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Elbow Arthroplasty in Perspective UvA-DARE (Digital Academic Repository) Elbow arthroplasty in perspective Heijink, A. Publication date 2017 Document Version Final published version License Other Link to publication Citation for published version (APA): Heijink, A. (2017). Elbow arthroplasty in perspective. General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl) Download date:28 Sep 2021 ELBOW ARTHROPLASTY IN PERSPECTIVE Elbow arthroplasty in perspective Andras Heijink Andras Heijink Elbow arthroplasty in perspective Andras Heijink 508689-L-bw-Heijink Processed on: 23-3-2017 The publication of this thesis was kindly supported by: Nederlandse Orthopaedische Vereniging (NOV) Werkgroep Schouder en Elleboog (WSE) Amphia ziekenhuis Academisch Medisch Centrum (AMC) Link & Lima Nederland Stichting FORCE, kenniscentrum orthopedie Amphia ziekenhuis Mathys Orthopaedics BV implantcast Benelux ChipSoft Anna Fonds te Leiden Digital Publication: https://goo.gl/4y7vzv ISBN: 978-94-028-0522-2 Cover art: Joeri Van Royen, copyright 2016 Cover Lay-out: Alex Wesselink (persoonlijkproefschrift.nl) Lay-out: Alex Wesselink (persoonlijkproefschrift.nl) Drukwerk: Ipskamp Printing Andras Heijink, 2017 All rights reseverd. No part of this publication may be reproduced, stored in retrieval systems, or transmitted in any form or by any means, electronical, mechanical, photocopying, recording or otherwise, without the prior permissions of the author. 508689-L-bw-Heijink Processed on: 23-3-2017 ELBOW ARTHROPLASTY IN PERSPECTIVE ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnificus prof. dr. ir. K.I.J. Maex ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel op dinsdag 18 april 2017, te 10.00 uur door Andras Heijink geboren te Amsterdam 508689-L-bw-Heijink Processed on: 23-3-2017 Promotiecommissie: Promotores: Prof. Dr. C.N. van Dijk Universiteit van Amsterdam Prof. Dr. D. Eygendaal Universiteit van Amsterdam Overige leden: Prof. Dr. J.H. Coert Universiteit Utrecht Prof. Dr. M. Maas Universiteit van Amsterdam Prof. Dr. R.J. Oostra Universiteit van Amsterdam Dr. S.D. Strackee Universiteit van Amsterdam Prof. Dr. T.P.M. Vliet Vlieland Universiteit Leiden Faculteit der Geneeskunde 508689-L-bw-Heijink Processed on: 23-3-2017 508689-L-bw-Heijink Processed on: 23-3-2017 508689-L-bw-Heijink Processed on: 23-3-2017 “When your life flashes before your eyes, make sure you’ve got plenty to watch”. Quoted by Andy Warhol in “From A to B and back again”, author unknow 508689-L-bw-Heijink Processed on: 23-3-2017 TABLE OF CONTENTS Section I: Introduction 11 Chapter 1 General introduction 13 Section II: Do biomechanical factors play a role in the 23 pathogenesis of osteoarthritis? Chapter 2 Biomechanical considerations in the pathogenesis 25 of osteoarthritis of the elbow. Andras Heijink, Matthias Vanhees, Kimberly van den Ende, Michel P.J. van den Bekerom, Roger P. van Riet, C. Niek Van Dijk, Denise Eygendaal Knee Surg Sports Traumatol Arthrosc. (2016);25:1235-42 (doi: 10.1007/s00167-015-3518-7) Section III: Bipolar radial head arthroplasty, good or better? 41 Chapter 3 Cemented bipolar radial head arthroplasty, 43 mid-term follow-up results Andras Heijink, Izaäk F. Kodde, Laurens Kaas, Paul G.H. Mulder, C. Niek Van Dijk, Denise Eygendaal J Shoulder Elbow Surg. (2016);25:1829-1838 (doi: 10.1016/j.jse.2016.05.017) Chapter 4 Press-fit bipolar radial head arthroplasty, 63 mid-term results Izaäk F. Kodde, Andras Heijink, Laurens Kaas, Paul G.H. Mulder, C. Niek van Dijk, Denise Eygendaal J Shoulder Elbow Surg. (2016);25:1235-42 (doi: 10.1016/j.jse.2016.02.007) Chapter 5 Radial head arthroplasty, a systematic review 83 Andras Heijink, Izaäk F. Kodde, Paul G.H. Mulder, Ewout S. Veltman, Laurens Kaas, Michel P.J. van den Bekerom, Denise Eygendaal J Bone Joint Surg Reviews (2016);4:e3 (doi: 10.2106/JBJS.RVW.15.00095) 508689-L-bw-Heijink Processed on: 23-3-2017 Chapter 6 Delayed treatment of elbow pain and dysfunction 107 following Essex-Lopresti injury with metallic radial head arthroplasty: A case series Andras Heijink, Bernard F. Morrey, Roger P. van Riet, Shawn W. O’Driscoll, William P. Cooney III J Shoulder Elbow Surg. (2010);19:929-36 (doi: 10.1016/j.jse.2010.03.007) Section IV: Metallosis after Kudo total elbow arthroplasty, what 123 is the problem? Chapter 7 Identifying