Radial Head Replacement with a Pyrocarbon Head Prosthesis: Preliminary Results of a Multicentric Prespective Study

  • Yves Allieu
  • Matthias Winter
  • Jean-Pierre Pequignot
  • Philippe de Mourgues


The treatment options for radial head fractures are conservative treatment, open reduction and internal fixation, radial head excision, and radial head prosthesis. The importance of the radial head in elbow biomechanics is now well known. The radial head is of prime importance for the elbow stability, especially when radial head fractures are associated with elbow dislocation. Consequently according to all of the extent reports, the radial head must be conserved and its excision is contraindicated when there is elbow instability.


Radial Head Radial Head Fracture Elbow Dislocation Posterior Interosseous Nerve Mayo Elbow Performance Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Cook SD, Thomas KA, Rester MA (1989) Wear characteristics of the canine acetabulum against different femoral prostheses. J Bone Joint Surg Br 71:189–197PubMedGoogle Scholar
  2. 2.
    Cook SD, Beckenbaugh RD, Redondo J et al (1999) Long term follow-up of pyrolytic carbon metacarpophalangeal implants. J Bone Joint Surg Am 81,5:635–648PubMedGoogle Scholar
  3. 3.
    Moutet F, Guinard D, Gerard P et al (1994) Un nouvel implant articulaire digital titane-carbone. A propos des 15 premiers cas. Ann Chir Main Menb Super 13:345–353CrossRefGoogle Scholar
  4. 4.
    Pequignot JP, Lussiez B, Allieu Y (2000) Implant adaptatif du scaphoïde proximal. Chir Main 2:276–285Google Scholar
  5. 5.
    Diliberti T, Botte M, Abrams R (2000) Anatomical considerations regarding the posterior interosseous nerve during posterolateral approaches to the proximal part of the radius. J Bone Joint Surg Am 82:809–813PubMedGoogle Scholar
  6. 6.
    Seki A, Olsen B, Jensen S et al (2002) Functional anatomy of the lateral collateral ligament complex of the elbow: configuration of Y and its role. J Shoulder Elbow Surg 11:53–59PubMedCrossRefGoogle Scholar
  7. 7.
    Pugh D, Wild LM, Schemitsch E et al (2004) Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am 86:1122–1130PubMedGoogle Scholar
  8. 8.
    Van Glabbeek F, Van Riet R, Baumfeld JA et al (2004) The kinematic importance of radial neck length in radial head replacement. Medical Engineerings 16:114–121Google Scholar
  9. 9.
    Van Glabbeek F, Van Riet R, Baumfeld JA et al (2004) Detrimental effects of overstuffing or understuffing with radial head replacement in the medial collateral ligament deficient elbow. J Bone Joint Surg Am 12:2629–2635Google Scholar
  10. 10.
    Broberg MA, Morrey BF (1986) Results of delayed excision of the radial head after the radial head fracture. J Bone Joint Surg Am 68:669–674PubMedGoogle Scholar
  11. 11.
    Morrey BF (1993) Radial head fracture. The elbow and its disorders. WB Saunders Co, Philadelphia, pp 383–404Google Scholar
  12. 12.
    Pennig D, Gausepohl T, Mader K (2000) Trans-articular fixation with the capacity for motion in fracture dislocations of the elbow. Injury 31:35–44PubMedCrossRefGoogle Scholar
  13. 13.
    King GJW, Zarzour Z, Rath D et al (1999) Metallic radial head arthroplasty improves valgus stability of the elbow. Clin Orthop 368:114–125PubMedGoogle Scholar
  14. 14.
    Carr CR (1971) Metallic cap replacement of the radial head. J Bone Joint Surg Am 53:1661Google Scholar
  15. 15.
    Charnley G, Judet T, de Loubresse C, Piriou P (1996) Articulated radial head replacement and elbow release for post head-injury heterotopic ossification. J Orthop Trauma 10:68–71PubMedCrossRefGoogle Scholar
  16. 16.
