Tight-fitting radial head prosthesis: does stem size help prevent painful loosening?

Abstract:

INTRODUCTION:The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS:From 2002 to 2014, 65 patients were enrolled in a retrospective single-centre study. The radial head prostheses were classified as having either a long (30-mm) or short (16- to 22-mm) stem. The long-stemmed implants comprised 30 GUEPAR® DePuy Synthes (West Chester, PA, USA) and 20 Evolutive® Aston Medical (Saint-Etienne, France) devices; the short-stemmed implants comprised nine RECON and six STANDARD rHead® SBI-Stryker (Morrisville, PA, USA) devices. At last follow-up, clinical (range of motion, Disabilities of the Arm, Shoulder, and Hand score, Mayo Elbow Performance score) and radiographic (osteolysis) outcomes were assessed. RESULTS:At a mean follow-up of 76.78 months (24-141), the rate of painful loosening [6 (40%) vs 8 (16%), p = 0.047] and osteolysis [12 (80%) vs 23 (46%), p = 0.02] were significantly higher in patients with short-stemmed versus long-stemmed implants. Despite the significant difference in loosening between stems as groups, individual stem length was not determined. CONCLUSIONS:Tight-fitting implants with short stems are more prone to painful loosening.

journal_name

Int Orthop

authors

Laumonerie P,Reina N,Gutierrez C,Delclaux S,Tibbo ME,Bonnevialle N,Mansat P

doi

10.1007/s00264-017-3644-6

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

161-167

issue

1

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-017-3644-6

journal_volume

42

pub_type

杂志文章
  • The relevance of the anatomical basis of fracture for the subsequent treatment of the anterior humeral circumflex artery and the axillary nerve.

    abstract:PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-011-1394-4

    authors: Chen YF,Zhu NF,Zhang CQ,Wang L,Wei HF,Lu Y

    更新日期:2012-04-01 00:00:00

  • Outcomes of shoulder arthroplasty in diabetic patients as assessed by peri-operative A1C.

    abstract:PURPOSE:Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS:A retrospective review of 406 SAs (70 HAs, 188 total shoulder ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3874-2

    authors: Statz JM,Wagner ER,Sperling JW,Cofield RH

    更新日期:2018-08-01 00:00:00

  • Comparison of transforaminal verse interlaminar epidural steroid injection in low back pain with lumbosacral radicular pain: a meta-analysis of the literature.

    abstract:OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00264-016-3220-5

    authors: Wei G,Liang J,Chen B,Zhou C,Ru N,Chen J,Zhang F

    更新日期:2016-12-01 00:00:00

  • Periprosthetic joint infection in aseptic total hip arthroplasty revision.

    abstract:PURPOSE:There is no consensus regarding systematic screening for infection in aseptic revision total hip arthroplasty (THA). The rationale for systematic intra-operative samples is to increase the sensitivity of latent infections detection, which may require specific treatment. However, the incidence of occult infectio...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-019-04366-2

    authors: Renard G,Laffosse JM,Tibbo M,Lucena T,Cavaignac E,Rouvillain JL,Chiron P,Severyns M,Reina N

    更新日期:2020-04-01 00:00:00

  • Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery.

    abstract:PURPOSE:The rapidly growing and emerging nature of biologics have made indications for regenerative and reparative hip therapies ever changing, with at times only early-stage evidence for their use. The purpose of this study was to review and summarize the currently available data on the management of hip cartilage inj...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04789-2

    authors: Hevesi M,Jacob G,Shimomura K,Ando W,Nakamura N,Krych AJ

    更新日期:2021-02-01 00:00:00

  • Intertrochanteric osteotomy for the treatment of chronic slipped capital femoral epiphysis.

    abstract::Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. The patients had an abnormal gait, an average age of 14.1 years and symptoms for an average of 14.5 months. Th...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00180203

    authors: Merchán EC,Na CM,Munuera L

    更新日期:1992-01-01 00:00:00

  • Clinical and radiological mid-term results of the thrust plate prosthesis.

    abstract::The purpose of this study was to perform an objective clinical and radiological assessment of the thrust plate prosthesis (TPP). Fifty-three prostheses were evaluated clinically using the Harris hip score (HHS), visual analog scale (VAS), and radiographically before surgery, at the time of discharge, and postoperative...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-008-0714-9

    authors: Steens W,v d Daele R,Simon U,Goetze C

    更新日期:2009-12-01 00:00:00

  • Degenerative cervical spondylolisthesis: a systematic review.

