Use of a shorter humeral stem in revision reverse shoulder arthroplasty
| Autor: | Joseph M. Statz, John W. Sperling, Robert H. Cofield, Matthew T. Houdek, Joaquin Sanchez-Sotelo, Eric R. Wagner |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Shoulders medicine.medical_treatment Humerus fracture Elbow Periprosthetic Disease-Free Survival 03 medical and health sciences 0302 clinical medicine Patient satisfaction Shoulder Pain medicine Humans Orthopedics and Sports Medicine Postoperative Period Range of Motion Articular Aged Aged 80 and over 030222 orthopedics Shoulder Joint business.industry Shoulder Prosthesis 030229 sport sciences General Medicine Humerus Middle Aged medicine.disease Arthroplasty Surgery Radiography Treatment Outcome medicine.anatomical_structure Arthroplasty Replacement Shoulder Patient Satisfaction Female Hemiarthroplasty business Range of motion Follow-Up Studies |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 26:1454-1461 |
| ISSN: | 1058-2746 |
| Popis: | Background The purpose of this study was to examine the outcomes of revision reverse arthroplasty using short bone-preserving humeral components in revising a long-stemmed component. Methods During a 7-year period, 39 patients who underwent revision reverse shoulder arthroplasty using the long to short humeral component technique were included. The mean age was 72 years. Prior implants used in the primary setting included anatomic (n = 26), hemiarthroplasty (n = 11), and reverse (n = 2). Results At a follow-up of 3 years (2-5), 5 shoulders (13%) required revision surgery, including 1 for a periprosthetic humerus fracture and 4 for glenoid component loosening. The survival free of revision for any reason and revision for humeral disease was 84% and 94%, respectively. One patient experienced a nondisplaced greater tuberosity fracture at 18 months postoperatively that healed without operative intervention. There were no dislocations or infections. Overall, patients experienced excellent overall improvements in their pain levels and shoulder motion (P |
| Databáze: | OpenAIRE |
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