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The LRE (Lateral Resurfacing Elbow) is a minimally invasive, bone preserving prosthesis, designed to resurface only the lateral compartment of a degenerate elbow joint.
Why resurface only the lateral compartment of a degenerate elbow joint?
• In many patients with elbow arthritis, replacement of the medial compartment of the joint is unnecessary, because the disease initiates in the lateral compartment.
• This retains the two compartment anatomy of the joint for a more normal anatomic repair.
Design
The LRE is a modular system, comprising of two components. The surgeon can determine whether to implant both prostheses, or to implant a hemiarthroplasty utilising the Capitellar component only, dependant on the Radial Head bone quality.
The design of the LRE Capitellar component includes;
• An Extended Skirted Rim for a circumferential press fit and a Tapered Cruciform Peg, to ensure a secure Primary Press Fit Fixation.
• Closed Pore Porous Coating and Hydroxyapatite for minimal wear debris ingress and long term fixation(2,3)
• Titanium Porous Coating for excellent biocompatibility(2)
• Cobalt Chrome and Arcom polyethylene articulation (with the Radial Head component) for minimal wear
• 4 Sizes of Prostheses available to match all anatomy
The design of the LRE Radial Head component includes;
• A Tapered Hydroxyapatite Cruciform Peg, to ensure a secure Primary Press Fit Fixation
• Cobalt Chrome and Arcom polyethylene articulation for minimal wear
• The design of both components offers an easy conversion to a Total Elbow by removing the resurfacing components only and replacing with a Total Elbow Replacement.
Instrumentation and Technique
The LRE technique is minimally invasive and preserves bone stock, with the added benefit of simple colour-coded instrumentation to aid the surgical team.
Clinical Results
(1) ** Insert paper from Joe Pooley**
(2) Bourne RB, Rorabeck CH, Burkart BC, Kirk PG. Ingrowth Surfaces. Plasma spray Coating to Titanium Alloy Hip Replacements. Clin. Orthop 1994 Jan; 298: 37-46
(3) Soballe K, Toksvig-Larsen S, Gelinek J, Fruengaard S, Hansen S, Ryd L, Lucht U, Bunger C. Migration of Hydroxyapatite Coated Femoral Prosthesis. JBJS Vol. 75-B. No 5. Sept. 1993
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