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The Kudo humeral component as primary hemiarthroplasty in distal humeral fractures
Linköping University, Department of Clinical and Experimental Medicine, Orthopaedics and Sports Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Östergötlands Läns Landsting, Orthopaedic Centre, Department of Orthopaedics Linköping.
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
Abstract [en]

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.
Keyword [en]
Distal humeral fracture, osteoporosis, Kudo prosthesis, elderly women, elbow hemiarthroplasty, radiographic attrition
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-77538DOI: 10.1016/j.jse.2011.07.011ISI: 000303148600007OAI: diva2:528596
Available from: 2012-05-28 Created: 2012-05-22 Last updated: 2012-05-28

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Adolfsson, Lars
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Orthopaedics and Sports MedicineFaculty of Health SciencesDepartment of Orthopaedics in LinköpingDepartment of Orthopaedics Linköping
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Journal of shoulder and elbow surgery
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