Bipolar Implant Shoulder Arthroplasty Long-Term Results

SWANSON, AALFRED B.; Swanson, G de Groot; SATTEL, AANDREW B.; CENDO, RROBERT D.; HYNES, DARRAGH; JAR-Ninc, WEI

doi:10.1097/00003086-198912000-00025

Cited by 65 publications

(37 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Especially bipolar prosthesis with large heads was thought to centralise joints with cuff insufficiency [16]. It can be used as a surgical alternative in RA patients, but many researchers recommend it only when the coracoacromial arch is intact [3,12,15,20]. However, complications, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…overstuffing and progressive wear/erosion of the glenoid and/or acromion, were frequently reported, causing further deterioration of the initial poor bone stock [11,16,18]. The literature contains very few reports dealing with RA patients suffering from irreparable rotator cuff tear; even if pain relief was achieved, the function remained poor, and patient satisfaction decreased with time after the procedure (Table 5) [3,12,16,19,20,23]. Bipolar prosthesis was therefore recommended as a salvage procedure reserved for older (RA) patients with very low demands to be performed as late as possible [7,23].…”

Section: Discussionmentioning

confidence: 99%

“…Total shoulder replacement has been shown to fail due to early glenoid loosening [3,7,18,23,25]. Hemi-arthroplasty, including bipolar prosthesis and surface replacement, provides partial pain relief but poor functional results [3,7,8,12,19,20,25]. In the treatment of RCTA, reverse total prosthesis, such as those developed by Grammont et al have been used recently [2,6,11].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear

John

Pap

Angst

et al. 2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The purpose of this study was to describe the outcome after reversed Delta III shoulder prosthesis in patients with rheumatoid arthritis (RA) and irreparable rotator cuff tear. Fifteen patients (17 joints) were prospectively analysed using the Constant-Murley score (CS). Comprehensive outcome measure was carried out by means of four widely used questionnaires as well as clinical and radiographic examinations at an average of 24.3 months postoperatively. The CS improved significantly from 19 to 59.5 points. The mental (MSC) and physical (PCS) component summary score of the Short Form 36 (SF-36) reached 108% and 77%, respectively, while the DASH (Disabilities of the Arm, Shoulder, and Hand) was 58% of a comparative norm population. Remaining deficits were documented by SPADI (Shoulder Pain and Disability; 54.4 points) and ASES (clinical and patient-orientated American Shoulder and Elbow Surgeons; 84.3 and 61.3 points, respectively). No radiological signs of loosening were found, but scapular notching occurred in four cases.Reversed arthroplasty provides a substantial improvement of shoulder function in patients with RA. The high incidence of notching is of concern.Resume Résultats à court terme de la prothèse inversée de type Delta III chez les patients porteurs d'une arthrite rhumatoïde et d'une lésion irréparable de la coiffe. Objectif: décrire le devenir du patient après mise en place d'une prothèse d'épaule inversée type Delta III, chez les patients présentant une arthrite rhumatoïde (RA) et des lésions irréparables de la coiffe. Méthode: 15 patients (17 articulations) ont été analysés de façon prospective en utilisant le score de Constant Murley (CS). Le devenir clinique des patients a été exploré grâce à 4 questionnaires utilisés communément tant sur le plan clinique que radiographique avec un examen en moyenne à 24,3 mois post-opératoires. Résultats: le score de Constant a été amélioré de façon significative passant de 19 à 59,5 points. Le score MCS et PCS ainsi que le score SF-36 sont passés respectivement de 108 à 77%, le score DASH à 58% comparables à la norme de la population. Les déficits résiduels ont été randomisés par le score SPADI 54,4 points et ASES respectivement de 84,3 à 61,3 points. Aucun signe radio de descellement mais 4 cas d'encoche scapulaire ont été relevés. En conclusion, la prothèse inversée d'épaule permet d'avoir une amélioration très substantielles chez les patients présentant une arthrite rhumatoïde. La fréquence importante des encoches est à surveiller.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear

John

Pap

Angst

et al. 2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Imatani, Hanlon and Cady (1975) described a scoring system for patients with disruption of the acromioclavicular joint and Rowe (1978) one for use in patients with anterior instability. Others were designed to assess the results of arthroplasty of the glenohumeral joint (Amstutz, Sew Hoy and Clarke 1981;Neer, Watson and Stanton 1982;Warren, Ranawat and Inglis 1982;Barrett et al 1987;Swanson et al 1989) but that of Constant and Murley (1987) was claimed to be applicable to all shoulders, regardless of the diagnosis. This system has a maximum score of 100 points with both subjective (35%) and objective (65%) components.…”

mentioning

confidence: 99%

An Evaluation of the Constant-Murley Shoulder Assessment

Conboy

Morris

Kiss

et al. 1996

The Journal of Bone and Joint Surgery. British volume

294

183

View full text Add to dashboard Cite

We have analysed the Constant-Murley (1987) assessment for 25 patients with shoulder pathology. We found the score easy to use, with low inter-and intraobserver errors, but sufficiently imprecise in repeated measurements to give concern in its use for clinical follow-up of patients.We have calculated 95% confidence limits for a single assessment to be within 16 to 20 points in most cases. In addition, we found that all our subjects with instability as their main problem scored within five points of the maximum; this suggests that the scoring method may need to be revised for use on these patients.

show abstract

“…견관절의 양극성 반관절 성형술 (bipolar hemiarthroplasty)은 고관절에서와 마찬가지로 인공 관절의 불안정성의 문제의 해결 방안으로 고안되었다 (Fig. 3) 35) . Worland 등 40) 은 회전근 개 파열 관절병증 환자 에 대해 양극성 반관절 성형술을 시행한 후 Neer의 제 한적 목표 (Neer' s limited goals; 20�external rotation and 90�forward elevation) 21 .…”

Section: 인공 삽입물 디자인의 역사 (History Of Implant Design)unclassified

Massive Rotator Cuff Tears: Arthroplasty

Kim

Moon

2010

The Journal of the Korean Shoulder and Elbow Society

View full text Add to dashboard Cite

Purpose: Surgical treatment of massive rotator cuff tear is challenging and there are various surgical options. The purpose of this article is to describe arthroplasty for the treatment of massive rotator cuff tear. Materials and Methods:We reviewed all publications that focused on and/or mentioned arthroplasty as a treatment option for massive rotator cuff tear. Results: Arthroplasty can be used as primary treatment and represents a salvage option for irreparable rotator cuff tear. Hemi-arthroplasty can provide satisfactory results by Neer's limited goals criteria in patients with intact coracoacromial arch. In addition, reverse total shoulder arthroplasty can be a salvage option for pain relief and restoration of active flexion in elderly patients with pseudoparalysis. Conclusion:In patients with massive rotator cuff tear, proper selection of arthroplasty can provide pain relief and restoration of functional range of motion in shoulder joints.

show abstract

Bipolar Implant Shoulder Arthroplasty Long-Term Results

Cited by 65 publications

References 0 publications

Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear

Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear

An Evaluation of the Constant-Murley Shoulder Assessment

Massive Rotator Cuff Tears: Arthroplasty

Contact Info

Product

Resources

About