RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study
Purpose The current indication for comminuted radial head fractures is radial head arthroplasty (RHA) . The main purpose of this study was to investigate any statistical differences in terms of prosthesis revision or removal and radiographic degenerative changes by comparing patients who underwent R...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2022-04, Vol.32 (3), p.405-411 |
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| creator | Galavotti, C. Padovani, S. Nosenzo, A. Menozzi, M. Maniscalco, P. Concari, G. Villani, C. Sabetta, E. Belluati, A. Monesi, M. Massari, L. Pari, C. Cavaciocchi, M. Calderazzi, F. Colozza, A. |
| description | Purpose
The current indication for comminuted radial head fractures is radial head arthroplasty (RHA)
.
The main purpose of this study was to investigate any statistical differences in terms of prosthesis revision or removal and radiographic degenerative changes by comparing patients who underwent RHA and ligaments repair to those who underwent only RHA implant at minimum two years follow-up. The secondary aim was to delineate a trend profile of RHA implants.
Methods
All patients who underwent RHA surgery for traumatic pathology between January 2012 and December 2017 were eligible. Two researchers independently and retrospectively reviewed the patients’ charts and collected the following data: type of prosthesis, associated surgical procedures and revision surgery. They also looked for any radiographic sign of prosthesis loosening, overstuffing, capitellar osteopenia, heterotopic ossification and degenerative changes. No clinical evaluation was performed.
Results
In 6 years, 124 RHA were implanted (74 female, 50 male, mean age 56). The main diagnoses were: terrible triad, trans-olecranon fracture and isolated radial head fracture. It was found no significant statistical difference between the 2 groups; nevertheless, the cohort of patients that underwent ligaments repair had a lower revision rate in comparison with the other. Suture of the annular ligament seems to be critical. The overall revision rate was 10.5%.
Conclusion
This multi-center study found no evidence that ligaments repair, as an associated surgical procedure, improves RHA longevity, except for annular ligament. Nevertheless, it seems to prevent degenerative changes at midterm follow-up. |
| doi_str_mv | 10.1007/s00590-021-02979-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2518740923</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2518740923</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-760a825e92c1dd1c8872137db7c0e4c181b40c4d7a29e608cf7af3ab39f3253a3</originalsourceid><addsrcrecordid>eNp9kc2KFDEUhYMozo--gAsJuHETzU-lkriRZnR0oEEQXYd0cqs7Q1WlTCoMvfTNjfao4MJFSCDfOffCh9AzRl8xStXrQqk0lFDO2jHKEPYAnbNOcMJorx-2dy8E0bSXZ-iilFtKmTRMPkZnQmgjtVHn6PvnzbubzRYfwAXs8nrIaRldWY9vcEhQ8Bj3boJ5LTjD4mLGcR7GCrMHnOrq0wTlLd7gKc5xqhNe7xI-gssFD2kc0x2pC84uxLTPbjlEj6c6rpH41ggZl7WG4xP0aHBjgaf39yX6ev3-y9VHsv304eZqsyVeKLoS1VOnuQTDPQuBea0VZ0KFnfIUOs8023XUd0E5bqCn2g_KDcLthBkEl8KJS_Ty1Lvk9K1CWe0Ui4dxdDOkWiyXTKuOGi4a-uIf9DbVPLftLO-FYVxy2TWKnyifUykZBrvkOLl8tIzan4LsSZBtguwvQZa10PP76rqbIPyJ_DbSAHECSvua95D_zv5P7Q96jZyu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2639125254</pqid></control><display><type>article</type><title>RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Galavotti, C. ; Padovani, S. ; Nosenzo, A. ; Menozzi, M. ; Maniscalco, P. ; Concari, G. ; Villani, C. ; Sabetta, E. ; Belluati, A. ; Monesi, M. ; Massari, L. ; Pari, C. ; Cavaciocchi, M. ; Calderazzi, F. ; Colozza, A.</creator><creatorcontrib>Galavotti, C. ; Padovani, S. ; Nosenzo, A. ; Menozzi, M. ; Maniscalco, P. ; Concari, G. ; Villani, C. ; Sabetta, E. ; Belluati, A. ; Monesi, M. ; Massari, L. ; Pari, C. ; Cavaciocchi, M. ; Calderazzi, F. ; Colozza, A.</creatorcontrib><description>Purpose
The current indication for comminuted radial head fractures is radial head arthroplasty (RHA)
.
The main purpose of this study was to investigate any statistical differences in terms of prosthesis revision or removal and radiographic degenerative changes by comparing patients who underwent RHA and ligaments repair to those who underwent only RHA implant at minimum two years follow-up. The secondary aim was to delineate a trend profile of RHA implants.
Methods
All patients who underwent RHA surgery for traumatic pathology between January 2012 and December 2017 were eligible. Two researchers independently and retrospectively reviewed the patients’ charts and collected the following data: type of prosthesis, associated surgical procedures and revision surgery. They also looked for any radiographic sign of prosthesis loosening, overstuffing, capitellar osteopenia, heterotopic ossification and degenerative changes. No clinical evaluation was performed.
