|
| Study, year | Cases | Reconstruction technique | Results | Complications and remarks |
|
| Current study | 3 | Osteoarticular extracorporeal irradiation and reimplantation of proximal ulna resected segment | ROM: 0° to 130°
Pronosupination: full
Power: 5/5
MSTS: 100% (30/30)
DASH: zero
MEPS: 100 | Implant prominence over the elbow in 1 case |
| Rydholm, 1987 [3] | 1 | Radius neck to humerus trochlea articulation | ROM: 35° to 135°
Pronosupination: 40° | Muscle weakness nearly 50 percent of normal |
| Gianoutsos et al., 1994 [6] | 1 | Osteocutaneous fibular free flap | ROM: 10° to 100°
Pronation: 45°
Supination: 35°
Power: 4/5 | Instability of the joint
Donor site: leg edema |
| Kimura et al., 2002 [7] | 1 | Vascularized fibular graft | MSTS 100% (30/30) | Annular ligament reconstructed for joint stability |
| Weber et al., 2003 [8] | 11 elbows (1 proximal ulna tumor) | Total elbow replacement | Mean MSTS: 83% (25/30) | Periprosthetic lysis |
| Duncan et al., 2008 [2] | 2 | Radial neck to humerus trochlea transposition | MSTS (Mean): 88.3% (26.5/30) | Joint instability and muscle weakness |
| Guo et al., 2008 [9] | 19 elbows (5 proximal ulna tumors) | Total elbow arthroplasty | MEPS:
Good in 14/19: 77.8%
Poor in 4/19: 22.2% | Stem loosening
Periprosthetic lysis
Revision surgeries |
| Ogose et al., 2010 [13] | 1 | Combined vascularized fibula + osteochondral extracorporeal irradiated graft. | ROM: 20° to 120°
Pronation: 80°
Supination: 10° | Proximal osteotomy site nonunion: bone grafting at 16 months after surgery |
| Chen et al., 2012 [4] | 1 | Radius neck to humerus trochlea transposition | MSTS: 83% (25/30)
ROM: 10° to 90° | Joint instability
Muscle strength weakness |
| Sewell et al., 2012 [10] | 4 | Custom proximal ulna endoprosthetic replacement | Mean MSTS: 90% (27/30)
Mean TESS: 81 (73 to 88) | Triceps weakness |
| Sulko, 2013 [5] | 1 | Radial head transposition with inverted V-plasty of triceps | MSTS: 96.67% (29/30)
DASH: zero
Power: 5/5 | Restricted Pronation.
Limb length discrepancy: 2 cm |
| Puri et al., 2016 [1] | 1 | Medialization of radius to a preserved proximal articular segment of ulna | ROM: 10° to 130°
MSTS: 90% (27/30) | Restricted pronosupination
Limb length discrepancy.
Implant prominence over elbow |
|
