Radial head replacement with the MoPyC pyrocarbon prosthesis
| Autor: | Kyriakos A. Papavasiliou, Fares E. Sayegh, Margaritis J. Kyrkos, I Sarris, George A. Kapetanos, Nikiforos Galanis |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Elbow Periprosthetic Elbow Prosthesis Prosthesis Design Prosthesis Elbow Joint Medicine Humans Orthopedics and Sports Medicine Malunion biology business.industry Arthroplasty Replacement Elbow General Medicine Middle Aged medicine.disease biology.organism_classification Arthroplasty Carbon Surgery Valgus medicine.anatomical_structure Radial head fracture Female business Range of motion Radius Fractures |
| Zdroj: | Journal of shoulder and elbow surgery. 21(9) |
| ISSN: | 1532-6500 |
| Popis: | Background Radial head fractures often pose therapeutic dilemmas. We present the early results of patients who underwent radial head replacement with the MoPyC prosthesis (Bioprofile, Tornier, Saint-Ismier, France). Materials and methods We re-evaluated patients who underwent post-traumatic radial head resection and implantation of the MoPyC prosthesis due to pain and motion restriction. All patients underwent radiographic evaluation. Clinical evaluation was performed using the Broberg-Morrey and the Mayo Elbow Performance Score (MEPS) scales. Results Thirty-two patients (20 men, 12 women; mean age, 54 years; 22 dominant upper limbs) were evaluated. Twenty had a comminuted radial head fracture (Mason IV, 15; Mason III, 5), 2 from radial head fracture malunion, and 10 had complex elbow injuries (comminuted radial head fractures with ligamentous ruptures with or without coronoid process fractures). Mean follow-up was 27 months (range, 21-46 months). The mean results at the latest follow-up were flexion–extension, 130° (range, 105°-150°); pronation, 74° (range, 60°-80°); and supination, 72° (range, 60°-80°). No laxity was evident during valgus and varus stress tests. Mean grip strength was 96% of the contralateral side. Broberg-Morrey scores were excellent in 33%, good in 44%, and fair in 23%. MEPS results were excellent in 80%, good in 17%, and fair in 3%. There were 6 cases of periprosthetic lucencies or osteolysis of the radius without any clinical signs of loosening. Conclusions Radial head replacement with the MoPyC pyrocarbon prosthesis (when performed in carefully selected patients) yields satisfactory results regarding range of motion and function of the elbow joint. |
| Databáze: | OpenAIRE |
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