Early to midterm radiographic loosening of the press fit radial head prosthesis
Injury Mar 16, 2021
Rafla S, Carroll EA, Wiesler ER, et al. - Radiographic loosening around the radial head (RH) implant is a frequently observed phenomenon. Researchers here tested their hypothesis that more frequent occurrence of radiographic loosening will be observed in patients in which the RH prosthesis was implanted due to elbow trauma resulting in instability that necessitated lateral collateral ligament repair (LCL). Performing a retrospective review of the patients who had RH implantation between 2012 and 2019, they identified radiographic loosening around the implant in eight out of 25 included patients at a mean follow up of 18 months (range 1.4 – 80). Observations revealed no increase in the risk of loosening in correlation with elbow instability at the time of surgery. Implant removal may be required in cases having forearm pain with loosening of the implant. No association of development of prosthetic radial head radiographic loosening with LCL repair was observed.
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