Abstract
Introduction: Radial Head Arthroplasty is considered the treatment of choice for unreconstructable radial head fractures. Short-term results in the current literatue are promising. Due to the lack of long-term results, radial head arthroplasty is looked at critically by many surgeons. In our the study we provide the 8.4 years results after treatment with the floating radial head prosthesis by Judet (Tornier, France).
Methods: In our department 19 patients were treated with bipolar radial head arthroplasty between 1997 and 2001. 11 prostheses were implantated primary and 6 secondary. The other two were implanted because of a loosening of a prior implanted prosthesis and one after resection of a vast chondrosarcoma. 12 of these patients − 10 men and 2 women – were now examined retrospectively after 101 months (78–132).
Results: 6 Patients were treated primary, 5 secondary and one was treated because of a vast chondrosarcoma. There were 5 proximal ulna fractures and 8 processus coronoideus fractures as concomitant injuries of the elbow. Following complications were seen: 2 dislocations, 2 capitellar erosions and 4 cases of heterotopic ossifications. According to the Mayo Elbow Performance Score 4 patients achieved an excellent result, 7 a good, and one a satisfactory result. The mean DASH was 13.7 (0–44). No differences were seen between primary and secondary implantation. The flexion arc was 123° (110–140°), the extension deficit was 20° (0–40°), pronation 61° (30–90°) and supination 62° (40–90°).
Conclusion: Our 8.4 years results show that radial head arthroplasty with Judet’s bipolar prosthesis leads to mostly excellent and good – subjective as well as objective – results.
Correspondence should be addressed to: EFORT Central Office, Technoparkstrasse 1, CH – 8005 Zürich, Switzerland. Email: office@efort.org
