OATAO - Open Archive Toulouse Archive Ouverte Open Access Week

Causes for early and late surgical re-intervention after radial head arthroplasty

Laumonerie, Pierre and Ancelin, David and Reina, Nicolas and Tibbo, Meagan E. and Kerezoudis, Panagiotis and Delclaux, Stephanie and Bonnevialle, Nicolas and Mansat, Pierre Causes for early and late surgical re-intervention after radial head arthroplasty. (2017) International Orthopaedics, 41 (7). 1435-1443. ISSN 0341-2695

[img]
Preview
(Document in English)

PDF (Author's version) - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
757kB

Official URL: https://doi.org/10.1007/s00264-017-3496-0

Abstract

PURPOSE: The primary objective was to describe the reasons for surgical re-intervention after radial head arthroplasty. The secondary objective was to analyze the radiographic and clinical outcomes after surgical re-intervention at the elbow with implant conservation. METHODS: Among the 70 radial head arthroplasties with bipolar radial head implant performed between 2002 and 2014, 29 required surgical re-interventions. Reasons for surgical re-intervention were gathered from operative notes and follow-up documentation. Patients who underwent re-intervention with implant retention were reassessed via clinical and radiographic examinations by an independent reviewer. RESULTS: Twenty nine re-operations were performed at a mean follow-up of 16 ± 11.7 months (0.2-36 months). The prosthesis was removed in 18 cases and retained in 11. There was a significant difference in mean time to re-intervention between the implant removal and preservation groups, 23.1 ± 8.3 months (7-36 months) and 4.4 ± 4.7 months (0.2-13 months), respectively (p < 0.001). The primary reason for surgical re-intervention was painful loosening (13 cases). Radio-capitellar instability was the most frequent reason for re-intervention with implant retention (5 cases). Midterm quickDASH and MEPS after surgical re-intervention with implant retention were 15.4 ± 5.4 and 82.27 ± 7.3, respectively. At least one degenerative lesion was reported in nine cases (81.8%) (i.e. 5 periprosthetic osteolysis, 5 capitellar wear, 5 periarticular heterotopic ossification). CONCLUSIONS: Painful loosening and capitellar instability are the primary reasons for surgical re-intervention with or without implant removal. Midterm clinical results are favourable despite an elevated rate of degenerative lesions after surgical re-intervention with implant retention.

Item Type:Article
Additional Information:Cette publication a fait l'objet d'une correction de la part des auteurs. Erratum to: Causes for early and late surgical re-intervention after radial head arthroplasty. International Orthopaedics, July 2017, Volume 41, Issue 7, pp 1445–1445. https://doi.org/10.1007/s00264-017-3526-y
HAL Id:hal-02135119
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
Other partners > Mayo Clinic (USA)
Statistics:download
Deposited By: Pascal SWIDER
Deposited On:01 Apr 2019 10:46

Repository Staff Only: item control page