    Harrington IJ, Tountas AA (1981) Replacement of the radial head in the treatment of unstable elbow fractures. Injury 12:405–412PubMedCrossRefGoogle Scholar
  17. 17.
    Harrington IJ, Sekiyi-Out A, Barrington T et al (2001) The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long term review. J Trauma 50:46–52PubMedCrossRefGoogle Scholar
  18. 18.
    Holmenschlager F, Halm JP, Winckler S (2002) Les fractures fraîches de la tête radiale: résultats de la prothèse à cupule flottante de Judet. Rev Chir Orthop 88:387–397PubMedGoogle Scholar
  19. 19.
    Judet T, de Loubresse C, Garreau C et al (1996) A floating prosthesis for radial head fractures. J Bone Joint Surg Br 2:244–249Google Scholar
  20. 20.
    King GJ (2004) Management of radial head fracture with implant arthroplasty. J Hand Surg Am 1:11–26Google Scholar
  21. 21.
    Knight DJ, Rymaszewski LA, Amis AA, Miller JH (1993) Primary replacement of the fractured radial head with a metal prosthesis. J Bone Joint Surg Br 75:572–576PubMedGoogle Scholar
  22. 22.
    Moro JK, Werier J, McDermid J et al (2001) Arthroplasty with a metal radial head for unreconstructible fractures of the radial head. J Bone Joint Surg Am 83:1201–1211PubMedGoogle Scholar
  23. 23.
    Miller JH, Kaye JC, Amis AA (1986) Vitallium replacement of the radial head in trauma. J Bone Joint Surg Br 68:665–666Google Scholar
  24. 24.
    Popovic N, Gillet P, Rodriguez A, Lemaire R (2000) Fracture of the radial head with associated elbow dislocation: results of treatment using a floating radial head prosthesis. J Orthop Trauma 14:171–177PubMedCrossRefGoogle Scholar
  25. 25.
    Skalski K, Swieskowski W, Pomianowski S et al (2004) Radial head prosthesis with a mobile head. J Shoulder Elbow Surg 13:78–85PubMedCrossRefGoogle Scholar
  26. 26.
    Smets S, Govaers K, Jansen N et al (2000) The floating radial head prosthesis for comminuted radial head fractures: a multicentric study. Acta Orthop Belg 66:353–358PubMedGoogle Scholar
  27. 27.
    Pomianowski S, Morrey BF, Neale P et al (2001) Contribution of monoblock and bipolar radial head prostheses to valgus stability of the elbow. J Bone Joint Surg Am 12:1829–1834Google Scholar
  28. 28.
    Gupta G, Lucas G, Hahn D (1997) Biomechanical and computer analysis of radial head prostheses. J Shoulder Elbow Surg 6:37–48PubMedCrossRefGoogle Scholar
  29. 29.
    Beredjikian P, Nalbantoglu U, Potter H, Hotchkiss R (1999) Prosthetic radial head components and proximal radial morphology: a mismatch. J Shoulder Elbow Surg 8:471–475CrossRefGoogle Scholar
  30. 30.
    Liew V, Cooper I, Ferreira L et al (2003) The effect of metallic radial head arthroplasty on radiocapitellar joint contact area. Clinical Biomechanics 18:115–118PubMedCrossRefGoogle Scholar
  31. 31.
    Van Riet R, Van Glabbeek F, Verbogt O, Gielen J (2004) Capitellar erosion caused by a metal radial head prosthesis. J Bone Joint Surg Am 5:1061–1064Google Scholar
  32. 32.
    Mackay I, Fitzgerald B, Miller JH (1979) Silastic replacement of the head of the radius in trauma. J Bone Joint Surg Br 61:494–497PubMedGoogle Scholar
  33. 33.
    Alnot JY, Katz V, Hardy P, le GUEPAR (2003) La prothèse de tête radiale GUEPAR dans les fractures récentes et anciennes. Rev Chir Orthop 89:304–309PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Yves Allieu
    • 1
  • Matthias Winter
    • 2
  • Jean-Pierre Pequignot
    • 3
  • Philippe de Mourgues
    • 4
  1. 1.Hand InstituteClémentville ClinicMontpellierFrance
  2. 2.Department of Orthopedics and TraumatologySt. Roch HospitalNiceFrance
  3. 3.NiceFrance
  4. 4.Department of OrthopedicsSt. Joseph ClinicChambéryFrance

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