Results
In 6 years, 124 RHA were implanted (74 female, 50 male, mean age 56). The main diagnoses were: terrible triad, trans-olecranon fracture and isolated radial head fracture. It was found no significant statistical difference between the 2 groups; nevertheless, the cohort of patients that underwent ligaments repair had a lower revision rate in comparison with the other. Suture of the annular ligament seems to be critical. The overall revision rate was 10.5%.
Conclusion
This multi-center study found no evidence that ligaments repair, as an associated surgical procedure, improves RHA longevity, except for annular ligament. Nevertheless, it seems to prevent degenerative changes at midterm follow-up.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-021-02979-1</identifier><identifier>PMID: 33895897</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Arthroplasty ; Elbow Joint - surgery ; Female ; Follow-Up Studies ; Humans ; Joint surgery ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Prostheses ; Radius Fractures - complications ; Radius Fractures - diagnostic imaging ; Radius Fractures - surgery ; Range of Motion, Articular ; Retrospective Studies ; Surgical Orthopedics ; Transplants & implants ; Traumatic Surgery ; Treatment Outcome</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2022-04, Vol.32 (3), p.405-411</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-760a825e92c1dd1c8872137db7c0e4c181b40c4d7a29e608cf7af3ab39f3253a3</cites><orcidid>0000-0001-9828-9882</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-021-02979-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-021-02979-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33895897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galavotti, C.</creatorcontrib><creatorcontrib>Padovani, S.</creatorcontrib><creatorcontrib>Nosenzo, A.</creatorcontrib><creatorcontrib>Menozzi, M.</creatorcontrib><creatorcontrib>Maniscalco, P.</creatorcontrib><creatorcontrib>Concari, G.</creatorcontrib><creatorcontrib>Villani, C.</creatorcontrib><creatorcontrib>Sabetta, E.</creatorcontrib><creatorcontrib>Belluati, A.</creatorcontrib><creatorcontrib>Monesi, M.</creatorcontrib><creatorcontrib>Massari, L.</creatorcontrib><creatorcontrib>Pari, C.</creatorcontrib><creatorcontrib>Cavaciocchi, M.</creatorcontrib><creatorcontrib>Calderazzi, F.</creatorcontrib><creatorcontrib>Colozza, A.</creatorcontrib><title>RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
The current indication for comminuted radial head fractures is radial head arthroplasty (RHA)
.
The main purpose of this study was to investigate any statistical differences in terms of prosthesis revision or removal and radiographic degenerative changes by comparing patients who underwent RHA and ligaments repair to those who underwent only RHA implant at minimum two years follow-up. The secondary aim was to delineate a trend profile of RHA implants.
Methods
All patients who underwent RHA surgery for traumatic pathology between January 2012 and December 2017 were eligible. Two researchers independently and retrospectively reviewed the patients’ charts and collected the following data: type of prosthesis, associated surgical procedures and revision surgery. They also looked for any radiographic sign of prosthesis loosening, overstuffing, capitellar osteopenia, heterotopic ossification and degenerative changes. No clinical evaluation was performed.
Results
In 6 years, 124 RHA were implanted (74 female, 50 male, mean age 56). The main diagnoses were: terrible triad, trans-olecranon fracture and isolated radial head fracture. It was found no significant statistical difference between the 2 groups; nevertheless, the cohort of patients that underwent ligaments repair had a lower revision rate in comparison with the other. Suture of the annular ligament seems to be critical. The overall revision rate was 10.5%.
