The Kudo humeral component as primary hemiarthroplasty in distal humeral fractures
2012 (English)In: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 21, no 4, 451-455 p.Article in journal (Refereed) Published
Background: Treatment of intra-articular fractures of the distal humerus in the elderly is challenging. In patients with very distal fractures and severe comminution, primary arthroplasty has been advocated. Recently, a few reports have described promising results of hemiarthroplasty. This study describes the medium-term results of using the Kudo humeral implant (Biomet Ltd, Bridgend, U. K.) as replacement of the distal humerus. less thanbrgreater than less thanbrgreater thanMaterial and methods: Eight women (mean age, 79 years) were treated. Follow-up was conducted at a mean of 4 years after the procedure and consisted of the Mayo Elbow Performance Score (MEPS), radiographic images, and range of motion (ROM). less thanbrgreater than less thanbrgreater thanResults: All patients had a good or excellent outcome according to the MEPS. Mean ROM was 31 degrees to 126 degrees. Radiographic signs of attrition of the ulna were observed in 3 patients but did not correlate with the functional outcome. A periprosthetic fracture occurred in 1 patient 3 years after the index operation, and ROM was unsatisfactory in 1 patient. No other complications were observed. less thanbrgreater than less thanbrgreater thanConclusion: The use of the Kudo humeral implant as a hemiarthroplasty resulted in a reasonable functional outcome in the medium-term, but the radiographic signs of attrition suggest that the implant is not recommended as a hemiprosthesis.
Place, publisher, year, edition, pages
Elsevier , 2012. Vol. 21, no 4, 451-455 p.
Distal humeral fracture, osteoporosis, Kudo prosthesis, elderly women, elbow hemiarthroplasty, radiographic attrition
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-77538DOI: 10.1016/j.jse.2011.07.011ISI: 000303148600007OAI: oai:DiVA.org:liu-77538DiVA: diva2:528596