Acta Chir Orthop Traumatol Cech. 2010; 77(1):7-12 | DOI: 10.55095/achot2010/001

Radial Head ArthroplastyCurrent concepts review

M. T. KLEINER1, A. M. ILYAS2, J. B. JUPITER3
1 Department of Orthopaedic Surgery, Temple University Hospital, Philadelphia, Pennsylvania, USA
2 Temple Hand Center, Orthopaedic Surgery Temple University Hospital, Philadelphia, Pennsylvania, USA
3 Hand & Upper Extremity Service, Massachusetts General Hospital, Orthopaedic Surgery Harvard Medical School, Boston, Massachusetts, USA

In conclusion, radial head fractures with 3 or more fragments have a high incidence of complications when treated with ORIF including hardware failure, malunion, nonunion, and the need for re-operation. Radial head arthroplasty has demonstrated good success in the treatment of complex, comminuted radial head fractures which are not amenable to non-opeative treatment or ORIF. Success can be optimized by diligent surgical dissection, avoiding inadvertent nerve injury, placement of an appropriately sized implant, repair of associated injuries, and early protected motion.

Published: February 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
KLEINER MT, ILYAS AM, JUPITER JB. Radial Head Arthroplasty. Acta Chir Orthop Traumatol Cech. 2010;77(1):7-12. doi: 10.55095/achot2010/001. PubMed PMID: 20214854.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. ASHWOOD, N., BAIN, G. I., UNNI, R.: Management of Mason type-III radial head fractures with a titanium prosthesis, ligament repair and early mobilization. J. Bone Jt Surg., 86-A: 274-80. 2004. Go to original source... Go to PubMed...
    2. BERGER, M., URVOY, P., AND MESTDAGH, H.: Comparative study of the treatment of fractures of the head of the radius by resection or by Swanson's silastic implant. Ann. Chir., 45: 418-25, 1991.
    3. CARN, R. M., MEDIGE, J., CURTAIN, D. KOENIG, A.: Silicone rubber replacement of the severely fractured radial head. Clin., Orthop., 259-69, 1986. Go to original source...
    4. CHAPMAN, C. B., SU, B. W., SINICROPI, S. M., BRUNO, R., STRAUCH, R. J. ROSENWASSER, M. P.: Vitallium radial head prosthesis for acute and chronic elbow fractures and fracture-dislocations involving the radial head. J. Shoulder Elbow Surg. 15: 463-73, 2006. Go to original source... Go to PubMed...
    5. CHERRY, J. C.: Use of acrylic prosthesis in the treatment of fracture of the head of the radius. J. Bone Jt Surg., 35-B: 70-71, 1953. Go to original source... Go to PubMed...
    6. DAVIDSON, P. A., MOSELEY, J. B., JR., TULLOS, H. S.: Radial head fracture. A potentially complex injury. Clin. Orthop., 224-30, 1993. Go to original source...
    7. DILIBERTI, T., BOTTLE, M. J., ABRAMS, R. A.: Anatomical considerations regarding the posterior interosseous nerve during posterolateral approaches to the proximal part of the radius. J. Bone Jt Surg., 82-A: 809-13, 2000. Go to original source... Go to PubMed...
    8. DOORNBERG, J. N., LINZEL, D. S., ZURAKOWSKI, D., RING, D.: Reference points for radial head prosthesis size. J. Hand Surg., 31: 53-7, 2006. Go to original source... Go to PubMed...
    9. DOTZIS, A., COCHU, G., MABIT, C., CHARISSOUX, J. L., ARNAUD, J. P.: Comminuted fractures of the radial head treated by the Judet floating radial head prosthesis. J. Bone Jt Surg., 88-B: 760-4, 2006. Go to original source... Go to PubMed...
    10. DUNNING, C. E., ZARZOUR, Z. D., PATTERSON, S. D.: Ligamentous stabilizers against posterolateral rotary instability of the elbow. J. Bone Jt Surg., 83-A: 1823-28, 2001. Go to original source... Go to PubMed...