    abstract:PURPOSE:Degenerative cervical spondylolisthesis has received insufficient attention, in contrast to degenerative lumbar spondylolisthesis. In fact, degenerative cervical spondylolisthesis may be more common than previously thought. METHODS:In order to provide appropriate guidelines for the treatment of degenerative ce...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-010-1203-5

    authors: Jiang SD,Jiang LS,Dai LY

    更新日期:2011-06-01 00:00:00

  • [Articular irrigation in arthroscopy].

    abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:

    authors: Martinez Moreno JL,Vaquero Martin FJ

    更新日期:1986-01-01 00:00:00

  • Post-operative retransfusion of unwashed filtered shed blood reduces allogenic blood demand in hip hemiarthroplasty in traumatic femoral neck fractures-a prospective randomized trial.

    abstract:PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-016-3143-1

    authors: Starlinger J,Schmidt R,Machold W

    更新日期:2016-12-01 00:00:00

  • Outcomes of combined hip procedure with dual mobility cup versus osteosynthesis for acetabular fractures in elderly patients: a retrospective observational cohort study of fifty one patients.

    abstract:PURPOSES:Acetabular fractures are more and more common in the elderly. Open reduction and internal fixation (ORIF) may lead to poor outcomes and high revision rates. Primary total hip arthroplasty (THA) combined with internal fixation, also known as the combined hip procedure (CHP), associated with dual mobility cup (D...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04757-w

    authors: Lannes X,Moerenhout K,Duong HP,Borens O,Steinmetz S

    更新日期:2020-10-01 00:00:00

  • Hip score and disease activity correlation in patients with rheumatoid arthritis after total hip arthroplasty.

    abstract:PURPOSE:The disease activity score including 28 joints (DAS28), the simplified disease activity index and the clinical disease activity index (CDAI) were developed in order to provide a quantifiable measure of rheumatoid arthritis (RA) activity. Although inflamed hip joints greatly impact activities of daily living (AD...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1900-y

    authors: Wakabayashi H,Hasegawa M,Yoshida K,Nishioka K,Sudo A

    更新日期:2013-07-01 00:00:00

  • Prevalence of radiographic primary hip and knee osteoarthritis in a representative Central European population.

    abstract::The aim of our study was to determine the radiographic prevalence of hip and knee osteoarthritis and compare our results with prevalence data reported by other studies, as no similar study had been performed in Hungary previously. Our aim was also to investigate the usefulness of the different radiological scoring met...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-1069-6

    authors: Horváth G,Koroknai G,Ács B,Than P,Bellyei Á,Illés T

    更新日期:2011-07-01 00:00:00

  • Does anxiety influence the prognosis of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation? A preliminary propensity score matching analysis.

    abstract:PURPOSE:Previous reports revealed a correlation between psychological problems and spinal surgery. There is a lack of knowledge on the effect of anxiety on the percutaneous transforaminal endoscopic discectomy (PTED) outcome at the two year follow-up. The purpose of this study is to investigate changes in anxiety after...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04656-0

    authors: Shi S,Zhou Z,Ni HJ,Wang CF,He ZM,Yang YH,Du JH,Wu JS,He SS

    更新日期:2020-11-01 00:00:00

  • Regional and cellular localisation of BMPs and their inhibitors' expression in human fractures.

    abstract::The objective of this study was to determine whether BMP-2 and -14, noggin, and chordin could be detected in human fractures and to assess their regional and cellular distribution. The expression of these proteins was detected by immunohistochemistry in an archive of human fractures. BMP-2 and BMP-14 expression was st...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-008-0691-z

    authors: Kwong FN,Hoyland JA,Evans CH,Freemont AJ

    更新日期:2009-02-01 00:00:00

  • Pre-operative virtual simulation and three-dimensional printing techniques for the surgical management of acetabular fractures.

    abstract:PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4111-8

    authors: Hsu CL,Chou YC,Li YT,Chen JE,Hung CC,Wu CC,Shen HC,Yeh TT

    更新日期:2019-08-01 00:00:00

  • Urinary catheterisation and deep wound infection after hip fracture surgery.

    abstract::We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0227-3

    authors: Cumming D,Parker MJ

    更新日期:2007-08-01 00:00:00

  • Grosse-Kempf nail combined with a Scan hip prosthesis.

    abstract::A Grosse-Kempf nail was used with a Scan femoral hip prosthesis to manage a patient who sustained a pathological fracture of the neck of the femur after the previous introduction of the interlocking nail for a similar fracture of the lower end of the femur. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00178764

    authors: Aspenberg P

    更新日期:1990-01-01 00:00:00

  • Intramedullary knee arthrodesis as a salvage procedure after failed total knee replacement.

