nach oben

Erschienen in:

30.07.2018 | Review Article

Short to midterm outcomes of one hundred and seventy one MoPyC radial head prostheses: meta-analysis

verfasst von: Pierre Laumonerie, Meagan E. Tibbo, Panagiotis Kerezoudis, Marc Olivier Gauci, Nicolas Reina, Nicolas Bonnevialle, Pierre Mansat

Erschienen in: International Orthopaedics | Ausgabe 10/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

The MoPyC implant is an uncemented long-stemmed radial head prosthesis that obtains primary press-fit fixation via controlled expansion of the stem. Current literature regarding MoPyC implants appears promising; however, sample sizes in these studies are small. Our primary objective was to evaluate the short- to midterm clinical outcomes of a large sample of the MoPyC prostheses. The secondary objective was to determine the reasons for failure of the MoPyC devices.

Methods

Four electronic databases were queried for literature published between January 2000 and March 2017. Articles describing clinical and radiographic outcomes as well as reasons for reoperation were included. A meta-analysis was performed to obtain range of motion, mean Mayo Elbow Performance score (MEPS), radiographic outcome, and reason for failure.

Results

A total of five articles describing 171 patients (82 males) with MoPyC implants were included. Mean patient age and follow-up were 52 years (18–79) and 3.1 years (1–9), respectively. Midterm clinical results were good or excellent (MEPS > 74) in 157 patients. Overall complication rate was low (n = 22), while periprosthetic osteolysis was reported in 78 patients. Nineteen patients returned to the operating room, with implant revision being required in ten patients. The two primary reasons for failure were (intra-)prosthetic dislocation (n = 8) followed by stiffness (n = 7); no painful loosening was described.

Conclusion

Short- to midterm outcomes of MoPyC prostheses are satisfactory and complications associated are low. The use of stem auto-expansion as a mode of obtaining primary fixation in radial head arthroplasty appears to be an effective solution for reducing the risk of painful loosening.

Nur mit Berechtigung zugänglich

Abdulla IN, Molony DC, Symes M, Cass B (2015) Radial head replacement with pyrocarbon prosthesis: early clinical results. ANZ J Surg 85:368–372. https://doi.org/10.1111/ans.12908 CrossRefPubMed

Allavena C, Delclaux S, Bonnevialle N, Rongières M, Bonnevialle P, Mansat P (2014) Outcomes of bipolar radial head prosthesis to treat complex radial head fractures in 22 patients with a mean follow-up of 50 months. Orthop Traumatol Surg Res OTSR 100:703–709. https://doi.org/10.1016/j.otsr.2014.06.019 CrossRefPubMed

Allieu Y, Winter M, Pequignot JP, de Mourgues P (2006) Radial head replacement with a pyrocarbon head prosthesis: preliminary results of a multicentric prospective study. Eur J Orthop Surg Traumatol 16:1–9. https://doi.org/10.1007/s00590-005-0041-4 CrossRef

Antuña SA, Sánchez-Márquez JM, Barco R (2010) Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old. J Bone Joint Surg Am 92:558–566. https://doi.org/10.2106/JBJS.I.00332 CrossRefPubMed

Berschback JC, Lynch TS, Kalainov DM, Wysocki RW, Merk BR, Cohen MS (2013) Clinical and radiographic comparisons of two different radial head implant designs. J Shoulder Elb Surg 22:1108–1120. https://doi.org/10.1016/j.jse.2013.02.011 CrossRef

Chanlalit C, Shukla DR, Fitzsimmons JS, Thoreson AR, An KN, O'Driscoll SW (2011) Radiocapitellar stability: the effect of soft tissue integrity on bipolar versus monopolar radial head prostheses. J Shoulder Elb Surg 20:219–225. https://doi.org/10.1016/j.jse.2010.10.033 CrossRef

Chanlalit C, Shukla DR, Fitzsimmons JS, An KN, O'Driscoll SW (2012) The biomechanical effect of prosthetic design on radiocapitellar stability in a terrible triad model. J Orthop Trauma 26:539–544. https://doi.org/10.1097/BOT.0b013e318238b3a2 CrossRefPubMed

Chanlalit C, Shukla DR, Fitzsimmons JS, An KN, O'Driscoll SW (2012) Stress shielding around radial head prostheses. J Hand Surg 37:2118–2125. https://doi.org/10.1016/j.jhsa.2012.06.020 CrossRef

Charalambous CP, Stanley JK, Mills SP, Hayton MJ, Hearnden A, Trail I et al (2011) Comminuted radial head fractures: aspects of current management. J Shoulder Elb Surg 20:996–1007. https://doi.org/10.1016/j.jse.2011.02.013 CrossRef

10.

