Radial Head Arthroplasty with a Modular Metal Spacer to Treat Acute Traumatic Elbow Instability by David Ring, and Graham King JBJS Essent Surg Tech Volume.

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Presentation transcript:

Radial Head Arthroplasty with a Modular Metal Spacer to Treat Acute Traumatic Elbow Instability by David Ring, and Graham King JBJS Essent Surg Tech Volume os-90(Supplement 2 Part 1):63-73 March 1, 2008 ©2008 by The Journal of Bone and Joint Surgery, Inc.

For complex injuries such as the so-called terrible triad and posterior olecranon fracture dislocations, a versatile posterior midline longitudinal incision with a lateral skin flap is useful. David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

Most radial head fractures that are treated with prosthetic replacement occur in the setting of an elbow dislocation, in which case the origins of the lateral collateral ligament and extensor digitorum communis are typically avulsed from the lateral epicond... David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

Any remaining radial head is resected just distal to the flare of the head-neck junction with use of an osteotome or saw. David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

A planer can be used to even off the remaining radial neck. David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

The medullary canal of the radial neck is reamed just until cortical bone is scratched, and a stem one size smaller than the reamer that removes a small amount of cortical bone is selected. David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

Prosthesis insertion can be facilitated by placing a retractor posterior to the radial neck and levering the neck anteriorly and laterally with respect to the ulna and the distal aspect of the humerus. David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.

David Ring, and Graham King J Bone Joint Surg Am 2008;os-90:63-73 ©2008 by The Journal of Bone and Joint Surgery, Inc.