    abstract::Septic and aseptic loosening with or without extensive bone loss after total knee replacement are the most common indications for knee fusion. Both external fixation and intramedullary nailing can be used for the treatment, though the latter appears to be the method of choice for most patients. Nine patients were trea...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0129-4

    authors: Panagiotopoulos E,Kouzelis A,Matzaroglou Ch,Saridis A,Lambiris E

    更新日期:2006-12-01 00:00:00

  • Reliability and validity of the Hartofilakidis classification system of congenital hip disease in adults.

    abstract::The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0472-0

    authors: Yiannakopoulos CK,Xenakis T,Karachalios T,Babis GC,Hartofilakidis G

    更新日期:2009-04-01 00:00:00

  • Does computer-assisted total knee arthroplasty improve the overall component position and patient function?

    abstract:PURPOSE:There remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventiona...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-013-1996-0

    authors: Allen CL,Hooper GJ,Oram BJ,Wells JE

    更新日期:2014-02-01 00:00:00

  • Orthopaedic complications in sickle cell disease. A comparative study from two regions in Saudi Arabia.

    abstract::The haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00182718

    authors: Sadat-Ali M,Geeranavar SS,As-Suhaimi S

    更新日期:1992-01-01 00:00:00

  • Presence of interleukin-17C in the tissue around aseptic loosened implants.

    abstract:PURPOSE:The most common long-term complication of joint arthroplasty is aseptic loosening. The proinflammatory cytokines secreted by macrophages are involved in aseptic loosening. Recently, a novel proinflammatory cytokine IL-17C was reported to participate in inflammatory diseases by synergising with proinflammatory c...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1812-x

    authors: Hou C,Zhang Y,Yu S,Li Z,Zhai Q,Li Z,Zhang X,Xiao J,Sheng P

    更新日期:2013-05-01 00:00:00

  • Transitioning the total hip arthroplasty technique from posterior approach in lateral position to direct anterior approach in supine position-risk factors for acetabular malpositioning and the learning curve.

    abstract:PURPOSE:Cup positioning is important for optimum hip stability, avoiding component impingement and decreasing both bearing surface wear and revision rate. Transitioning from posterior approach in a lateral position to direct anterior approach (DAA) in a supine presents unique challenges for surgeons. The aim of this st...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04583-0

    authors: Foissey C,Batailler C,Fary C,Luceri F,Servien E,Lustig S

    更新日期:2020-09-01 00:00:00

  • Peroneus brevis as source of instability in Jones fracture fixation.

    abstract:PURPOSE:Intramedullary screw fixation is currently considered the gold standard treatment for Jones fractures in the athlete. Besides biological factors (i.e., poor vascularization), mechanical instability induced by the pull of the peroneus brevis tendon (PBT) contributes to deficient Jones fracture healing. This biom...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04581-2

    authors: Willegger M,Benca E,Hirtler L,Moser L,Zandieh S,Windhager R,Schuh R

    更新日期:2020-07-01 00:00:00

  • Operative versus non-operative treatment for clavicle fracture: a meta-analysis.

    abstract:PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00264-013-1871-z

    authors: Liu GD,Tong SL,Ou S,Zhou LS,Fei J,Nan GX,Gu JW

    更新日期:2013-08-01 00:00:00

  • Earliest times before hip arthroplasty: from John Rhea Barton to Themistocles Glück.

    abstract::Over the last two centuries, treatment of hip pathology has evolved from joint excision and osteotomies to modern total hip arthroplasty (THA), which is considered one of the most successful surgical interventions ever developed. We here review the history of hip procedures that preceded Themistocles Glück. This evalu...

    journal_title:International orthopaedics

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/s00264-013-2004-4

    authors: Hernigou P

    更新日期:2013-11-01 00:00:00

  • Spontaneous regression of neurogenic heterotopic ossification.

    abstract::A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00267736

    authors: van der Linden AJ

    更新日期:1984-01-01 00:00:00

  • Bone-peg grafting for osteochondritis dissecans of the elbow.

    abstract::In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose bod...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050304

    authors: Oka Y,Ohta K,Fukuda H

    更新日期:1999-01-01 00:00:00

  • Interleukin-1 beta influences on lysyl oxidases and matrix metalloproteinases profile of injured anterior cruciate ligament and medial collateral ligament fibroblasts.

    abstract:PURPOSE:The anterior cruciate ligament (ACL) is known to have a poor healing ability, especially in comparison with the medial collateral ligament (MCL) which can heal relatively well. Interleukin-1beta (IL-1β) is considered to be an important chemical mediator in the acute inflammatory phase of ligament injury. The ro...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1549-y

    authors: Xie J,Wang C,Yin L,Xu C,Zhang Y,Sung KL

    更新日期:2013-03-01 00:00:00