Do the radiological changes seen at mid term follow up of stemless shoulder prosthesis affect outcome?
| Autor: | Aditya Sai Kadavkolan, Mohamed Moursy, Lars Lehmann, Milan Niks |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Shoulders medicine.medical_treatment Shoulder arthritis Prosthesis Stemless arthroplasty Eclipse prosthesis Rotator Cuff Injuries Rotator Cuff 03 medical and health sciences 0302 clinical medicine Rheumatology Osteoarthritis medicine Humans Orthopedics and Sports Medicine Postoperative Period Arthroplasty Replacement Range of Motion Articular Aged 030222 orthopedics Shoulder Joint business.industry Shoulder Prosthesis 030229 sport sciences Middle Aged medicine.disease Arthroplasty Surgery Total shoulder arthroplasty Treatment Outcome Preoperative Period Orthopedic surgery Tears Female Shoulder arthroplasty lcsh:RC925-935 Range of motion business Research Article Follow-Up Studies |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-12 (2019) |
| ISSN: | 1471-2474 |
| Popis: | Background The Eclipse® (Eclipse® is a trademark of Arthrex, Naples, Florida) stemless shoulder prosthesis offers the surgeon the advantage of bone stock preservation and at the same time avoids the drawbacks of a resurfacing arthroplasty. Previous studies have shown radiographic changes on serial follow up of the Eclipse prosthesis. This study attempts to assess the significance of these radiographic changes and effect of cuff related pathology on the mid-term outcome of the Eclipse prosthesis. Methods Between July 2005 and October 2008, 29 shoulders underwent shoulder arthroplasty with the Eclipse prosthesis; 23 shoulders, (seven women and 16 men) were available for the final follow up. The range of motion, Constant Score; age adjusted Constant Score, Subjective Shoulder Value and radiographs were assessed at serial follow-ups. Results Significant improvements were seen in the Constant Score (78.9 ±20.1) compared to pre-operative score (32.9 ±5.2); also forward elevation, abduction and external rotation improved to 142.9 ± 36.6 °, 135.2 ± 40.5 ° and 49.8 ± 21.9 ° at 72 months (p p p Conclusions The presence of radiolucent lines or localised osteopenia does not influence the mid term clinical outcome. Pre -operative partial supraspinatus tears or tears of the subscapularis lead to an inferior outcome. |
| Databáze: | OpenAIRE |
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