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Hackl M, Burkhart KJ, Wegmann K, et al. From radial head to radiocapitellar to total elbow replacement: A case report. Int J Surg Case Rep. 2015;15:35-8doi: 10.1016/j.ijscr.2015.08.015.
Hackl, M., Burkhart, K. J., Wegmann, K., Hollinger, B., Lichtenberg, S., & Müller, L. P. (2015). From radial head to radiocapitellar to total elbow replacement: A case report. International journal of surgery case reports, 1535-8. https://doi.org/10.1016/j.ijscr.2015.08.015
Hackl, Michael, et al. "From radial head to radiocapitellar to total elbow replacement: A case report." International journal of surgery case reports vol. 15 (2015): 35-8. doi: https://doi.org/10.1016/j.ijscr.2015.08.015
Hackl M, Burkhart KJ, Wegmann K, Hollinger B, Lichtenberg S, Müller LP. From radial head to radiocapitellar to total elbow replacement: A case report. Int J Surg Case Rep. 2015;15:35-8. doi: 10.1016/j.ijscr.2015.08.015. Epub 2015 Aug 14. PMID: 26310675; PMCID: PMC4601955.
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Int J Surg Case Rep. 2015;15:35-8. doi: 10.1016/j.ijscr.2015.08.015. Epub 2015 Aug 14.

From radial head to radiocapitellar to total elbow replacement: A case report.

International journal of surgery case reports

Michael Hackl, Klaus Josef Burkhart, Kilian Wegmann, Boris Hollinger, Sven Lichtenberg, Lars Peter Müller

Affiliations

  1. Center for Orthopedic and Trauma Surgery, University Medical Center of Cologne, Cologne, Germany. Electronic address: [email protected].
  2. Clinic for Shoulder Surgery, Bad Neustadt/Saale, Germany.
  3. Center for Orthopedic and Trauma Surgery, University Medical Center of Cologne, Cologne, Germany.
  4. Department for Shoulder and Elbow Surgery, ARCUS Sportklinik, Pforzheim, Germany.
  5. Department of Shoulder and Elbow Surgery, ATOS-Klinik Heidelberg, Germany.

PMID: 26310675 PMCID: PMC4601955 DOI: 10.1016/j.ijscr.2015.08.015

Abstract

INTRODUCTION: Radiocapitellar arthroplasty represents a possible treatment option for isolated osteoarthritis of the radial column. We report the first case of early failure of this procedure.

PRESENTATION OF CASE: We present the case of a 41-year old male who sustained a terrible triad injury to his right elbow and subsequently underwent radial head arthroplasty. Due to overstuffing of the radial head prosthesis, capitellar erosion occurred and radiocapitellar arthroplasty was thus performed. Only one year later, conversion of the radiocapitellar replacement to total elbow arthroplasty was required as a result of progressive ulnohumeral osteoarthritis.

DISCUSSION: According to the currently limited clinical data, radiocapitellar arthroplasty provides satisfactory results. However, biomechanical analysis shows that available prostheses do not sufficiently reproduce the radiocapitellar anatomy. The design of the prosthesis might thus have contributed to the rapid progression of ulnohumeral erosion following radiocapitellar arthroplasty although the poor outcome may also be attributed to the trauma itself along with the inadequate initial treatment.

CONCLUSIONS: The indication for radiocapitellar arthroplasty warrants careful consideration given the results of biomechanical analysis and the early failure due to progressive ulnohumeral erosion seen in the present case.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Capitellar replacement; Overstuffing; Radial head replacement; Radiocapitellar arthroplasty; Radiocapitellar replacement; Total elbow arthroplasty

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