ARTHROPLASTY IN THE TREATMENT OF PROXIMAL RADIAL FRACTURES
Nevzat Gönder
Gaziantep University, Faculty of Medicine, Department of Orthopedics and Traumatology, Gaziantep, Türkiye
Gönder N. Arthroplasty in the Treatment of Proximal Radial Fractures. In: Tiftikçi U, Erdoğan E, Ergün C, Güneş Z, editors. Current Concepts in Adults Upper Extremity Fractures. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.201-206.
ABSTRACT
Radial head fractures are common injuries, particularly in cases of elbow trauma. Radius head fractures account for 1.7-5.4% of all upper extremity fractures and 33-75% of elbow fractures. These fractures typically arise from a direct impact, a fall, or a sudden twisting motion. The radial head is crucial for stabilization under longitudinal and valgus load; lesions in this region can result in significant functional impairment. Treatment alternatives comprise conservative approaches, surgical fixation, and sophisticated techniques such as radial head excision and arthroplasty. Arthroplasty has emerged as a favored approach for treating radial head fractures in recent years, serving as a significant treatment option, particularly for difficult and comminuted fractures. This section will provide a comprehensive examination of the anatomy, classification, indications for arthroplasty, surgical procedures, and problems associated with radial head fractures.
Keywords: Arthroplasty; Radius fractures; Elbow
Kaynak Göster
Referanslar
- Bryce CD, Armstrong AD. Anatomy and biomechanics of the elbow. Orthop Clin North Am. 2008;39: 141-54. [Crossref] [PubMed]
- Captier G, Canovas F, Mercier N, Thomas E, Bonnel F. Biometry of the radial head: biomechanical implications in pronation and supination. Surg Radiol Anat. 2002;24(5):295-301. [Crossref] [PubMed]
- Koslowsky TC, Germund I, Beyer F, Mader K, Krieglstein CF, Koebke J. Morphometric parameters of the radial head: an anatomical study. Surg Radiol Anat. 2007;29(3):225-230. [Crossref] [PubMed]
- van Riet RP, Van Glabbeek F, Neale PG, Bortier H, An KN, O'Driscoll SW. The noncircular shape of the radial head. J Hand Surg Am. 2003;28(6):972-978. [Crossref] [PubMed]
- Morrey BF, Tanaka S, An KN. Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res. 1991;(265):187-195. 2. [Crossref]
- Bonnevialle N. Radial head replacement in adults with re cent fractures. Orthop Traumatol Surg Res. 2016;102(1 Suppl):S69-S79. [Crossref] [PubMed]
- Greenspan A, Norman A. The radial head, capitellum view: useful technique in elbow trauma. AJR Am J Roentgenol. 1982;138(6):1186-1188. [Crossref] [PubMed]
- Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42(172):123-132. [Crossref] [PubMed]
- Laumonerie P, Tibbo ME, Reina N, Pham TT, Bonnevialle N, Mansat P. Radial head arthroplasty: a historical perspective. Int Orthop. 2019;43(7):1643-1651. [Crossref] [PubMed]
- Campbell BR, Rengifo S, Wickes CB, Amer KM, Ilyas AM. Radial Head Arthroplasty for Fracture: Implant Survivorship and Outcomes at Mean Follow-up of 8 Years. J Hand Surg Am. Published online June 22, 2023.
- Ohl X, Siboni R. Surgical treatment of terrible triad of the elbow. Orthop Traumatol Surg Res. 2021;107(1S):102784. Gönder Arthroplasty in the Treatment of Proximal Radial Fractures [Crossref] [PubMed]
- Carità E, Donadelli A, Cugola L, Perazzini P. Radial head prosthesis: results overview. Musculoskelet Surg. 2017;101(Suppl 2):197-204. [Crossref] [PubMed] [PMC]
- Worsing RA Jr, Engber WD, Lange TA. Reactive synovitis from particulate silastic. J Bone Joint Surg Am. 1982;64(4):581-585. [Crossref]
- Allavena C, Delclaux S, Bonnevialle N, Rongières M, Bonnevialle P, Mansat P. Outcomes of bipolar radial head prosthesis to treat complex radial head fractures in 22 patients with a mean follow-up of 50 months. Orthop Traumatol Surg Res. 2014;100(7):703-709. [Crossref] [PubMed]
- Barakat A, Mcdonald C, Singh H. Current concepts in the management of radial head fractures: a national survey and review of the literature. Ann R Coll Surg Engl. 2023;105(5):469-475. [Crossref] [PubMed] [PMC]
- Modarresi S, MacDermid JC, Walton DM, King GJW. Recovery Trajectories Following Complex Elbow Injuries and Radial Head Arthroplasty: A Longitudinal Study Over 8 Years. J Hand Surg Am. 2024;49(7):710.e1-710.e8. [Crossref] [PubMed]
- Heifner JJ, Kolovich GP, Bolano LE, Sibley PA, Gonzalez GA, Mercer DM. Revision of Failed Radial Head Arthroplasty. Hand (N Y). 2024;19(5):720-725. [Crossref] [PubMed] [PMC]