| Online-Ressource |
Verfasst von: | Schnetzke, Marc [VerfasserIn]  |
| Jung, Matthias [VerfasserIn]  |
| Grötzner-Schmidt, Corinna [VerfasserIn]  |
| Tross, Anna-Katharina [VerfasserIn]  |
| Porschke, Felix [VerfasserIn]  |
| Grützner, Paul Alfred [VerfasserIn]  |
| Gühring, Thorsten [VerfasserIn]  |
| Nolte, Philip-Christian [VerfasserIn]  |
Titel: | Long-term outcome and survival rate of monopolar radial head replacement |
Verf.angabe: | Marc Schnetzke, MD, Matthias K. Jung, MD, Corinna Groetzner-Schmidt, MD, Anna-K. Tross, MD, Felix Porschke, MD, Paul A. Grützner, MD, Thorsten Guehring, MD, Philip-Christian Nolte, MD, MA |
E-Jahr: | 2021 |
Jahr: | 20 January 2021 |
Umfang: | 9 S. |
Fussnoten: | Gesehen am 17.08.2021 |
Titel Quelle: | Enthalten in: Journal of shoulder and elbow surgery |
Ort Quelle: | St. Louis, Mo. : Mosby, 1992 |
Jahr Quelle: | 2021 |
Band/Heft Quelle: | 30(2021), 7 vom: Juli, Seite e361-e369 |
ISSN Quelle: | 1532-6500 |
Abstract: | Background - The purposes of this study were (1) to report functional outcomes; (2) to assess complications, revisions, and survival rate; and (3) to assess differences in functional outcomes between removed and retained radial head arthroplasties (RHAs), early and delayed treatment, and type of RHA used at long-term follow-up after monopolar RHA for unreconstructible radial head fractures or their sequelae. - Methods - Seventy-eight patients (mean age, 59.2 years) who were at least 6 years postoperatively after monopolar RHA for unreconstructible RHFs or their sequelae were included. The Mayo Elbow Performance Score (MEPS); Quick Disability of the Arm, Shoulder, and Hand (QuickDASH) score; visual analog scale; postoperative satisfaction (1-6, 6 = highly unsatisfied); range of motion; complications; and revisions were assessed. Radiographic findings were reported. Kaplan-Meier survival analysis was performed. Subgroups (RHA type, early vs. delayed surgery, RHA removed vs. retained) were compared. - Results - At a median clinical follow-up of 9.5 years (range: 6.0-28.4 years), median MEPS was 80.0 (interquartile range [IQR]: 60.0-97.5), median QuickDASH was 22.0 (IQR: 4.6-42.6), median visual analog scale was 1 (IQR: 0-4), median postoperative satisfaction was 2 (IQR: 1-3), and median arc of extension/flexion was 110° (IQR: 80°-130°). Radiographic follow-up was available for 48 patients at a median of 7.0 years (range: 2.0-15.0 years). Heterotopic ossifications were seen in 14 (29.2%), moderate-to-severe capitellar osteopenia/abrasion in 3 (6.1%), moderate-to-severe ulnohumeral degeneration in 3 (6.1%), and periprosthetic radiolucencies in 17 (35.4%) patients. Twenty-nine patients (37.2%) had complications and 20 patients (25.6%) underwent RHA exchange or removal. Kaplan-Meier analysis with failure defined as RHA exchange or removal demonstrated survival of 75.1% (95% confidence interval: 63.7-83.3) at 18 years. The highest annual failure rate was observed in the first year in which the RHAs of 7 patients (9%) were exchanged or removed. No significant differences were detected between type of RHA in MEPS (Mathys: 82.5 [75.0-100] vs. Evolve: 80.0 [60.0-95.0]; P = .341) and QuickDASH (Mathys: 12.5 [0-34.4] vs. Evolve: 26.7 [6.9-46.2]; P = .112). Early surgery (≤3 weeks) yielded significantly superior MEPS (80.0 [70.0-100.0] vs. 52.5 [30.0-83.8]; P = .014) and QuickDASH (18.6 [1.5-32.6] vs. 46.2 [31.5-75.6]; P = .002) compared with delayed surgery (>3 weeks). Patients with retained RHAs had significantly better MEPS (80.0 [67.5-100] vs. 70.0 [32.5-82.5]; P = .016) and QuickDASH (18.1 [1.7-31.9] vs. 49.1 [22.1-73.8]; P = .007) compared with patients with removed RHAs. - Conclusions - Long-term outcomes for RHA are satisfactory; however, there is a high complication and revision rate, resulting in implant survival of 75.1% at 18 years with the highest annual failure rate observed in the first postoperative year. |
DOI: | doi:10.1016/j.jse.2020.11.031 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.jse.2020.11.031 |
| Volltext: https://www.sciencedirect.com/science/article/pii/S1058274621000215 |
| DOI: https://doi.org/10.1016/j.jse.2020.11.031 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | elbow |
| long-term |
| monopolar |
| Radial head arthroplasty |
| radial head fracture |
| radial head prosthesis |
| survival |
| upper extremity |
K10plus-PPN: | 1767150555 |
Verknüpfungen: | → Zeitschrift |
Long-term outcome and survival rate of monopolar radial head replacement / Schnetzke, Marc [VerfasserIn]; 20 January 2021 (Online-Ressource)