Chen X, Wang SC, Cao LH, Yang GQ, Li M, Su JC (2011) Comparison between radial head replacement and open reduction and internal fixation in clinical treatment of unstable, multi-fragmented radial head fractures. Int Orthop 35:1071–1076. https://doi.org/10.1007/s00264-010-1107-4 CrossRefPubMed

11.

Delclaux S, Lebon J, Faraud A, Toulemonde J, Bonnevialle N, Coulet B et al (2012) Complications of radial head prostheses. Int Orthop 39:907–913. https://doi.org/10.1007/s00264-015-2689-7 CrossRef

12.

DerSimonian R, Laird N (2015) Meta-analysis in clinical trials revisited. Contemp Clin Trials 45:139–145. https://doi.org/10.1016/j.cct.2015.09.002 CrossRefPubMedPubMedCentral

13.

Dou Q, Yin Z, Sun L, Feng X (2015) Prosthesis replacement in Mason III radial head fractures: a meta-analysis. Orthop Traumatol Surg Res 101:729–734. https://doi.org/10.1016/j.otsr.2015.06.015 CrossRefPubMed

14.

Duckworth AD, Wickramasinghe NR, Clement ND, Court-Brown CM, McQueen MM (2014) Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal? Clin Orthop 472:2136–2143. https://doi.org/10.1007/s11999-014-3516-y CrossRefPubMed

15.

Flinkkilä T, Kaisto T, Sirniö K, Hyvönen P, Leppilahti J (2012) Short- to mid-term results of metallic press-fit radial head arthroplasty in unstable injuries of the elbow. J Bone Joint Surg Br 94:805–810. https://doi.org/10.1302/0301-620X.94B6.28176 CrossRefPubMed

16.

Gauci MO, Winter M, Dumontier C, Bronsard N, Allieu Y (2016) Clinical and radiologic outcomes of pyrocarbon radial head prosthesis: midterm results. J Shoulder Elb Surg 25:98–104. https://doi.org/10.1016/j.jse.2015.08.033 CrossRef

17.

Giannicola G, Sacchetti FM, Antonietti G, Piccioli A, Postacchini R, Cinotti G (2014) Radial head, radiocapitellar and total elbow arthroplasties: a review of recent literature. Injury 45:428–436. https://doi.org/10.1016/j.injury.2013.09.019 CrossRefPubMed

18.

Guyatt GH, Oxman AD, Kunz R, Woodcock J, Brozek J, Helfand M et al (2011) GRADE guidelines: 7. Rating the quality of evidence—inconsistency. J Clin Epidemiol 64:1294–1302. https://doi.org/10.1016/j.jclinepi.2011.03.017 CrossRefPubMed

19.

Hackl M, Wegmann K, Koslowsky TC, Zeifang F, Schoierer O, Müller LP (2017) Rare implant-specific complications of the MoPyC radial head prosthesis. J Shoulder Elb Surg 26:830–837. https://doi.org/10.1016/j.jse.2016.11.004 CrossRef

20.

Heijink A, Kodde IF, Mulder PGH, Van Dijk CN, Eygendaal D (2016) Cemented bipolar radial head arthroplasty: midterm follow-up results. J Shoulder Elb Surg 25:1829–1838. https://doi.org/10.1016/j.jse.2016.05.017 CrossRef

21.

Heijink A, Kodde IF, Mulder PG, Veltman ES, Kaas L, van den Bekerom MP (2016) Radial head arthroplasty: a systematic review. JBJS Rev 18:4. https://doi.org/10.2106/JBJS.RVW.15.00095 CrossRef

22.

Herbertsson P, Josefsson PO, Hasserius R, Besjakov J, Nyqvist F, Karlsson MK (2004) Fractures of the radial head and neck treated with radial head excision. J Bone Joint Surg Am 86–A:1925–1930CrossRefPubMed

23.

Ikeda M, Oka Y (2000) Function after early radial head resection for fracture: a retrospective evaluation of 15 patients followed for 3-18 years. Acta Orthop Scand 71:191–194. https://doi.org/10.1080/000164700317413184 CrossRefPubMed

24.

Ikeda M, Sugiyama K, Kang C, Takagaki T, Oka Y (2006) Comminuted fractures of the radial head: comparison of resection and internal fixation. Surgical technique. J Bone Joint Surg Am 88(Suppl 1 Pt 1):11–23. https://doi.org/10.2106/JBJS.E.00841 CrossRefPubMed

25.

