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Short to midterm outcomes of one hundred and seventy one MoPyC radial head prostheses: meta-analysis

Laumonerie, Pierre and Tibbo, Meagan E. and Kerezoudis, Panagiotis and Gauci, Marc Olivier and Reina, Nicolas and Bonnevialle, Nicolas and Mansat, Pierre Short to midterm outcomes of one hundred and seventy one MoPyC radial head prostheses: meta-analysis. (2018) International Orthopaedics, 42 (10). 2403-2411. ISSN 0341-2695

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Official URL: https://doi.org/10.1007/s00264-018-4070-0

Abstract

The MoPyC implant is an uncemented long-stemmed radial head prosthesis that obtains primary press-fit fixation via controlled expansion of the stem. Current literature regarding MoPyC implants appears promising; however, sample sizes in these studies are small. Our primary objective was to evaluate the short- to midterm clinical outcomes of a large sample of the MoPyC prostheses. The secondary objective was to determine the reasons for failure of the MoPyC devices. METHODS: Four electronic databases were queried for literature published between January 2000 and March 2017. Articles describing clinical and radiographic outcomes as well as reasons for reoperation were included. A meta-analysis was performed to obtain range of motion, mean Mayo Elbow Performance score (MEPS), radiographic outcome, and reason for failure. RESULTS: A total of five articles describing 171 patients (82 males) with MoPyC implants were included. Mean patient age and follow-up were 52 years (18-79) and 3.1 years (1-9), respectively. Midterm clinical results were good or excellent (MEPS > 74) in 157 patients. Overall complication rate was low (n = 22), while periprosthetic osteolysis was reported in 78 patients. Nineteen patients returned to the operating room, with implant revision being required in ten patients. The two primary reasons for failure were (intra-)prosthetic dislocation (n = 8) followed by stiffness (n = 7); no painful loosening was described. CONCLUSION: Short- to midterm outcomes of MoPyC prostheses are satisfactory and complications associated are low. The use of stem auto-expansion as a mode of obtaining primary fixation in radial head arthroplasty appears to be an effective solution for reducing the risk of painful loosening.

Item Type:Article
HAL Id:hal-02135787
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire de Nice - CHU Nice (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
Other partners > Mayo Clinic (USA)
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Deposited On:18 Mar 2019 09:26

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