Use of cuff tear arthroplasty head prosthesis for rotator cuff arthropathy treatment in elderly patients with comorbidities

Abstract

Objective To evaluate the clinical and functional behavior of patients undergoing cuff tear arthroplasty at different stages of the disease.Methods Cuff tear arthroplasty hemiarthroplasties were performed in 34 patients with rotator cuff arthropathy and associated comorbidities, classified according to Seebauer. The mean age was 76.3 years, and the sample comprised 23 females (67.6%) and 11 males (32.4%). The mean follow-up period was 21.7 months, and evaluations were performed using the Visual Analog Scale for pain and the Constant scale.Results There were no statistically significant differences in the mean reduction in the Visual Analog Scale or in the Constant scale increase between the female and male groups. The variation between the pre- and postoperative Visual Analog Scale and Constant scale evaluations was significant. There was also no statistically significant difference between the Seebauer classification groups regarding the mean Visual Analog Scale reduction, or the mean Constant scale increase.Conclusion Cuff tear arthroplasty shoulder hemiarthroplasty is a good option for rotator cuff arthropathy in patients with comorbidities.

The modern use of the extended humeral head (cuff tear arthropathy) hemiarthroplasty

“…The 3 patients who were unsatisfied experienced superior escape of the hemiarthroplasty. When comparing the primary use of CTA designs in patients with severe arthropathy (Seebauer type IIB disease), Carvalho et al 12 reported statistically significant improvements in pain, range of motion, and functional scores with no difference between Seebauer classification groups.…”

“…Ideally indicated in low-demand, elderly patients with CTA and a primary complaint of pain, the CTA design reliably reduces pain while providing modest function within the daily activities of this population. 3 , 8 , 12 , 18 , 19 , 29 , 41 In addition, the benefits of a shorter operative time, lower blood loss, and low complication and reoperation rates make the CTA prosthesis a reasonable treatment option in this population. Patients should be counseled extensively regarding postoperative functional expectations, as active patients, as well as patients desiring a higher level of function, may not be satisfied postoperatively.…”

How Great is Greater Tuberosity? – A Analysis by CT Multiplanar Reconstruction

“…There was no possible to create an absolutely smooth surface with hands by the current surgical procedure. The best smooth surface can be created by arti cial prosthesis [23]. The researchers designed a GT prothesis for tuberoplasty.…”

Indicaciones de artroplastia en lesiones del mango rotador

“…Esta patología se presenta más frecuentemente en mujeres entre la sexta y séptima década de la vida, el lado dominante es el más afectado, se manifiesta por dolor crónico progresivo, crepitación y disminución del rango de movilidad. 11 La clasificación de la artropatía del manguito rotador incluye el sistema de Hamada (Tabla 3) y el sistema Seebauer. La clasificación de Hamada detalla las diferentes etapas de la lesión masiva del manguito rotador detectadas en radiografía, donde cada grado demuestra cambios en la progresión de la artropatía; mientras que la clasificación de Seebauer se refiere a una descripción biomecánica de la artropatía, donde cada estadio se distingue por el grado de migración superior del centro de rotación y de inestabilidad, dividiéndose en cuatro estadios: IA articulación estable con mínima migración debido a una contención intacta con la presencia de acetabulización del arco coracoacromial y femoralización de la cabeza humeral.…”