    11. ESSEX-LOPRESTI, P.: Fractures of the radial head with distal radio-ulnar dislocation; report of two cases. J. Bone Jt Surg., 33-B: 244-7, 1951. Go to original source...
    12. FURRY, K. L., CLINKSCALES, C. M.: Comminuted fractures of the radial head. Arthroplasty versus internal fixation. Clin. Orthop., 40-52, 1998. Go to original source... Go to PubMed...
    13. GELINAS, J. J., FABER, K. J., PATTERSON, S. D.: The effectiveness of turnbuckle splinting for elbow contractures. J. Bone Jt Surg., 82: 74-78, 2000. Go to original source...
    14. GREWAL, R., MACDERMID, J. C., FABER, K. J., DROSDOWECH, D. S., KING, G. J.: Comminuted radial head fractures treated with a modular metallic radial head arthroplasty. Study of outcomes. J. Bone Jt Surg., 88-A: 2192-200, 2006. Go to original source...
    15. HARRINGTON, I. J., SEKYI-OTU, A., BARRINGTON, T. W., EVANS, D. C., TULI, V.: The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. J. Trauma, 50: 46-52, 2001. Go to original source... Go to PubMed...
    16. HARRINGTON, I. J., TOUNTAS, A. A.: Replacement of the radial head in the treatment of unstable elbow fractures. Injury, 12: 405-12, 1981. Go to original source... Go to PubMed...
    17. HAUSMANN, J. T., VEKSZLER, G., BREITENSEHER, M., BRAUNSTEINER. T., VECSEI, V., GABLER, C.: Mason type-I radial head fractures and interosseous membrane lesions-a prospective study. J. Trauma, 66: 457-61, 2009. Go to original source... Go to PubMed...
    18. IKEDA, M., SUGIYAMA, K., KANG, C., TAKAGAKI, T., OKA, Y.: Comminuted fractures of the radial head. Comparison of resection and internal fixation. J. Bone Jt Surg., 87-A: 76-84, 2005. Go to original source... Go to PubMed...
    19. JACKSON, J. D., STEINMANN, S. P.: Radial head fractures. Hand Clin. 23: 185-93, vi, 2007. Go to original source... Go to PubMed...
    20. JUDET, T., MASSIN, P., BAYEH, P. J.: Radial head prosthesis with floating cup in recent and old injuries of the elbow: preliminary results. Rev. Chir. Orthop. Reparatrice Appar. Mot., 80: 123-30, 1994.
    21. KING, G. J., EVANS, D. C., KELLAM, J. F.: Open reduction and internal fixation of the radial head fractures. J. Orthop. Trauma, 5: 21-28, 1991. Go to original source... Go to PubMed...
    22. KING, G. J.: Management of Radial Head Fractures with Implant Arthroplasty. Journal of the American Society for Surgery of the Hand, 4: 1-26, 2004. Go to original source...
    23. KING, G. J., PATTERSON, S. D.: Metallic radial head arthroplasty. Tech. Hand Up Extrem Surg., 5: 196-203, 2001. Go to original source... Go to PubMed...
    24. KING, G. J., ZARZOUR, Z. D., RATH, D. A., DUNNING, C. E., PATTERSON, S. D., JOHNSON, J. A.: Metallic radial head arthroplasty improves valgus stability of the elbow. Clin. Orthop., 114-25, 1999. Go to original source...
    25. KNIGHT, D. J., RYMASZEWSKI, L. A., AMIS, A. A., MILLER, J. H.: Primary replacement of the fractured radial head with a metal prosthesis. J. Bone Jt Surg., 75: 572-6, 1993. Go to original source... Go to PubMed...
    26. LIM, Y. J., CHAN, B. K.: Short-term to medium-term outcomes of cemented Vitallium radial head prostheses after early excision for radial head fractures. J. Shoulder Elbow Surg., 17: 307-12, 2008. Go to original source... Go to PubMed...
    27. MACKAY, I.: Silastic Replacement of the Head of the Radius in Trauma. J. Bone Jt Surgery., 61-B: 494-497, 1979. Go to original source... Go to PubMed...
    28. MASON, M. L.: Some observations on fractures of the head of the radius with a review of one hundred cases. Brit. J. Surg., 42: 123-32, 1954. Go to original source... Go to PubMed...
