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J Shoulder Elbow Surg. 2012 Apr;21(4):451-5. doi: 10.1016/j.jse.2011.07.011. Epub 2011 Oct 17.

The Kudo humeral component as primary hemiarthroplasty in distal humeral fractures.

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  • 1Department of Orthopaedics, Linköping University Hospital, Linköping, Sweden. lars.adolfsson@lio.se

Abstract

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.

MATERIAL 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).

RESULTS:

All patients had a good or excellent outcome according to the MEPS. Mean ROM was 31° to 126°. 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.

CONCLUSION:

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.

Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

PMID:
22005125
[PubMed - indexed for MEDLINE]
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