{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:21:12Z","timestamp":1793654472086,"version":"4.5.1"},"reference-count":49,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2016,10,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the expanding body of literature on radial head arthroplasty, the increasing understanding of elbow anatomy, biomechanics, and kinetics, and the evolution of surgical techniques and prosthesis designs, there is currently no evidence to support one type of radial head prosthesis over another. The purposes of the present report were to review the literature and to explore the association between prosthesis design variables and the timing of surgery and the outcome of modern radial head arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The literature search was limited to studies involving skeletally mature patients. Major databases were searched from January 1940 to May 2015 to identify studies relating to functional and subjective outcomes and radiographic results after radial head arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty articles involving 727 patients were included. Seventy percent of the implants were made of cobalt-chromium, 15% were made of pyrocarbon, 9% were made of titanium, and 6% were made of Vitallium. Seventy percent were monopolar, and 30% were bipolar. Twenty-one percent were cemented in place, 32% were press-fit, 32% were intentionally loose-fit, and 15% were fixed with an expandable stem. The weighted average duration of follow-up was 45 months. The rate of revision ranged from 0% to 29% among studies. The incidence of revision was 8% during 2,714 person-years of follow-up across all 727 patients, yielding a crude overall revision rate of 2.06 per 100 person-years of follow-up. The revision rate was not significantly affected by prosthesis polarity, material, or fixation technique, nor was it significantly affected by the delay of treatment. There was also no significant effect of prosthesis polarity, material, or fixation technique on postoperative range of motion. The Mayo Elbow Performance Score was only reported for half of the overall patient population, but, among those patients, the combined rate of excellent and good results was 85%. Seven percent of the overall patient population underwent secondary surgery about the elbow other than revision surgery. Twenty-three percent were reported to have 1 or more complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>On the basis of our analysis of the peer-reviewed English-language literature on radial head arthroplasty from January 1940 to May 2015, there seems to be no evidence to support one type of radial head prosthesis over another. The only exception is that silicone prostheses have been shown to be biologically and biomechanically insufficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.rvw.15.00095","type":"journal-article","created":{"date-parts":[[2016,10,18]],"date-time":"2016-10-18T23:34:12Z","timestamp":1476833652000},"source":"Crossref","is-referenced-by-count":105,"title":["Radial Head Arthroplasty"],"prefix":"10.2106","volume":"4","author":[{"given":"Andras","family":"Heijink","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iza\u00e4k F.","family":"Kodde","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul G.H.","family":"Mulder","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Amphia Hospital, Breda, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewout S.","family":"Veltman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurens","family":"Kaas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel P.J.","family":"van den Bekerom","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Eygendaal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Amphia Hospital, Breda, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"265","key":"r1-20230812","first-page":"187","article-title":"Valgus stability of the elbow. A definition of primary and secondary constraints","author":"Morrey","year":"1991","journal-title":"Clin Orthop Relat Res"},{"key":"r2-20230812","first-page":"51","article-title":"A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature","volume":"31","author":"Johnston","year":"1962","journal-title":"Ulster Med J"},{"issue":"172","key":"r3-20230812","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/bjs.18004217203","article-title":"Some observations on fractures of the head of the radius with a review of one hundred cases","volume":"42","author":"Mason","year":"1954","journal-title":"Br J Surg"},{"key":"r5-20230812","first-page":"845","article-title":"Ferrule caps for the head of the radius","volume":"73","author":"Speed","year":"1941","journal-title":"Surg Gynecol Obstet"},{"issue":"7","key":"r6-20230812","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.1007\/s11999-014-3516-y","article-title":"Radial head 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of the elbow: which procedure is better?","volume":"85","author":"Yan","year":"2015","journal-title":"ANZ J Surg"},{"issue":"1","key":"r42-20230812","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jse.2011.05.012","article-title":"Radial head replacement with a bipolar system: a minimum 2-year follow-up","volume":"21","author":"Zunkiewicz","year":"2012","journal-title":"J Shoulder Elbow Surg"},{"issue":"10","key":"r43-20230812","doi-asserted-by":"crossref","first-page":"2118","DOI":"10.1016\/j.jhsa.2012.06.020","article-title":"Stress shielding around radial head prostheses","volume":"37","author":"Chanlalit","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"5","key":"r44-20230812","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.jse.2009.02.011","article-title":"Radiocapitellar joint stability with bipolar versus monopolar radial head prostheses","volume":"18","author":"Moon","year":"2009","journal-title":"J Shoulder Elbow 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A case report","volume":"86-A","author":"Van Riet","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r46-20230812","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1302\/0301-620X.89B3.18099","article-title":"Validation of the lesser sigmoid notch of the ulna as a reference point for accurate placement of a prosthesis for the head of the radius: a cadaver study","volume":"89","author":"van Riet","year":"2007","journal-title":"J Bone Joint Surg Br"},{"issue":"14","key":"r47-20230812","doi-asserted-by":"crossref","first-page":"e97","DOI":"10.2106\/JBJS.K.01420","article-title":"Update on the state of outcome measurement in total elbow arthroplasty research: identifying a need for consensus","volume":"95","author":"Riedel","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"r48-20230812","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.jse.2004.11.003","article-title":"Radial head fractures: MRI evaluation of associated injuries","volume":"14","author":"Itamura","year":"2005","journal-title":"J Shoulder Elbow Surg"},{"issue":"3","key":"r49-20230812","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3109\/17453674.2010.483988","article-title":"Magnetic resonance imaging findings in 46 elbows with a radial head fracture","volume":"81","author":"Kaas","year":"2010","journal-title":"Acta Orthop"},{"issue":"8","key":"r50-20230812","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1016\/j.jse.2011.06.011","article-title":"Magnetic resonance imaging in radial head fractures: most associated injuries are not clinically relevant","volume":"20","author":"Kaas","year":"2011","journal-title":"J Shoulder Elbow Surg"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01874474-201610000-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:26:33Z","timestamp":1787750793000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01874474-201610000-00003"}},"subtitle":["A Systematic Review"],"short-title":[],"issued":{"date-parts":[[2016,10,18]]},"references-count":49,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.15.00095","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10,18]]}}}