{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:10:01Z","timestamp":1764493801708},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,11,12]],"date-time":"2014-11-12T00:00:00Z","timestamp":1415750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Comminuted radial head fractures are challenging to treat with open reduction and internal fixation. Radial head arthroplasty is a favourable technique for the treatment of complex radial head fractures. The purpose of this study was to evaluate the functional and radiological outcomes of radial head arthroplasty using modular pyrocarbon radial head prosthesis.<\/jats:p><\/jats:sec>Methods<\/jats:title>We retrospectively reviewed 21 consecutive patients requiring radial head arthroplasty for unreconstructible radial head fractures between J<\/jats:styled-content>uly 2003 and J<\/jats:styled-content>uly 2009. Patients completed a Short Form\u201036 (SF<\/jats:styled-content>\u201036), the D<\/jats:styled-content>isabilities of the A<\/jats:styled-content>rm, S<\/jats:styled-content>houlder and H<\/jats:styled-content>and questionnaire, and the M<\/jats:styled-content>ayo E<\/jats:styled-content>lbow P<\/jats:styled-content>erformance I<\/jats:styled-content>ndex. Patients were independently physically examined and their post\u2010operative radiographs were reviewed.<\/jats:p><\/jats:sec>Results<\/jats:title>Twenty\u2010one patients (nine males and 12 females) were reviewed at a minimum of 12 months follow\u2010up. The mean D<\/jats:styled-content>isabilities of the A<\/jats:styled-content>rm, S<\/jats:styled-content>houlder and H<\/jats:styled-content>and score was 10.8 (0\u201334.1), mean SF<\/jats:styled-content>\u201036 physical score was 76.9 (35\u201396), mean SF<\/jats:styled-content>\u201036 mental score was 83.8 (60\u201394), and their M<\/jats:styled-content>ayo E<\/jats:styled-content>lbow P<\/jats:styled-content>erformance I<\/jats:styled-content>ndex score was 86.4 (70\u2013100). Patients maintained 90% of their grip strength when compared with their uninjured arm and had 17.5\u00b0 of fixed flexion in the affected arm. Radiologically, 14 cases had some degree of post\u2010traumatic osteoarthritis, 12 cases had evidence of heterotrophic ossification, five had some evidence of periprosthetic lucency and three patients were radiologically, but not functionally \u2018overstuffed\u2019.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Radial head arthroplasty with pyrocarbon radial head prosthesis is an acceptable option when treating unreconstructable radial head fractures yielding good functional and radiological outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12908","type":"journal-article","created":{"date-parts":[[2014,11,12]],"date-time":"2014-11-12T07:14:56Z","timestamp":1415776496000},"page":"368-372","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Radial head replacement with pyrocarbon prosthesis: early clinical results"],"prefix":"10.1111","volume":"85","author":[{"given":"Irfan N.","family":"Abdulla","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diarmuid C.","family":"Molony","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery Cappagh National Orthopaedic Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Symes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Cass","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Royal North Shore Hospital Sydney New South Wales Australia"},{"name":"Sydney Shoulder Specialists Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,12]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000180606.30981.78"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004217203"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cuor.2006.10.003"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01535"},{"issue":"1","key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.2106\/JBJS.D.02933","article-title":"Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. 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