Abstract:
PURPOSE:Dislocations of components, loosening of the stem, overstuffing and removal in up to 24 % of common radial head prostheses (RHP) after implantation in complex elbow injuries signal the need for improvement. The latest biomechanical evidence shows advantages for monopolar designs. Clinical results after primary and secondary implantation of the newly designed press-fit monobloc monopolar RHP in cases of complex elbow injury are evaluated. METHODS:Twenty-nine patients [median age 60 years (29-86)] were followed up retrospectively for a median of 25 months (7-54) post-operatively. Subjective parameters, the Mayo Elbow Performance Score (MEPS), the Broberg and Morrey score (BMS), latest radiographs and complications were evaluated. RESULTS:MEPS and BMS averaged 87.2 ± 12.9 and 81.1 ± 11.9 points, respectively. No case of implant loosening was observed; the RHP had to be removed in one case (3 %). The overall complication and revision rate was higher after secondary (53 %) than after primary (19 %) implantation. CONCLUSIONS:Satisfactory clinical results and low short-term removal rates emphasise the practicality of monobloc monopolar RHP. Differentiated treatment of complex elbow fracture-dislocations is compulsory to avoid the need for secondary RHP implantation which carries a higher complication rate.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Katthagen JC,Jensen G,Lill H,Voigt Cdoi
10.1007/s00264-012-1747-7subject
Has Abstractpub_date
2013-04-01 00:00:00pages
631-9issue
4eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章abstract:PURPOSE:The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2566-9
更新日期:2015-03-01 00:00:00
abstract::We have reviewed the clinical features, together with the radiographs and computerised tomography, in 9 patients with tuberculosis of the vertebral body and neural arch. All presented with paraparesis or paraplegia. The morbidity associated with this disease is so serious that it is essential to have an accurate means...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00179971
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pub_type: 杂志文章,评审
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00178753
更新日期:1990-01-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2003-01-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-015-2761-3
更新日期:2015-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1637-z
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1995-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00