Radial head arthroplasty with bipolar uncemented endoprothesis with metal – metal bearing

Authors

  • Igor Boyko SE «Scientific Practical Center for Prophylactic and Clinical Medicine» State Administration, Kyiv. Ukraine , Ukraine
  • Dmitriy Shcherbakov СI «CH № 10», Kryvyi Rih. Ukraine , Ukraine
  • Vasyl Makarov SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro, Ukraine https://orcid.org/0000-0003-0936-7039
  • Alexander Sabsay SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro, Ukraine
  • Igor Maliy SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro, Ukraine
  • Gleb Lazarenko SE «Scientific Practical Center for Prophylactic and Clinical Medicine» State Administration, Kyiv. Ukraine , Ukraine

DOI:

https://doi.org/10.15674/0030-59872018172-78

Keywords:

radial head endoprothesis, bipolar uncemented modular radial head endoprothesis, radial head fracture

Abstract

Objective: to review technical peculiarities of designed uncemented modular radial head endoprothesis and to analyze it clinical application in patients with fractures and dislocations of the radial head ІІІ–IV types by Mason-Hotchkiss.

Methods: we studied clinical application of modular uncemented bipolar endoprothesis with metal-on metal bearing in 14 patients, age 43–74 years old. The follow-up was 6–24 months. Indications for arthroplasty were multifragments fractures and fractures with dislocation of ІІІ–IV types by Mason-Hotchkiss. Ef­ficacy of treatment was assessed by Mayo Elbow Performance Score.

Results: flexion in elbow joint in average was 130° (from 110° to 140°), average value of extension deficit — 3,2° (from 0° tо 10°), pronation — 77,86° (from 70° tо 90°), supination — 76,07° (from 80° tо 70°), flexion/extension — 127° (from 100° tо 140°), prosupination movements— 153° (from 140° tо 170°). We compared the volume of movements in elbow joint of operated site with contra lateral joint in 12 months of follow-up. Positive correlative connection of increased volume of movements was observed. The signs of elbow joint instability and significant complications during follow-up period were not find. According to Mayo Elbow Performance Score there were excellent results — 7 patients, good — 5, satisfactory result — 2, average score was 88,5.

Conclusion: application of the new designed modular uncemented bipolar radial head endoprothesis allowed us to obtain positive results in term of 2 years of follow-up.

Author Biographies

Igor Boyko, SE «Scientific Practical Center for Prophylactic and Clinical Medicine» State Administration, Kyiv. Ukraine 

MD, Prof. 

 

Dmitriy Shcherbakov, СI «CH № 10», Kryvyi Rih. Ukraine 

СI «CH № 10», Kryvyi Rih. Ukraine

 

 

Vasyl Makarov, SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro

PhD in Orthopaedics and Traumatology

 

Alexander Sabsay, SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro

 

 

 

Igor Maliy, SE «Specialized Multidisciplinary Hospital № 1 of the Ministry of Health of Ukraine», Dnipro

 

 

Gleb Lazarenko, SE «Scientific Practical Center for Prophylactic and Clinical Medicine» State Administration, Kyiv. Ukraine 

SE «Scientific Practical Center for Prophylactic and Clinical Medicine» State Administration, Kyiv. Ukraine 

lazarenkog@gmail.com

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How to Cite

Boyko, I., Shcherbakov, D., Makarov, V., Sabsay, A., Maliy, I., & Lazarenko, G. (2023). Radial head arthroplasty with bipolar uncemented endoprothesis with metal – metal bearing. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 72–78. https://doi.org/10.15674/0030-59872018172-78

Issue

No. 1 (2018)

Section

ORIGINAL ARTICLES

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Copyright (c) 2018 Igor Boyko, Dmitriy Shcherbakov, Vasyl Makarov, Alexander Sabsay, Igor Maliy, Gleb Lazarenko

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