Radial head arthroplasty: A pillar of stability in complex elbow fractures

doi:10.5312/wjo.v16.i9.110433

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Sep 18, 2025 (publication date) through Feb 20, 2026

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Orthop. Sep 18, 2025; 16(9): 110433
Published online Sep 18, 2025. doi: 10.5312/wjo.v16.i9.110433

Radial head arthroplasty: A pillar of stability in complex elbow fractures

Amr Elshahhat, Mahmoud Almekoud

Amr Elshahhat, Mahmoud Almekoud, Department of Orthopedic Surgery, Mansoura University, Mansoura 33516, Dakahlia, Egypt

Author contributions: Elshahhat A designed the overall concept and outline of the manuscript; Elshahhat A and Almekoud M contributed to the writing and editing the manuscript, illustrations and review of literature. All authors were responsible for critical revision, and final approval of the manuscript.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Amr Elshahhat, MD, PhD, Assistant professor, Department of Orthopedic Surgery, Mansoura University, Algomhoria Street, Mansoura 33516, Dakahlia, Egypt. amrelshahat@mans.edu.eg

Received: June 7, 2025
Revised: June 26, 2025
Accepted: August 11, 2025
Published online: September 18, 2025
Processing time: 96 Days and 12 Hours

Core Tip

Core Tip: Radial head (RH) arthroplasty has become a preferred treatment option for non-reconstructable Mason type III and IV RH fractures, particularly when associated with elbow instability. This editorial examines the anatomical and biomechanical rationale for RH arthroplasty, evaluates prosthetic design evolution, and critically reviews clinical outcomes and complication patterns. Special emphasis is placed on common failure modes such as aseptic loosening, overstuffing, and stiffness, as well as its cost-effectiveness in comparison to alternative surgical strategies. The aim is to provide a comprehensive, evidence-based perspective to guide surgical decision-making in complex elbow trauma. A treatment algorithm is provided to aid surgical decision-making in Mason type III and IV RH fractures, based on fracture morphology and elbow stability.