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The Journal of Bone and Joint Surgery (American) 86:1061-1064 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Capitellar Erosion Caused by a Metal Radial Head Prosthesis

A Case Report

Roger P. Van Riet, MD1, Francis Van Glabbeek, MD1, Olivier Verborgt, MD, PhD1 and Jan Gielen, MD, PhD1

1 Departments of Orthopaedics and Traumatology (R.P.v.R., F.V.G., and O.V.), and Radiology (J.G.), University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium. E-mail address for R.P. van Riet: roger.van.riet@uza.be

Investigation performed at the Department of Orthopaedics and Traumatology and the Department of Radiology, University Hospital Antwerp, Edegem, Belgium

The first 150 words of the full text of this article appear below.


   Introduction
 
The long-term results of resection of the radial head for the treatment of a simple radial head fracture have been generally satisfactory1-5. However, some late complications, such as proximal migration of the radius, can disable the patient and are difficult to treat. Proximal migration of the radius is usually asymptomatic3-5, although wrist pain develops in a minority of patients3-8. The options for treatment are limited, and clinical studies have shown poor and unreliable results9,10. Sowa et al. described a case in which a silicone radial head prosthesis was implanted for the treatment of wrist symptoms10. Proximal migration of the radius progressed, and it was concluded that a more rigid implant would be necessary. Sellman et al. reached a similar conclusion after performing a biomechanical study of this problem11.

We report the case of a patient who had early progressive erosion of the capitellum after . . . [Full Text of this Article]


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