Approved For Patient Match & Off The Shelf Consignment.
For use of the radial head prosthesis including radial head fractures not amenable to fixation, radiocapitellar arthropathy due to degeneration or malunion of a radial head fracture, complex fracture dislocation of the elbow with loss of radial head support and Essex-Lopresti fracture-dislocation with loss of the radial head, rupture of the interosseous membrane and disruption of the distal radioulnar joint. In these cases, Landsman and Seitz have shown silastic to be inadequate, metallic replacement to be stable and biologic reconstruction to be promising but unproven and with the potential for high degree of complications. The “off-the-shelf” prosthesis which are available are relatively few and are extremely expensive. What the surgeon finds is that the limited available sizes fit no particular anatomy perfectly. In general one size fits a limited few patients correctly, but will not fit all patients. The question which must be asked is why not provide a custom prosthesis which is easy to insert and provides a degree of stability necessary for these complex injuries.