Management of the failed radial head arthroplasty

EFORT Open Reviews

article

Izaäk F. Kodde¹  Jetske Viveen²  Bertram The³  Roger P. van Riet²  Denise Eygendaal⁴ 

[1] Orthopedic Center Antwerp, AZ Monica Hospital;Department of Orthopedic Surgery, St. Antonius Hospital;Department of Orthopedic Surgery, Upper Limb Unit, Amphia Hospital;St. Antonius Hospital, Department of Orthopedics

关键词: arthroplasty;    complications;    elbow;    prosthesis;    radial head;    revision;   

DOI  :  10.1302/2058-5241.5.190055

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

The radial head plays an essential role in valgus stability of the elbow and axial stability of the forearm. It has been estimated that with the elbow extended, about 60% of the axial forces are transmitted across the radiocapitellar joint.1,2 In order to restore the stability in case of comminuted fractures or complex elbow trauma, radial head arthroplasty (RHA) may be indicated.3 However, only replacing the radial head (in, for instance, terrible triad injuries) may not be sufficient to restore stability. It should rather be implemented in adjunction to ligamentous and/ or coronoid repair to regain full elbow stability.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND