Evidence map›Paper›PMID 42371170›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Medium- to long-term results of press-fit radial head arthroplasty in acute fractures and post-traumatic conditions.

Giuseppe Giannicola, Andrea Amura, Sebastien Prigent, Mattia Fabbri, Pasquale Sessa

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Giuseppe GiannicolaDepartment of Anatomic, Histological, Forensic Medicine and Orthopedic sciences, Sapienza University of Rome, Rome, Italy.
Andrea AmuraDepartment of Anatomic, Histological, Forensic Medicine and Orthopedic sciences, Sapienza University of Rome, Rome, Italy.
Sebastien PrigentDepartment of Anatomic, Histological, Forensic Medicine and Orthopedic sciences, Sapienza University of Rome, Rome, Italy.
Mattia FabbriDepartment of Anatomic, Histological, Forensic Medicine and Orthopedic sciences, Sapienza University of Rome, Rome, Italy.
Pasquale SessaDepartment of Orthopedics and Traumatology, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy. p.sessa@hotmail.it.ORCID https://orcid.org/0000-0002-2208-3623

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6 · The paper itself

Abstract

purposeThe aim of this study was to assess the clinical results and the causes of implant failure of press-fit radial head arthroplasty (RHA) in the medium- to long-term.

methods97 consecutive patients treated with a press-fit RHA by a single surgeon were analyzed. According to the type of implant they received there were 56 patients with a bipolar prosthesis and 41 patients with an anatomical prosthesis. At the last follow-up, the patients underwent X-rays and clinical evaluation based on the Mayo Elbow Performance Score (MEPS), the patient-assessed American Shoulder and Elbow Surgeons score-Elbow (p-ASES-E), and the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH). The causes of reintervention and implant failure were recorded.

resultsThe mean follow-up was 9 years (5-17 years); 24 patients were followed up for longer than 12 years. At the last follow-up, the average flexion, extension, pronation and supination were 139°, 15.2°, 82° and 81.2° in the whole cohort of patients, respectively. The MEPS, QuickDASH and p-ASES-e were 94.3, 6.7 and 93.6, respectively. Four patients underwent reinterventions due to 3 bipolar implant disassembly caused by new traumas and 1 aseptic loosening of an anatomical RHA.

conclusionsBoth press-fit radial head arthroplasty implants analyzed yielded satisfactory clinical and radiographic results in the medium to long-term in most patients, with a very low incidence of implant-related reinterventions (4.1%). In the absence of a pre-specified non-inferiority framework, no formal equivalence claim between the two implant designs can be made on the basis of the present study. LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, ElbowElbow JointElbow ProsthesisRadial Head and Neck FracturesRadius FracturesAdultAgedElbow InjuriesFemaleFollow-Up StudiesHumansMaleMiddle AgedProsthesis DesignProsthesis FailureRadiographyAnatomic RH arthroplastyBipolar radial head arthroplastyClinical resultsPress-fit radial head arthroplastyProsthesis survivalRadial head arthroplasty

Identifiers

PMID42371170

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