Conclusion
This multi-center study found no evidence that ligaments repair, as an associated surgical procedure, improves RHA longevity, except for annular ligament. Nevertheless, it seems to prevent degenerative changes at midterm follow-up.</description><subject>Arthroplasty</subject><subject>Elbow Joint - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Prostheses</subject><subject>Radius Fractures - complications</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Surgical Orthopedics</subject><subject>Transplants & implants</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc2KFDEUhYMozo--gAsJuHETzU-lkriRZnR0oEEQXYd0cqs7Q1WlTCoMvfTNjfao4MJFSCDfOffCh9AzRl8xStXrQqk0lFDO2jHKEPYAnbNOcMJorx-2dy8E0bSXZ-iilFtKmTRMPkZnQmgjtVHn6PvnzbubzRYfwAXs8nrIaRldWY9vcEhQ8Bj3boJ5LTjD4mLGcR7GCrMHnOrq0wTlLd7gKc5xqhNe7xI-gssFD2kc0x2pC84uxLTPbjlEj6c6rpH41ggZl7WG4xP0aHBjgaf39yX6ev3-y9VHsv304eZqsyVeKLoS1VOnuQTDPQuBea0VZ0KFnfIUOs8023XUd0E5bqCn2g_KDcLthBkEl8KJS_Ty1Lvk9K1CWe0Ui4dxdDOkWiyXTKuOGi4a-uIf9DbVPLftLO-FYVxy2TWKnyifUykZBrvkOLl8tIzan4LsSZBtguwvQZa10PP76rqbIPyJ_DbSAHECSvua95D_zv5P7Q96jZyu</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Galavotti, C.</creator><creator>Padovani, S.</creator><creator>Nosenzo, A.</creator><creator>Menozzi, M.</creator><creator>Maniscalco, P.</creator><creator>Concari, G.</creator><creator>Villani, C.</creator><creator>Sabetta, E.</creator><creator>Belluati, A.</creator><creator>Monesi, M.</creator><creator>Massari, L.</creator><creator>Pari, C.</creator><creator>Cavaciocchi, M.</creator><creator>Calderazzi, F.</creator><creator>Colozza, A.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9828-9882</orcidid></search><sort><creationdate>20220401</creationdate><title>RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study</title><author>Galavotti, C. ; Padovani, S. ; Nosenzo, A. ; Menozzi, M. ; Maniscalco, P. ; Concari, G. ; Villani, C. ; Sabetta, E. ; Belluati, A. ; Monesi, M. ; Massari, L. ; Pari, C. ; Cavaciocchi, M. ; Calderazzi, F. ; Colozza, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-760a825e92c1dd1c8872137db7c0e4c181b40c4d7a29e608cf7af3ab39f3253a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthroplasty</topic><topic>Elbow Joint - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Prostheses</topic><topic>Radius Fractures - complications</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Surgical Orthopedics</topic><topic>Transplants & implants</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galavotti, C.</creatorcontrib><creatorcontrib>Padovani, S.</creatorcontrib><creatorcontrib>Nosenzo, A.</creatorcontrib><creatorcontrib>Menozzi, M.</creatorcontrib><creatorcontrib>Maniscalco, P.</creatorcontrib><creatorcontrib>Concari, G.</creatorcontrib><creatorcontrib>Villani, C.</creatorcontrib><creatorcontrib>Sabetta, E.</creatorcontrib><creatorcontrib>Belluati, A.</creatorcontrib><creatorcontrib>Monesi, M.</creatorcontrib><creatorcontrib>Massari, L.</creatorcontrib><creatorcontrib>Pari, C.</creatorcontrib><creatorcontrib>Cavaciocchi, M.</creatorcontrib><creatorcontrib>Calderazzi, F.</creatorcontrib><creatorcontrib>Colozza, A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galavotti, C.</au><au>Padovani, S.</au><au>Nosenzo, A.</au><au>Menozzi, M.</au><au>Maniscalco, P.</au><au>Concari, G.</au><au>Villani, C.</au><au>Sabetta, E.</au><au>Belluati, A.</au><au>Monesi, M.</au><au>Massari, L.</au><au>Pari, C.</au><au>Cavaciocchi, M.</au><au>Calderazzi, F.</au><au>Colozza, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>32</volume><issue>3</issue><spage>405</spage><epage>411</epage><pages>405-411</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
The current indication for comminuted radial head fractures is radial head arthroplasty (RHA)
.
The main purpose of this study was to investigate any statistical differences in terms of prosthesis revision or removal and radiographic degenerative changes by comparing patients who underwent RHA and ligaments repair to those who underwent only RHA implant at minimum two years follow-up. The secondary aim was to delineate a trend profile of RHA implants.
Methods
All patients who underwent RHA surgery for traumatic pathology between January 2012 and December 2017 were eligible. Two researchers independently and retrospectively reviewed the patients’ charts and collected the following data: type of prosthesis, associated surgical procedures and revision surgery. They also looked for any radiographic sign of prosthesis loosening, overstuffing, capitellar osteopenia, heterotopic ossification and degenerative changes. No clinical evaluation was performed.
Results
In 6 years, 124 RHA were implanted (74 female, 50 male, mean age 56). The main diagnoses were: terrible triad, trans-olecranon fracture and isolated radial head fracture. It was found no significant statistical difference between the 2 groups; nevertheless, the cohort of patients that underwent ligaments repair had a lower revision rate in comparison with the other. Suture of the annular ligament seems to be critical. The overall revision rate was 10.5%.
Conclusion
This multi-center study found no evidence that ligaments repair, as an associated surgical procedure, improves RHA longevity, except for annular ligament. Nevertheless, it seems to prevent degenerative changes at midterm follow-up.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>33895897</pmid><doi>10.1007/s00590-021-02979-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9828-9882</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Arthroplasty Elbow Joint - surgery Female Follow-Up Studies Humans Joint surgery Ligaments Male Medicine Medicine & Public Health Middle Aged Original Article Prostheses Radius Fractures - complications Radius Fractures - diagnostic imaging Radius Fractures - surgery Range of Motion, Articular Retrospective Studies Surgical Orthopedics Transplants & implants Traumatic Surgery Treatment Outcome |
| title | RADIAL head arthroplasty: does ligaments repair influence outcomes? A minimum two years follow-up radiographic multi-center study |
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