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Radiocapitellar Arthroplasty: Systematic Review.

David Momtaz1, Farhan Ahmad2, Tucker Cushing3

  • 1Long School of Medicine, UT Health Science Center at San Antonio, San Antonio, TX, USA.

Journal of Shoulder and Elbow Arthroplasty
|February 2, 2023
PubMed
Summary

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Radiocapitellar arthroplasty (RCA) significantly improves elbow motion and patient outcomes for osteoarthritis. While complications occurred, RCA shows promise for specific elbow arthritis cases.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Primary elbow osteoarthritis affects ~2% of the population.
  • Total elbow arthroplasty (TEA) has limitations in weight-bearing and longevity.
  • Unicompartmental arthroplasty is an alternative for specific cases.

Purpose of the Study:

  • To describe the use of Uni-Elbow Radio-Capitellum and Lateral Resurfacing Elbow (RCA) for radiocapitellar arthritis.
  • To evaluate the effectiveness of RCA in improving elbow function and patient-reported outcomes.

Main Methods:

  • Systematic review of databases using keywords: radiocapitellar arthroplasty, RCA, UNI-E, LRE.
  • Inclusion of studies based on quality assessed by Cochrane risk of bias tool.
  • Exclusion of review studies.
Keywords:
arthroplastyelbowradiocapitellar arthroplasty

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Main Results:

  • RCA significantly increased flexion-extension (38.3°) and pronation-supination (35.2°).
  • Patient-reported outcomes improved significantly: Mayo Elbow Performance Score (+44.8), DASH Score (-45.0), and ASES Score (+47.0).
  • Complications occurred in 16.2% of patients, with higher rates in the UNI-E group.

Conclusions:

  • Radiocapitellar arthroplasty (RCA) demonstrates potential for treating radiocapitellar arthritis.
  • RCA is particularly beneficial when radial head excision risks lateral column instability.