Pyrocarbon unipolar radial head prosthesis: clinical and radiologic outcomes at long-term follow-up

Ceccarelli, Romain; Winter, Matthias; Barret, Hugo; Bronsard, Nicolas; Gauci, Marc-Olivier

doi:10.1016/j.jse.2021.05.017

Cited by 5 publications

(5 citation statements)

References 34 publications

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“…[23][24][25][26][27][28]38 Pyrocarbon has improved mechanical proprieties to avoid some of the complications seen with metal implants and has been employed as a DRUJ implants in Europe but not in the United States. [31][32][33][34][35][36][37] Comparative evaluation of these observed and theoretical outcomes is necessary for the improvement of surgical management of young and active patients with DRUJ arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…Promising results have also been demonstrated for the use of pyrocarbon in implants outside of the DRUJ, such as the hand, elbow, and shoulder. [30][31][32][33][34][35][36][37]…”

Section: Discussionmentioning

confidence: 99%

“…29,30 Despite the reported benefits of pyrocarbon for use as a hemiarthroplasty, no study has compared the outcomes of metallic ulnar head arthroplasty with those of pyrocarbon. [31][32][33][34][35][36][37] In this study, we compare the surgical outcomes of patients treated with ulnar head hemiarthroplasty and pyrocarbon MCP implants (►Fig. 1 and ►Fig.…”

mentioning

confidence: 99%

“…29 30 Despite the reported benefits of pyrocarbon for use as a hemiarthroplasty, no study has compared the outcomes of metallic ulnar head arthroplasty with those of pyrocarbon. 31 32 33 34 35 36 37…”

mentioning

confidence: 99%

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Comparative Analysis of Two Hemiarthroplasty Techniques for Symptomatic Distal Radial Ulnar Joint Arthritis

Hebel,

Wu,

Helsper

et al. 2024

J Wrist Surg

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Background Hemiarthroplasty may be indicated for patients with distal radioulnar joint (DRUJ) arthritis. Recently, the use of the pyrocarbon metacarpophalangeal implant has been proposed as a novel means of treating DRUJ arthritis due to the materials improved mechanical properties and wear characteristics. Purpose and Questions This study compares midterm outcomes of metallic and pyrocarbon hemiarthroplasties for the treatment of symptomatic DRUJ arthritis. Questions of interest included outcomes and complications. Patients and Methods In total, 32 hemiarthroplasties, 10 metallic and 22 pyrocarbon, were performed between 2010 and 2020 by three surgeons at one tertiary medical center. Patients' retrospective outcomes were extracted from the electronic medical record. Results Postoperatively, the metallic implant group (mean follow-up: 38 months) demonstrated decreased pain but no changes in range of motion. Comparatively, the pyrocarbon group experienced an improved range of motion and postoperative pain (p < 0.05). Radiographic analysis demonstrated 10% of metallic implants and 9% of pyrocarbon implants to have resulted in thinning of the lateral cortex of the radius at the final follow-up. Minor complications in metallic and pyrocarbon implant groups warranting reoperation occurred at rates of 10 and 13.5% while implant failure occurred at a rate of 30 and 18%, respectively. Discussion Within this study, pyrocarbon implants resulted in significant functional improvement with comparable complication and failure rates to the metallic implant. Long-term stability demonstrated efficacy for both techniques in symptomatic DRUJ treatment. Type of Study/Level of Evidence Observational Case Series IV.

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Section: Discussionmentioning

confidence: 99%

“…Promising results have also been demonstrated for the use of pyrocarbon in implants outside of the DRUJ, such as the hand, elbow, and shoulder. [30][31][32][33][34][35][36][37]…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparative Analysis of Two Hemiarthroplasty Techniques for Symptomatic Distal Radial Ulnar Joint Arthritis

Hebel,

Wu,

Helsper

et al. 2024

J Wrist Surg

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show abstract

“… 8 , 12 , 29 The benefits of pyrocarbon as a bearing material for joint replacement have been confirmed with published long-term follow-up (FU) in hands, wrist, and elbow applications. 1 , 6 , 9 , 20 , 47 …”

mentioning

confidence: 99%

Midterm results of pyrocarbon interposition shoulder arthroplasty: good outcomes after posttraumatic osteonecrosis without malunion of the tuberosities

Garret¹,

Godenèche²,

Boileau³

et al. 2022

JSES International

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Radial head replacement – A comprehensive review

Thyagarajan

2023

Journal of Orthopaedics

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Pyrocarbon unipolar radial head prosthesis: clinical and radiologic outcomes at long-term follow-up

Cited by 5 publications

References 34 publications

Comparative Analysis of Two Hemiarthroplasty Techniques for Symptomatic Distal Radial Ulnar Joint Arthritis

Comparative Analysis of Two Hemiarthroplasty Techniques for Symptomatic Distal Radial Ulnar Joint Arthritis

Midterm results of pyrocarbon interposition shoulder arthroplasty: good outcomes after posttraumatic osteonecrosis without malunion of the tuberosities

Radial head replacement – A comprehensive review

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