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01-01-2018 | Original Paper

Tight-fitting radial head prosthesis: does stem size help prevent painful loosening?

Authors: Pierre Laumonerie, Nicolas Reina, Claudia Gutierrez, Stephanie Delclaux, Meagan E. Tibbo, Nicolas Bonnevialle, Pierre Mansat

Published in: International Orthopaedics | Issue 1/2018

Abstract

Introduction

The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening.

Methods

From 2002 to 2014, 65 patients were enrolled in a retrospective single-centre study. The radial head prostheses were classified as having either a long (30-mm) or short (16- to 22-mm) stem. The long-stemmed implants comprised 30 GUEPAR® DePuy Synthes (West Chester, PA, USA) and 20 Evolutive® Aston Medical (Saint-Etienne, France) devices; the short-stemmed implants comprised nine RECON and six STANDARD rHead® SBI-Stryker (Morrisville, PA, USA) devices. At last follow-up, clinical (range of motion, Disabilities of the Arm, Shoulder, and Hand score, Mayo Elbow Performance score) and radiographic (osteolysis) outcomes were assessed.

Results

At a mean follow-up of 76.78 months (24–141), the rate of painful loosening [6 (40%) vs 8 (16%), p = 0.047] and osteolysis [12 (80%) vs 23 (46%), p = 0.02] were significantly higher in patients with short-stemmed versus long-stemmed implants. Despite the significant difference in loosening between stems as groups, individual stem length was not determined.

Conclusions

Tight-fitting implants with short stems are more prone to painful loosening.

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Title: Tight-fitting radial head prosthesis: does stem size help prevent painful loosening?
Authors: Pierre Laumonerie
Nicolas Reina
Claudia Gutierrez
Stephanie Delclaux
Meagan E. Tibbo
Nicolas Bonnevialle
Pierre Mansat
Publication date: 01-01-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 1/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3644-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Tight-fitting radial head prosthesis: does stem size help prevent painful loosening?

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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