Introduction: over the years, the indication for the use of a radial head prosthesis changed from the preventionof heterotopic ossification to the prevention of proximal migration of the radius and instability of the elbow. Currently , optimal indication of radial head prosthesis is unreconstructable radial head fracture with associated elbow injuries.
Patients and methods: between 2010 and early 2013, 14 patients suffering from fracture head of radius were treated by prosthesis. 9 males and 5 females with mean age of 40.7 years.
Results: mean follow up was 13.3 months (6-30 months). according to Mayo Elbow Performance Score (MEPS) 4 patients had excellent , 8 good while 2 had poor outcome.
Conclusions: Radial head prosthesis have found a definite place in treatment of complex radial head fractures. Material and designs have improved and even the indication has changed from prevention of bone formation to prevention of instability