CURRENT CONCEPTS IN REVERSE SHOUL-DER ARTHROPLASTY
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 15, Issue 15
Abstract
Introduction Reverse shoulder prostheses are increasingly used in recent years for the treatment of glenohumeral arthropathy with deficiencies of rotator cuff such as: rotator cuff arthropathy, rheumatoid arthritis, proximal humeral fractures sequelae, irreparable rotator cuff tears and failed shoulder replacement. Aim In this report, it was aimed to expose the surgical procedures towards reverse total shoulder arthroplasty basing on own experience and by a review of relevant literature on this topic. Material, methods and results Description of the implants, stemless metaphyseal cementless fixation, surgical techniques, clinical and radiographic results, complications as well as late post traumatic (due to the falls) periprosthetic fractures are provided in cases of patients after the total shoulderarthroplasties. Conclusions The bone preserving short metaphyseal rTSA design without a stem shows encouraging short to midterm results with excellent pain relief and shoulder function, restoration of good active range of motion and high patients’ satisfaction scores. Radiographically, no implant loosening, subsidence or stress shielding are usually observed. The design of this implant seems to result in low incidence of glenoid notching (with low grade of notching) and improved rotational movements compared to the Grammont type prostheses.
Authors and Affiliations
Ofer Levy, Joanna Wałecka
Keywords
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- EP ID EP197370
- DOI 10.19271/IRONS-00015-2016-15
- Views 48
- Downloads 0
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