Radiocapitellar joint contacts after bipolar radial head arthroplasty.

Abstract:

PURPOSE:The purpose of this study was to determine radiocapitellar contacts before and after radial head replacement, using the bipolar design of Judet. METHODS:Joint contacts were measured by moulding the joint surfaces of 6 fresh-frozen cadaveric specimens, in various positions of elbow flexion and forearm rotation. RESULTS:Expressed as function of the radial cup, contact areas averaged 44% in the normal elbow, decreasing with flexion and increasing with supination (P < .05). After prosthetic implantation, contact areas averaged 33% and remained quite similar, irrespective of elbow position. Subluxation of the prosthetic head over the lateral margin of the trochlea was seen systematically with supination. CONCLUSIONS:Because of intraprosthetic mobility, contact areas were not dependant on elbow position. This adaptability, however, also led to abnormal positioning of the prosthetic radial head with supination, subluxing over the trochlea lateral margin.

journal_name

J Shoulder Elbow Surg

authors

Moungondo F,El Kazzi W,van Riet R,Feipel V,Rooze M,Schuind F

doi

10.1016/j.jse.2009.09.015

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

230-5

issue

2

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(09)00435-2

journal_volume

19

pub_type

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