Table 3.
Summary of studies
Author | Number of patients | Procedure | Average followup time | Results | Prosthetic failure | Silicone synovitis | Revision |
---|---|---|---|---|---|---|---|
Morrey et al. [27] | 17 | Silastic radial head | 6.7 years | 12/17 (71%) satisfactory; 5/17 (29%) unsatisfactory | 8/17 (47%) | Not specified | 29% |
Mackay et al. [19] | 18 | Silastic radial head | 26 months | 7/18 (39%) excellent; 10/18 (56%) good; 1/18 (5%) poor | 2/18 (11%) | Not specified | 1/18 (5%) |
Mayhall et al. [20] | 11 patients (12 prostheses) | Silastic radial head | Not specified; Case reports | Not specified | 5/12(42%) | Not specified | 3/12 (25%) |
Herbertsson et al. [11] | 61 | Radial head excision | 18 years | 28 patients were symptoms free, 27 occasional pain and 6 with daily pain | N/A | N/A | N/A |
Harrington et al. [10] | 20 | Metallic radial head arthroplasty | 12.1 years | 12 excellent; 4 good; 2 fair; 2 poor | N/A | ||
Grewal et al. [8] | 26 | Metallic radial head arthroplasty | 24.5 months | Mean SF-36 score = 41.8; mean DASH = 24.4; mean MEPS = 83.4 with 50% excellent and 17% good | 0 | N/A | 0 |
Popovic et al. [31] | 51 | Bipolar metallic arthroplasty | 8.4 years | MEPS: 14 excellent, 25 good, 9 fair, 3 poor. 37 with progressive osteolysis | None | N/A | None |
Ring and King [34] | 27 | Metallic radial head arthroplasty | 40 months | MEPS: 13 excellent, 9 good, 3 fair, and 2 poor; Avg DASH = 17; Avg ASES instrument = 84 | 1 overstuffing | N/A | None |
Hausman et al. | 23 patients | Silastic radial head replacement with concomitant medial ligament repair or reconstruction | 69.6 months | Avg DASH score 11.8; Avg MEPS 88.9: (12 excellent, 8 good, 2 fair, 1 poor) | 1/23 (4%) | Not observed | No revisions |
Avg = Average; DASH = Disabilities of the Arm, Shoulder, and Hand; MEPS = Mayo Elbow Performance Score; ASES = American Shoulder and Elbow Surgeons; N/A = not available.