Abstract:
PURPOSE:Reverse shoulder prostheses have been gaining popularity in recent years. A short metaphyseal stem design will allow bone stock preservation and minimize stem related complications. We examined the clinical and radiographic short-term outcome of a short metaphyseal stem reverse shoulder arthroplasty. METHODS:Thirty-one patients, with a mean follow-up of 36 months (24-52), were evaluated clinically with the Constant-Murley score, patient satisfaction and pain relief scores. The fixation of the glenoid and humeral components, subsidence and notching were evaluated on radiographs. The indications were cuff tear arthropathy (22), fracture sequelae (five) and rheumatoid arthritis (four). RESULTS:The average Constant score improved from 12.7 (range two to 31) pre-operatively to 56.2 (range 17-86) postoperatively. It rose from 13.5 to 58.3 in patients with Cuff arthropathy, from 15.8 to 62.0 in revision arthroplasty, from 10.2 to 47.4 in those with fracture sequelae, and from 11.5 to 55.3 in patients with rheumatoid arthritis. The overall mean patient satisfaction score improved from 2.4/10 to 8.5/10 and mean pain score improved from 0.8/15 to 12.5/15. We found an overall improvement in active forward flexion from 46.8 to 128.5° and from 41.6 to 116.5° in abduction. No humeral loosening or subsidence was observed. Two cases of grade 1-2 glenoid notching were reported. Overall there were three intra-operative fractures that did not affect the operation and healed without affecting the good results. There were five late traumatic periprosthetic fractures, only one of them required a revision surgery to a stemmed implant and the rest healed without surgery. There were two early dislocations that had to be revised. CONCLUSIONS:The clinical and radiographic evaluation of a bone preserving metaphyseal humeral component in reverse shoulder arthroplasty is promising, with good clinical results, no signs of loosening or subsidence.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Atoun E,Van Tongel A,Hous N,Narvani A,Relwani J,Abraham R,Levy Odoi
10.1007/s00264-014-2328-8subject
Has Abstractpub_date
2014-06-01 00:00:00pages
1213-8issue
6eissn
0341-2695issn
1432-5195journal_volume
38pub_type
杂志文章abstract::The incidence of the major complications of operation have been studied prospectively in 1,722 patients with a proximal femoral fracture treated by either insertion of a hemiarthroplasty, internal fixation with a Dynamic Hip Screw (DHS) or multiple parallel screws. Major complications occurred in 8.0%. A special surgi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192477
更新日期:1994-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:International orthopaedics
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更新日期:1981-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2010-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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doi:10.1007/s00264-010-1069-6
更新日期:2011-07-01 00:00:00
abstract::Uncemented, threaded acetabular components with smooth surface treatment were widely used in continental Europe in the 1970s and 1980s for primary total hip arthroplasty (THA). Previously published studies showed high failure rates in the mid-term. In a consecutive series of 116 patients, 127 threaded cups with smooth...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0844-8
更新日期:2010-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050205
更新日期:1998-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
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更新日期:2009-12-01 00:00:00
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更新日期:2015-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2002-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2017-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00