Radiocapitellar prosthetic arthroplasty: short-term to midterm results of 19 elbows

Kachooei, Amir Reza; Heesakkers, Nicole; Heijink, Andras; The, Bertram; Eygendaal, Denise

doi:10.1016/j.jse.2017.12.013

Cited by 18 publications

(12 citation statements)

References 10 publications

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“…We would however be unable to agree that the follow-up of the implants used for RC arthroplasty can now be considered to be 'short'. 4 Our review of the literature confirmed that the results of only two RC joint arthroplasty systems has been reported over the past 20 years, the Uni-Elbow Radio Capitellum system (formerly Small Bone Innovations, Morrisville, PA, USA now Stryker, Kalamazoo, MI, USA) and the Lateral Resurfacing Elbow (LRE) system (formerly Biomet Ltd, UK, now LREsystem Ltd, Oxford, UK), developed by the senior author.…”

Section: Types Of Radiocapitellar Joint Arthroplastysupporting

confidence: 73%

“…Kachooei et al reported the 'short-term' to mid-term results of 19 elbows in which RC joint prosthetic arthroplasty had been performed using either the Uni-Elbow or LRE system. 4 However, as they used the LRE in 15 patients and the Uni-Elbow in only 3 patients, in 2 of whom the Uni-Elbow was used as a revision arthroplasty, a comparison cannot be made between the results of the two different implant systems used in this series. Nevertheless, they concluded that elbow arthritis seems to become stationary after RC PA and that symptomatic RC joint arthritis would probably benefit from RC PA regardless of the aetiology.…”

Section: Types Of Radiocapitellar Joint Arthroplastymentioning

confidence: 94%

“…Kachooei et al reported the short-term to midterm results of RC PA having carried out a retrospective review of 19 elbows in 18 patients with a mean follow-up of 35 months (range, 12e88 months). 4 They concluded that a moderate to severe RC arthritis with non-or mild ulnohumeral arthritis would probably benefit from RC PA, regardless of the aetiology of the degenerative changes.…”

Section: Introductionmentioning

confidence: 99%

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Radiocapitellar arthroplasty

Pooley

Linden²

2021

Journal of Clinical Orthopaedics and Trauma

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This article sets out the evidence demonstrating that the clinical need for a prosthetic arthroplasty designed specifically for the radiocapitellar joint has been underestimated. The prevalence of radiocapitellar degenerative change requiring treatment is discussed and the relationship between 'isolated' radiocapitellar joint arthritis and more generalised elbow arthritis is explained. Current literature now supports our view that radiocapitellar joint arthroplasty is not only an effective long-term solution for patients with localised radiocapitellar arthritis but also for those patients with more severe degenerative changes involving the elbow joint irrespective of their cause. We consider that is important to avoid resection of the radial head and therefore that resurfacing implants rather than joint replacement implants are more likely to provide a good longterm outcome for patients with elbow arthritis.

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Section: Types Of Radiocapitellar Joint Arthroplastysupporting

confidence: 73%

Section: Types Of Radiocapitellar Joint Arthroplastymentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Radiocapitellar arthroplasty

Pooley

Linden²

2021

Journal of Clinical Orthopaedics and Trauma

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“…64 This study also showed good functional outcomes including decreased postoperative pain and improved stability and function of the elbow. 64 Giannicola et al found implant survival at 22.6 months of 100%. 62 There is, at this point, limited published data on capitellar resurfacing.…”

Section: Capitellar Resurfacingsupporting

confidence: 60%

“…13,62,64 For example, Kachooei et al, in a study of 19 elbows with a mean follow-up of 35 months, showed no major complications and a survival of 100%. 64 This study also showed good functional outcomes including decreased postoperative pain and improved stability and function of the elbow. 64 Giannicola et al found implant survival at 22.6 months of 100%.…”

Section: Capitellar Resurfacingmentioning

confidence: 99%

Elbow Arthroplasty: From Normal to Failure

Levin

Plotkin

2019

Semin Musculoskelet Radiol

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Total elbow arthroplasty is currently an established surgical treatment for several pathologies of the elbow. Although initially used primarily in the treatment of rheumatoid arthritis, indications for total elbow arthroplasty have expanded and now include trauma, primary and secondary osteoarthritis, fracture nonunion, and following neoplasm resection. Desired outcomes of elbow arthroplasty include decreasing patient pain, restoration of function and mobility, and prevention of or treatment for instability. In comparison with total elbow arthroplasty, radial head replacements are most commonly performed following trauma. An additional technique, capitellar resurfacing arthroplasty, was developed in an effort to prevent early-onset osteoarthritis secondary to altered elbow biomechanics following radial head replacement. Complications of these surgeries include loosening, fracture, instability and dissociation, bushing wear, and particle disease.

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