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:PURPOSE:ADVANCE Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiograph...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2043-x
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with cal...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04534-9
更新日期:2020-05-01 00:00:00
abstract::We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186377
更新日期:1993-01-01 00:00:00
abstract::Twenty-five patients underwent scapulectomy for various tumours between 1989 and 2005. We describe 23 patients with scapular tumours who were followed-up for a minimum of 2 years after scapulectomy. The average age was 29 years, and two-thirds of the patients were male. Nineteen patients had malignant neoplasms, of wh...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0261-1
更新日期:2007-12-01 00:00:00
abstract:PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-04284-9
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:The purpose of the study was to evaluate the treatment of five patients with proximal tibial epiphysis preserving resection for malignant tumours of the tibia. METHOD:Three patients suffered from Ewing sarcoma, two had osteosarcoma. The proximal level of the resection was in the line of the growth plate in fou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1731-2
更新日期:2013-01-01 00:00:00
abstract::One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the thir...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268506
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Controversies regarding the treatment of advanced tuberculosis of the knee still exist. We retrospectively investigated protocols of total knee arthroplasty (TKA) and their efficacy in patients with advanced tuberculosis. METHODS:Nine TKAs associated with advanced tuberculosis were performed at our institut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-3050-x
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION:Lateral humeral condylar fractures are the second most common elbow fractures in children. We present the long-term clinical and radiographic results. MATERIAL AND METHODS:All children (<16 years) in the geographic catchment area with lateral condylar fracture were asked to participate and 32 (76.2%) pati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3451-0
更新日期:2017-07-01 00:00:00
abstract::Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0651-7
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:Total knee arthroplasty (TKA) as a treatment for end-stage osteoarthritis of the knee shows good results in terms of patient satisfaction. For the assessment of outcome and revision rate after total joint arthroplasty, there are two major data sources: clinical studies and national arthroplasty registers. The p...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-011-1255-1
更新日期:2012-01-01 00:00:00
abstract::The purpose of this study was to evaluate the outcome of subcoracoid pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. This type of tear involves complete rupture of the subscapularis in combination with either the supraspinatus alone or the supraspinatus and infraspinatus. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0799-9
更新日期:2010-06-01 00:00:00
abstract:PURPOSE:The use of total hip arthroplasty (THA) to treat advanced tuberculous arthritis, particularly during the active phase, is challenging. The aim of this study was to evaluate the efficacy of cementless THA for advanced hip joint tuberculosis. METHODS:This study reviewed 32 patients (mean age at surgery, 49.4 yea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2997-y
更新日期:2015-11-01 00:00:00
abstract::Loss of joint space, formation of osteophytes and deformation are common features of osteoarthritis. Little information exists about the radiological features of arthrosis in relation to clinical findings and the radiological appearance in degenerative shoulder joint disease especially with regard to decision making a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0846-6
更新日期:2010-06-01 00:00:00
abstract::Antibiotic-associated colitis was diagnosed in 23 orthopaedic patients: 17 had abdominal symptoms, 3 had a fever and the remaining 3 had no symptoms but increasing C-reactive protein values or white blood count. The antibiotic was clindamycin in 19, cephalosporins in 3 and a combination of vancomycin and fusidic acid ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050063
更新日期:1996-01-01 00:00:00
abstract::We carried out a retrospective review of 32 consecutive patients (30 adults and two children) with total or partial lesions of the brachial plexus who had surgical repair using nerve grafting, neurotisation, and neurolysis between January 1991 and December 2003. The outcome measures of muscular strength were correlate...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0017-3
更新日期:2005-12-01 00:00:00
abstract:PURPOSE:Corticotomy is an integral part of the Ilizarov method on management of infected nonunited fractures that are challenging orthopaedic surgeons. However, the presence of active draining sinuses may contaminate the operative field with the potential of developing corticotomy site infection. The authors present a ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3924-9
更新日期:2018-12-01 00:00:00
abstract::An appraisal of the clinical records of patients with malignant bone tumours enabled us to identify 61 whom we have treated by external fixation. There were 38 males and 23 females with ages ranging from 4 to 58 years, the mean being 14 years. The average period of follow-up was 6 years (1-12 years). For the purpose o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050223
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Computed tomography (CT) is widely used to assess component rotation in patients with poor results after total knee arthroplasty (TKA). The purpose of this study was to simultaneously determine the accuracy and reliability of CT in measuring TKA component rotation. METHODS:TKA components were implanted in dry-...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2917-1
更新日期:2016-04-01 00:00:00
abstract::Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183550
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1622-6
更新日期:2012-09-01 00:00:00
abstract::We used custom mega-prostheses in 57 patients with aggressive benign and malignant tumours of the proximal humerus. The most common tumour was osteosarcoma, followed by giant cell tumour and chondrosarcoma. We achieved extra-articular and wide resection margins in all primary malignant tumours and narrow margins in be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0029-z
更新日期:2006-06-01 00:00:00
abstract::A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267736
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:Donor site pain affects 32-43 % of patients after anterior cruciate ligament surgery when the autograft is freshly harvested bone-patellar tendon-bone tissue. Our aim was to compare functional and morphological differences between donor sites with and without serum albumin-coated bone allograft filling. METHOD...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3246-8
更新日期:2016-10-01 00:00:00
abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0161-4
更新日期:2007-04-01 00:00:00
abstract:PURPOSE:Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. METHODS:We performed an extensive review of the literature as well as applying our own ex...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-4246-7
更新日期:2019-04-01 00:00:00
abstract::The authors describe the technique and results obtained by a derotation osteotomy of the tibia in children. The method is simple, reliable and does not require internal fixation. It is suitable for dealing with deformity following poliomyelitis, and may also be used to treat tibial torsion which fails to correct with ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266870
更新日期:1985-01-01 00:00:00
abstract::In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0346-4
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2037-8
更新日期:2013-12-01 00:00:00
abstract:AIM:Computerized navigation of unicondylar knee arthroplasties (UKA) is not a widespread technique. The lifespan of a UKA depends on the quality of its implantation. We know that overcorrection leads to a rapid extension of the osteoarthritis to the opposite side of the knee and undercorrection to a rapid loosening or ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3293-1
更新日期:2017-02-01 00:00:00