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In 13 patients (13 elbows) the initial operation had been undertaken within one week of a fracture of the radial head, at one to six weeks in seven patients (seven elbows) and more than six weeks (mean of 2.5 years (2 to 65 months)) in 22 patients (25 elbows). In the remaining two elbows the replacement was inserted for non-traumatic reasons. The most common indication for further surgery was painful loosening (31 elbows). Revision was undertaken for stiffness in 18 elbows, instability in nine, and deep infection in two. There were signs of over-lengthening of the radius in 11 elbows. Degenerative changes were found in all but one. Only three loose implants had been fixed with cement. Instability was not identified in any of the bipolar implants. <\/jats:p>","DOI":"10.1302\/0301-620x.92b5.23067","type":"journal-article","created":{"date-parts":[[2010,4,30]],"date-time":"2010-04-30T23:25:18Z","timestamp":1272669918000},"page":"661-667","source":"Crossref","is-referenced-by-count":115,"title":["Failure of metal radial head replacement"],"prefix":"10.1302","volume":"92-B","author":[{"given":"R. P.","family":"van Riet","sequence":"first","affiliation":[{"name":"Monica Hospital SPM Deurne, Stevenslei 20, 2100 Deurne, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sanchez-Sotelo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mayo Clinic, Mayo Foundation, 200 First Street SW, Rochester, Minnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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