Table 1.
Outcomes of all studies identified in literature.
| Study | Reconstruction technique | Sample size | Follow up in months | Functional outcome & scores (TESS, DASH, MSTS, MEPS, wherever available) | Complications |
|---|---|---|---|---|---|
| Rydholm, 19873 | Radius neck to humerus trochlea articulation | 1 | 9 | ROM: 35°–135° Pronosupination: 40° | Muscle weakness nearly 50% of normal |
| Gianoutsos et al., 199411 | Osteocutaneous fibular free flap | 1 | 36 | ROM: 10°–100° Pronation: 45° Supination: 35° Power: 4/5 | Instability of the reconstructed joint, Donor site: leg edema |
| Kimura et al., 20028 | Vascularized fibular graft | 1 | 48 | MSTS 100% (30/30) | Nil |
| Weber et al., 200316 | Total elbow replacement | 11 elbows (1 proximal ulna tumor) | 12–124 (mean – 47), Median – 37) | Mean MSTS: 83% (25/30) | Periprosthetic lysis |
| Duncan et al., 20087 | Radial neck to humerus trochlea transposition | 2 | 96 12 |
MSTS (Mean): 88.3% (26.5/30) | Joint instability and muscle weakness |
| Guo et al., 200817 | Total elbow arthroplasty | 19 elbows (5 proximal ulna tumors) | 24 | MEPS: Good in 14/19: 77.8% Poor in 4/19: 22.2% | Stem loosening, periprosthetic lysis and revision surgeries |
| Ogose et al., 201020 | Combined vascularized fibula + osteochondral extracorporeal irradiated graft | 1 | 120 | ROM: −20°–120° Pronation: 80° Supination: 10° | Proximal osteotomy site nonunion: iliac crest bone grafting at 16 months after surgery |
| Minhas et al., 201023 | Arthrodesis with fibula | 1 | 60 | Elbow fusion | Nil |
| Chen et al., 20129 | Radius neck to humerus trochlea transposition | 1 | 12 | MSTS: 83% (25/30) ROM: 10°–90°. Slight restriction in prono-supination. | Joint instability Muscle strength weakness |
| Sewell et al., 201218 | Custom proximal ulna endoprosthetic replacement | 4 | 85 | Mean MSTS: 90% (27/30) Mean TESS: 81 (73–88) | Triceps weakness |
| Goyal et al., 201315 | Non-vascularized fibula to remaining olecranon | 1 | 24 | ROM - 40°–130, 70° prono-supination | Nil |
| Wang et al., 201514 | Non-vascularized fibula to remaining olecranon | 1 | 24 | ROM - 0 ° to 135 °, Pronation: 30 °, Supination: 85 °. The grip power of the left hand was 36 kg, which was 86% of the contralateral side (42 kg) | Nil |
| Kalaiah et al., 201513 | Non-vascularized fibula with trans-osseous sutures | 1 | 24 | Not mentioned | Not mentioned |
| Sulko, 201310 | Radial head transposition with inverted V-plasty of triceps | 1 | 27 | MSTS: 96.67% (29/30) DASH: zero Power: 5/5 | Restricted Pronation. Limb length discrepancy: 2 cm |
| Puri et al., 201619 | Medialization of radius to a preserved proximal articular segment of ulna | 1 | 60 | ROM: 10°–130° MSTS: 90% (27/30) | Restricted prono-supination, limb length discrepancy. Implant prominence over elbow |
| Goyal P et al., 201625 | Partial excision with soft tissue reattachment | 1 | 60 | Full ROM of elbow | Nil |
| Sboui et al., 20171 | Medialization of radius to a preserved proximal articular segment of ulna | 1 | 36 | ROM: 20°–125°, no prono-supination | No prono-supination |
| Megas et al., 201712 | Non-vascularized fibula with trans-osseous sutures | 1 | 25 | ROM: 20°–110°, supination - 30°, pronation - 40°, Mayo Elbow Score - 75 points | Nil |
| Gundavda et al., 20196 | Osteoarticular extracorporeal irradiation and reimplantation of proximal ulna resected segment | 3 | 28–42 | ROM: 0°–130° Pronosupination: full Power: 5/5 MSTS: 100% (30/30) DASH: zero MEPS: 100 | Implant prominence over the elbow in 1 case |
| Houdek et al., 20195 | Transposition of the radial neck to the trochlea of the humerus | 2 | 24 | TESS: 87, 91.4; MSTS: 87, 83; DASH: 20.8, 24.2 ROM: 30–110° flexion & 45° of prono-supination to neutral ROM: 30–130 & 45 pronosupination to neutral |
Nil |