The use of frozen-allograft radial head replacement for treatment of established symptomatic proximal translation of the radius: Preliminary experience in five cases

Robert M Szabo, R. N. Hotchkiss, Jr Slater R.R.

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

Five patients with disabling symptoms related to proximal translation (> 1 cm) of the radius following radial head excision (Essex-Lopresti lesion) were treated with implantation of a frozen-allograft radial head prosthesis. Following restoration of neutral ulnar variance at the wrist, a size-matched frozen radial head allograft was implanted and secured to the proximal radius with internal fixation. In three patients, this was a two-stage procedure; radial length was restored gradually using an Ilizarov external fixation device and the allograft was placed later. Patients were evaluated clinically and radiographically at a mean follow-up time of 3 years (range, 1-7 years). All patients had relief of wrist and elbow pain and were satisfied with the outcome of the operation. Forearm rotation improved by a mean of 37°and wrist motion improved by a mean of 45°. Forearm reconstruction with frozen radial head allograft implantation may be a beneficial method of treatment for this difficult problem.

Original languageEnglish (US)
Pages (from-to)269-278
Number of pages10
JournalJournal of Hand Surgery
Volume22
Issue number2
StatePublished - 1997

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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