In the article " risk of radial head arthroplasty revision is correlated with radial head diameter: a multicenter analysis of 405 cases." by mirzayan, r., lowe, n., acevedo, dc., and singh, a, the authors wanted to determine the optimal implant type and radial head diameter for radial head arthroplasty (rha).A retrospective analysis of rha cases performed by 75 surgeons at 14 medical centers in an integrated health care system between 2006 and 2017 was completed.405 cases met inclusion criteria.It was stated acumed brand anatomic radial head implants in addition to competitor radial head implants were used.Device information for the acumed anatomic radial head is unknown.The study found that revision rate was positively correlated with increasing radial head diameter.A 26-mm head had 7.7 odds of revision compared to a size 18-mm head.More than 95% of revision cases were performed within the first 36 months of the index procedure.There was a significantly higher overall reoperation rate for terrible triad (18.4%) vs.Isolated injuries (10.4%) (p =.04).There was no difference between acumed anatomic and competitor radial head implants in overall reoperation, implant revision, postoperative range of motion, or patient-reported outcomes.It is unknown how many revisions occurred with those implanted with the acumed brand anatomic radial head implants.
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