Radial Head Arthroplasty for Trauma: Medium to Long Term Outcomes of Press-fit Radial Head Arthroplasty

Description

The video presentation features Dr. Pradeep Kankanalu discussing the medium to long-term outcomes of press-fit radial head arthroplasty in trauma patients with radial head fractures. He emphasizes the importance of radial head reconstruction for restoring stability in unstable elbow injuries and presents the alternative of radial head arthroplasty in cases of severe cortical continuity loss. The study covers a single center consecutive series conducted from 2008 to 2019, involving patients who underwent primary radial head arthroplasty for unreconstructable fractures. Out of the many patients studied, 63 were men with an average age of 44, and various injury classifications were identified, including terrible triad injuries and complex ulnar fractures. Dr. Kankanalu reports that the ten-year survival rate of the implants was over 90%, with the most common failure during the first two years. Clinical outcomes showed a median flexion-extension arc of 100 degrees with significant return to pre-injury activities. Radiological analysis included assessments for capitellar erosion and bone resorption, with some findings correlating to poorer Oxford Elbow Scores. The discussion concludes with Q&A from the audience regarding follow-up methods and interpretations of the data.

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