Iftimie PP, Calmet Garcia J, de Loyola Garcia Forcada I, Gonzalez Pedrouzo JE, Giné Gomà J (2011) Resection arthroplasty for radial head fractures: long-term follow-up. J Shoulder Elb Surg 20:45–50. https://doi.org/10.1016/j.jse.2010.09.005 CrossRef

26.

Jensen SL, Deutch SR, Olsen BS, Søjbjerg JO, Sneppen O (2003) Laxity of the elbow after experimental excision of the radial head and division of the medial collateral ligament. Efficacy of ligament repair and radial head prosthetic replacement: a cadaver study. J Bone Joint Surg Br 85:1006–1010CrossRefPubMed

27.

Jensen SL, Olsen BS, Søjbjerg JO (1999) Elbow joint kinematics after excision of the radial head. J Shoulder Elb Surg 8:238–241CrossRef

28.

Jensen SL, Olsen BS, Tyrdal S, Søjbjerg JO, Sneppen O (2005) Elbow joint laxity after experimental radial head excision and lateral collateral ligament rupture: efficacy of prosthetic replacement and ligament repair. J Shoulder Elb Surg 14:78–84. https://doi.org/10.1016/j.jse.2004.05.009 CrossRef

29.

Kaas L, van Riet RP, Vroemen JPAM, Eygendaal D (2010) The epidemiology of radial head fractures. J Shoulder Elb Surg 19:520–523. https://doi.org/10.1016/j.jse.2009.10.015 CrossRef

30.

Kachooei AR, Claessen FM, Chase SM, Verheij KK, van Dijk CN, Ring D (2016) Factors associated with removal of a radial head prosthesis placed for acute trauma. Injury 47:1253–1257. https://doi.org/10.1016/j.injury.2016.02.023 CrossRefPubMed

31.

Lamas C, Castellanos J, Proubasta I, Dominguez E (2011) Comminuted radial head fractures treated with pyrocarbon prosthetic replacement. Hand N Y N 6:27–33. https://doi.org/10.1007/s11552-010-9282-8 CrossRef

32.

Laumonerie P, Ancelin D, Reina N, Tibbo ME, Kerezoudis P, Delclaux S et al (2017) Causes for early and late surgical re-intervention after radial head arthroplasty. Int Orthop 41:1435–1443. https://doi.org/10.1007/s00264-017-3496-0 CrossRefPubMed

33.

Laumonerie P, Reina N, Ancelin D, Delclaux S, Tibbo ME, Bonnevialle N et al (2017) Mid-term outcomes of 77 modular radial head prostheses. Bone Joint J 99-B:1197–1203. https://doi.org/10.1302/0301-620X.99B9.BJJ-2016-1043.R2 CrossRefPubMed

34.

Laumonerie P, Reina N, Kerezoudis P, Declaux S, Tibbo ME, Bonnevialle N et al (2017) The minimum follow-up required for radial head arthroplasty: a meta-analysis. Bone Joint J 99-B:1561–1570. https://doi.org/10.1302/0301-620X.99B12.BJJ-2017-0543.R2 CrossRefPubMed

35.

Marsh JP, Grewal R, Faber KJ, Drosdowech DS, Athwal GS, King GJ (2016) Radial head fractures treated with modular metallic radial head replacement: outcomes at a mean follow-up of eight years. J Bone Joint Surg Am 98:527–535. https://doi.org/10.2106/JBJS.15.00128 CrossRefPubMed

36.

Moon JG, Berglund LJ, Domire Z, An KN, O'Driscoll SW (2009) Stem diameter and micromotion of press fit radial head prosthesis: a biomechanical study. J Shoulder Elb Surg 18:785–790. https://doi.org/10.1016/j.jse.2009.02.014 CrossRef

37.

Moon JG, Berglund LJ, Zachary D, An KN, O'Driscoll SW (2009) Radiocapitellar joint stability with bipolar versus monopolar radial head prostheses. J Shoulder Elb Surg 18:779–784. https://doi.org/10.1016/j.jse.2009.02.011 CrossRef

38.

Moro JK, Werier J, MacDermid JC, Patterson SD, King GJ (2011) Arthroplasty with a metal radial head for unreconstructible fractures of the radial head. J Bone Joint Surg Am 83–A:1201–1211

39.

