gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Radiocapitellar prosthetic arthroplasty: short-term to midterm results of 19 elbows

Meeting Abstract

Search Medline for

  • presenting/speaker Amir Reza Kachooei - Orthopedic Research Center, Ghaem Hospital, Mashhad, Iran
  • Nicole Heesakkers - Department of Orthopaedic Surgery, Sint Maartenskliniek Nijmegen, Nijmegen, Netherlands
  • Andras Heijink - Department of Orthopaedic Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands
  • Bertram The - Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, Netherlands
  • Denise Eygendaal - Department of Orthopaedic Surgery, Amphia Hospital, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-306

doi: 10.3205/19ifssh1417, urn:nbn:de:0183-19ifssh14170

Published: February 6, 2020

© 2020 Kachooei et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Few studies have discussed the short-term results of radiocapitellar (RC) prosthetic arthroplasty (PA). In this study, we assessed the short-term to midterm functional and radiographic results of elbows after RC PA. Our secondary aim was to assess the survival of the RC PA.

Methods: We included 19 elbows in 18 patients with a mean follow-up of 35 months (range, 12-88 months). Patients were examined for instability and range of motion and were assessed using Mayo Elbow Performance Index and Oxford Elbow Score at any subsequent visits. RC PA was the primary treatment in 16 elbows, and 3 were revision radial head arthroplasty with concomitant capitellar resurfacing.

Results and Conclusions: Range of motion, pain, and functional scores improved significantly from the preoperative to the final follow-up visit. Categoric grouping of the final Mayo Elbow Performance Index outcome scores showed 9 excellent, 5 good, 3 fair, 0 poor, and 2 missing data. However, stability of the elbow remained unchanged. There was no pain in 11 patients, mild pain in 5, and moderate pain in 3. Radiographic assessment showed no significant progress in ulnohumeral arthritis, although 3 elbows showed osteoarthritis progression to a higher grade. There were no major complications, including infection, revision, disassembly of the components, or conversion to total elbow arthroplasty. Survival of the RC PA was 100%.

Elbow arthritis seems to become stationary after RC PA. Symptomatic RC osteoarthritis would probably benefit from RC PA regardless of the etiology.