metallosis after Kudo total elbow 125 arthroplasty is challenging. A clinical and radiological study Andras Heijink, Martijn F. Boomsma, Koen L.M. Koenraadt, Bertram The, Robert G. Tordoir, Denise Eygendaal Submitted Section V: General discussion and conclusions 141 Chapter 8 General discussion and conclusions 143 Appendix Summary 160 Samenvatting 162 Dankwoord / Acknowledgement 164 About the author 166 508689-L-bw-Heijink Processed on: 23-3-2017 508689-L-bw-Heijink Processed on: 23-3-2017 Section I Introduction 508689-L-bw-Heijink Processed on: 23-3-2017 508689-L-bw-Heijink Processed on: 23-3-2017 Chapter 1 General introduction Andras Heijink 508689-L-bw-Heijink Processed on: 23-3-2017 14 Chapter 1 INTRODUCTION Arthroplasty (Gk, arthron, an articulation or joint + plassein, to form or mold) literally means plastic surgery of the joint. Although various types of arthroplasty exist, the term is mostly used for prosthetic replacement of a joint. Arthroplasty and replacement are generally used interchangeably, unless a different type of arthroplasty is specifically indicated. Outcomes after total joint arthroplasty, both at the level of the individual patient and at the population level, are influenced by systemic factors as well as biological and biomechanical factors at the level of the prosthesis. Biological and biomechanical factors may be related to the patient, to the execution of the operation or to the prosthesis. Biological factors include, but are not limited to, bone ingrowth or ongrowth to the surface of the prosthesis and bone quality. Biomechanical factors include, but are not limited to, bone quality, positioning of the prosthesis and prosthesis design parameters. These factors may interact with one another. We are interested in the biomechanical factors, prosthesis design parameters in particular, which influence outcome after elbow arthroplasty. We are also interested in partial arthroplasties of the elbow. We performed a number of studies on these topics, a selection of which is published in this thesis: a study on the role of biomechanical factors in the pathogenesis of osteoarthritis of the elbow, a series of studies on outcome after radial head arthroplasty (RHA) with specific interest in implant polarity, and a study on metallosis after total elbow arthroplasty (TEA). ELBOW ANATOMY The elbow is a complex joint, formed by the articulation of the distal humerus and proximal ulna and radius. It is considered a tricompartmental joint, composed of the ulnohumeral, radiocapitellar and proximal radioulnar joints. From a kinematic standpoint, the elbow is a trochogynglymoid joint, allowing flexion-extension in the ulnohumeral joint (hinge or ginglymus type of motion) and axial rotation or pivoting in the radiocapitellar and proximal radioulnar joints (trochoid type of motion)1. Stability of the elbow joint is secured by interaction of static (osseous congruency, joint capsule and collateral ligaments) and dynamic (tendons and muscles) constraints1. For a more detailed discussion of the static and functional anatomy of the elbow the reader is invited to turn to the wide spectrum of anatomical textbooks on the topic. RADIAL HEAD ARTHROPLASTY The radial head is an important secondary stabilizer of the elbow for resisting valgus stress when the primary stabilizer against valgus force, the medial collateral ligament, is insufficient2. This secondary stabilizing function of the radial head is particularly 508689-L-bw-Heijink Processed on: 23-3-2017 General introduction 15 important following Mason type 3 fractures, because of the high prevalence of associated ligamentous injuries that compromise elbow stability3-7. The same is true following more complex elbow injuries such as terrible triad injuries, complex elbow (fracture-) dislocations and longitudinal radioulnar instability. In these situations it is imperative to replace or reconstruct, and not resect, the radial head in order to allow healing of the damaged stabilizing soft tissues about the elbow. Since the introduction of radial head prostheses in the literature by Speed et al. in 1941, various prosthetic designs have been made available8. Those designs have varied in terms of material, fixation technique, modularity, and polarity. Despite the quickly rising number of publications
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