[Эндопротезирование головки лучевой кости биполярным бесцементным эндопротезом с парой трения металл – металл]
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 610, Issue 1
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. Mehtods: 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.
Authors and Affiliations
Igor Boyko, Dmitriy Shcherbakov, Vasyl Makarov, Gleb Lazarenko
Mathematical modeling of dynamic loading features of hip joint after resection of proximal femur tumors
The problem of achieving positive results in the treatment of patients with tumors of the upper third of the femur remains relevant. Among the methods for studying the functioning of the hip joint and for analyzing the s...
Is there not a better way to prevent venousthromboembolism after total knee arthroplasty?
Background: aspirin at 325 mg twice daily is now included as a nationally approved venous thromboembolism prophylaxis protocol for low risk total knee arthroplasty patients. The purpose of this study is to examine if t...
Epidemiology of lower extremities fractures in the population in Vinnitsa region
Lower extremities fractures are ⅓ to ½ of all fractures, that can increase morbidity and mortality. Nowadays there are studies devoted to the age and gender peculiarities of femur fractures in Ukraine, but data of other...
Effect of bone canal widening after anterior cruciate ligament reconstruction [Эффект расширения костных каналов после реконструкции передней крестообразной связки]
One of the complications after anterior cruciate ligament reconstruction is widening of bone canals after surgery, it can lead to slow integration of the graft with bone, promotion of secondary instability and revision r...
The dynamics of blood indexes in rats after ceramic biomaterial implantation in defects of the femur methaphis and diaphysis [Динаміка показників крові щурів після імплантації керамічного біоматеріалу в дефекти метафіза та діафіза стегнової кістки]
Objective: on the base of blood markers dynamics we determined the influence of ceramic material on the rats’ organism and bone regeneration after implantation in the femur methaphis and diaphysis. Methods: study was mad...