    29. MEKHAIL, A. O., EBRAHEIM, N. A., JACKSON, W. T.: Vulnerability of the posterior interosseous nerve during proximal radius exposures. Clin. Orthop., 315: 199-208, 1995. Go to original source...
    30. MORO, J. K., WERIER, J., MACDERMID, J. C., PATTERSON, S. D., KING, G. J.: Arthroplasty with a metal radial head for unreconstructible fractures of the radial head. J. Bone Jt Surg., 83-A: 1201-11, 2001. Go to original source... Go to PubMed...
    31. MORREY, B. F., ASKEW, L., CHAO, E. Y: Silastic prosthetic replacement for the radial head. J. Bone Jt Surg., 63-A: 454-8, 1981. Go to original source...
    32. O'DRISCOLL, S. W., BELL, D. F., MORREY, B. F.: Posterolateral rotary instability of the elbow. J. Bone Jt Surg., 73-A: 440-46, 1991. Go to original source...
    33. O'DRISCOLL, S. W., MORREY, B. F., KORINEK, S.: Elbow subluxation and dislocation. A spectrum of instability. Clin. Orthop., 280: 186-97, 1992. Go to original source...
    34. PIKE, J. M., ATHWAL, G. S., FABER, K. J., KING, G. J.: Radial Head Fractures - an Update. JHS, 34-A: 557-65, 2009. Go to original source... Go to PubMed...
    35. POMIANOWSKI, S., MORREY, B. F., NEALE, P. G., PARK, M. J., O'DRISCOLL, S. W., AN, K. N.: Contribution of monoblock and bipolar radial head prostheses to valgus stability of the elbow. J. Bone Jt Surg., 83-A: 1829-34, 2001. Go to original source... Go to PubMed...
    36. POPOVIC, N.: Fracture of the Radial Head with associated elbow dislocation: results of treatment using a floating radial head prosthesis. J. Orthop. Trauma, 14: 171-177, 2000. Go to original source... Go to PubMed...
    37. RING, D.: Open reduction and internal fixation of fractures of the radial head. J. Bone Jt Surg., 84-A: 1811-1815, 2002. Go to original source... Go to PubMed...
    38. SCHNEEBERGER, A. G., SADOWSKI, M. M., JACOB, H. A.: Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J. Bone Jt Surg., 86-A: 975-82, 2004. Go to original source... Go to PubMed...
    39. SCHOFER, M. D., PETERLEIN, C. D., KORTMANN, H. R.: Radial head prosthesis - treatment of comminuted radial head fractures combined with elbow instability. Z. Orthop. Unfall., 146: 760-7, 2008.
    40. SHORE, B. J., MOZZON, J. B., MACDERMID, J. C., FABER, K. J., KING, G. J.: Chronic posttraumatic elbow disorders treated with metallic radial head arthroplasty. J. Bone Jt Surg., 90-A: 271-80. 2008 Go to original source... Go to PubMed...
    41. SMETS, S., GOVAERS, K., JANSEN, N., VAN RIET, R., SCHAAP, M., VAN GLABBEEK, F.: The floating radial head prosthesis for comminuted radial head fractures: a multicentric study. Acta orthop. belg., 66: 353-8, 2000.
    42. SPEED, K.: Ferrule caps for the head of the radius. Surg. Gynec. Obstet, 73: 845-850, 1941.
    43. STOFFELEN, D. V., HOLDSWORTH, B. J.: Excision or Silastic replacement for comminuted radial head fractures. A long-term follow-up. Acta orthop. belg., 60: 402-07, 1994.
    44. STRACHAN, J. C., ELLIS, B. W.: Vulnerability of the posterior interosseous nerve during radial head resection. J. Bone Jt Surg., 53-B: 320-23, 1971. Go to original source...
    45. SWANSON, A. B., JAEGER, S. H., LA ROCHELLE, D.: Comminuted fractures of the radial head. The role of silicone-implant replacement arthroplasty. J. Bone Jt Surg., 63-A: 1039-49, 1981. Go to original source...
    46. TREPMAN, E., EWALD, F. C.: Early failure of silicone radial head implants in the rheumatoid elbow. A complication of silicone radial head implant arthroplasty. J. Arthroplasty, 6: 59-65, 1991. Go to original source... Go to PubMed...

    Return to the content