Oliver JD, Goncalves S, Kerezoudis P, Alvi MA, Freedman BA, Nassr A et al (2017) Comparison of outcomes for anterior cervical discectomy and fusion with and without anterior plate fixation: a systematic review and meta-analysis. Spine (Phila Pa 1976) 9. https://doi.org/10.1097/BRS.0000000000002441 CrossRefPubMed

40.

Pike JM, Athwal GS, Faber KJ, King GJW (2009) Radial head fractures—an update. J Hand Surg 34:557–565. https://doi.org/10.1016/j.jhsa.2008.12.024 CrossRef

41.

Ring D (2008) Displaced, unstable fractures of the radial head: fixation vs. replacement—what is the evidence? Injury 39:1329–1337. https://doi.org/10.1016/j.injury.2008.04.011 CrossRefPubMed

42.

Ring D, Jupiter JB, Zilberfarb J (2002) Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am 84–A:547–551CrossRefPubMed

43.

Ricón FJ, Sánchez P, Lajara F, Galán A, Lozano JA, Guerado E (2012) Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures. J Shoulder Elb Surg 21:82–91. https://doi.org/10.1016/j.jse.2011.01.032 CrossRef

44.

Sahu D, Holmes DM, Fitzsimmons JS, Thoreson AR, Berglund LJ, An KN et al (2014) Influence of radial head prosthetic design on radiocapitellar joint contact mechanics. J Shoulder Elb Surg 23:456–462. https://doi.org/10.1016/j.jse.2013.11.028 CrossRef

45.

Sarris IK, Kyrkos MJ, Galanis NN, Papavasiliou KA, Sayegh FE, Kapetanos GA (2012) Radial head replacement with the MoPyC pyrocarbon prosthesis. J Shoulder Elb Surg 21:1222–1228. https://doi.org/10.1016/j.jse.2011.12.004 CrossRef

46.

Schiffern A, Bettwieser SP, Porucznik CA, Crim JR, Tashjian RZ (2011) Proximal radial drift following radial head resection. J Shoulder Elb Surg 20:426–433. https://doi.org/10.1016/j.jse.2010.11.008 CrossRef

47.

Shore BJ, Mozzon JB, MacDermid JC, Faber KJ, King GJ (2008) Chronic posttraumatic elbow disorders treated with metallic radial head arthroplasty. J Bone Joint Surg Am 90:271–280. https://doi.org/10.2106/JBJS.F.01535 CrossRefPubMed

48.

Shukla DR, Fitzsimmons JS, An K-N, O’Driscoll SW (2012) Effect of stem length on prosthetic radial head micromotion. J Shoulder Elb Surg 21:1559–1564. https://doi.org/10.1016/j.jse.2011.11.025 CrossRef

49.

van Riet RP, Morrey BF (2010) Delayed valgus instability and proximal migration of the radius after radial head prosthesis failure. J Shoulder Elb Surg 19:e7–e10. https://doi.org/10.1016/j.jse.2010.04.046 CrossRef

50.

van Riet RP, Sanchez-Sotelo J, Morrey BF (2010) Failure of metal radial head replacement. J Bone Joint Surg Br 92:661–667. https://doi.org/10.1302/0301-620X.92B5.23067 CrossRefPubMed

51.

Wallace BC, Dahabreh IJ, Trikalinos TA, Lau J, Trow P, Schmid CH et al (2012) Closing the gap between methodologists and end-users: R as a computational back-end. J Stat Softw 49:1–15CrossRef

52.

Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M et al (2011) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Hospital Research Institute, Ottawa

Titel: Short to midterm outcomes of one hundred and seventy one MoPyC radial head prostheses: meta-analysis
verfasst von: Pierre Laumonerie
Meagan E. Tibbo
Panagiotis Kerezoudis
Marc Olivier Gauci
Nicolas Reina
Nicolas Bonnevialle
Pierre Mansat
Publikationsdatum: 30.07.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 10/2018
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4070-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Short to midterm outcomes of one hundred and seventy one MoPyC radial head prostheses: meta-analysis

Abstract

Background

Methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2018

Morphometric evaluation of the knee in Chinese population reveals sexual dimorphism and age-related differences

Tumour endoprosthesis replacement in the proximal tibia after intra-articular knee resection in patients with sarcoma and recurrent giant cell tumour

Correction to: Functional outcome following a locked fracture-dislocation of the calcaneus

Correction to: The relationship of pelvic incidence to post-operative total hip arthroplasty dislocation in patients with lumbar fusion

Arthroscopic Bankart repair for the acute anterior shoulder dislocation: systematic review and meta-analysis

Variations in the attachments of the medial meniscal anterior horn: a descriptive cadaveric study

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie