jan; Flugsrud, Gunnar
April 2008
European Journal of Trauma & Emergency Surgery;Apr2008, Vol. 34 Issue 2, p105
Academic Journal
The treatment of complex radial head fractures remains a challenge for the orthopedic surgeon. Novel implants and improved surgical techniques have made reconstruction of the radial head with open reduction and internal fixation possible in most cases. However, extremely comminuted radial head fractures with associated instabilities still require replacement of the radial head with a prosthesis to allow rehabilitation with early motion of the elbow, and thereby optimizing the functional results of these potentially devastating injuries. In this article we discuss the surgical considerations related to radial head replacement, encompassing the indications for radial head arthroplasty, implant selection, surgical technique, rehabilitation protocols, and complications related to radial head prosthesis.


Related Articles

  • Intraosseous lymphocytic infiltrates after hip resurfacing arthroplasty. Jozef Zustin; Matthias Krause; Stefan Breer; Michael Hahn; Michael Morlock; Wolfgang Rüther; Guido Sauter // Virchows Archiv;May2009, Vol. 454 Issue 5, p581 

    Abstract  To identify a possible role of lymphocytic infiltrates in failure mechanism of the metal-on-metal hip resurfacing arthroplasty, the extent of lymphocytic infiltration was compared with reasons for prosthesis failure in a series of retrieval specimens. One hundred eighty-one...

  • Robotic control in knee joint replacement surgery. Davies, B. L.; Baena, F. M. Rodriguez; Barrett, A. R. W.; Gomes, M. P. S. F.; Harris, S. J.; Jakopec, M.; Cobb, J. P.; Rodriguez y Baena, F M // Proceedings of the Institution of Mechanical Engineers -- Part H;Jan2007, Vol. 221 Issue 1, p71 

    A brief history of robotic systems in knee arthroplasty is provided. The place of autonomous robots is then discussed and compared to more recent 'hands-on' robotic systems that can be more cost effective. The case is made for robotic systems to have a clear justification, with improved benefits...

  • Inferior stability of a biodegradable cement plug. Schauss, Stefan; Hinz, Marcus; Mayr, Eckard; Bach, Christian; Krismer, Martin; Fischer, Martin // Archives of Orthopaedic & Trauma Surgery;Jun2006, Vol. 126 Issue 5, p324 

    Introduction: Modern cementing technique demands high intramedullar cement pressure to create an optimum fixed cement support of the femoral stem. Pressure resistant, stable closure of the canal therefore is absolutely necessary. Biodegradable cement restrictors, if corresponding to above...

  • Alendronate inhibits periprosthetic bone loss around uncemented femoral components. Takashi Nishioka; Shoji Yagi; Tadashi Mitsuhashi; Masafumi Miyamoto; Tatsuya Tamura; Toru Kobayashi; Tetsuya Enishi // Journal of Bone & Mineral Metabolism;May2007, Vol. 25 Issue 3, p179 

    Abstract  Periprosthetic bone loss can be severe around the femoral component after uncemented arthroplasty. This study investigated the inhibitory effect of alendronate on periprosthetic bone loss. Seventeen patients underwent arthroplasty with an uncemented femoral component....

  • Total Shoulder Arthroplasty. Sanchez-Sotelo, Joaquin // Open Orthopaedics Journal;2011 Special Issue 001, Vol. 5 Issue S1, p106 

    Shoulder arthroplasty has been the subject of marked advances over the last few years. Modern implants provide a wide range of options, including resurfacing of the humeral head, anatomic hemiarthroplasty, total shoulder arthroplasty, reverse shoulder arthroplasty and trauma-specific implants...

  • Treatment of traumatic subtalar arthritis with interpositional arthroplasty with tensor fascia lata or fat. Kim, Gab-Lae; Park, Jae-Yong; Hyun, Yun-Sook; Park, Hyun-Tai; Kim, Hyong-Nyun // European Journal of Orthopaedic Surgery & Traumatology;May2013, Vol. 23 Issue 4, p487 

    Objective: The aim of this study was to evaluate the results of interpositional arthroplasty with tensor fascia lata or fat as a treatment for traumatic subtalar joint arthritis after a fracture of the calcaneus. Methods: From August 2006 to March 2008, 22 patients with traumatic subtalar joint...

  • Extramedullary versus intramedullary tibial alignment guides for total knee arthroplasty. Rottman, Steven J.; Dvorkin, Michael; Gold, David // Orthopedics;Dec2005, Vol. 28 Issue 12, p1445 

    This retrospective study evaluated whether intramedullary or extramedullary tibial alignment guides are more accurate in assuring correct tibial component positioning in total knee arthroplasties (TKAs). Fifty-five TKAs were performed with the only difference being whether an intramedullary (31)...

  • Unicondylar Knee Arthroplasty: Past and Present. Tanavalee, Aree; Young Joon Choi; Tria Jr., Alfred J. // Orthopedics;Dec2005, Vol. 28 Issue 12, p1423 

    Describes the historical development of unicondylar knee arthroplasty (UKA). Features of a unicondylar prosthesis; Identification of the ideal patient for UKA; Principles of the unicondylar surgical procedure.

  • Intraoperative assessment of femoral component rotational alignment in total knee arthroplasty. Geiger, Florian; Parsch, Dominik // Archives of Orthopaedic & Trauma Surgery;Mar2008, Vol. 128 Issue 3, p267 

    Poor clinical results following total knee arthroplasty like flexion gap instability or anterior knee pain may be related to femoral component rotational malalignment. The transepicondylar axis has been recommended as a landmark to consistently recreate a balanced flexion gap. However, the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics