Diagnostics and methods of solving the reduction of bone mineral density and deformities of the articular cavity of the scapula during reverse shoulder arthroplasty

Kesyan, G. A; Karapetyan, Grigoriy S.; Shuyskiy, Artem A.; Urazgil'deev, R Z; Arsen’ev, I. G.; Kesyan, Ovsep G.

doi:10.29413/abs.2022-7.1.18

Cited by 2 publications

(7 citation statements)

References 8 publications

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Section: рис 7 классификация Levigne и Franceschi [5] Figunclassified

“…Кроме дефектов и деформации суставной впадины лопатки, при первичных и ревизионных операциях необходимо учитывать плотность костной ткани [11]. Снижение плотности костной ткани может приводить к некорректной установке и нестабильности гленоидального компонента эндопротеза [11]. Количественным инструментом определения плотности кости может быть измерение единиц Хаунсфилда (HU) по данным компьютерной томографии [11].…”

Section: рис 7 классификация Levigne и Franceschi [5] Figunclassified

“…Снижение плотности костной ткани может приводить к некорректной установке и нестабильности гленоидального компонента эндопротеза [11]. Количественным инструментом определения плотности кости может быть измерение единиц Хаунсфилда (HU) по данным компьютерной томографии [11]. Расчёт данного параметра полезен как для позиционирования метаглена, так и для определения оптимальной траектории и длины винтов.…”

Section: рис 7 классификация Levigne и Franceschi [5] Figunclassified

“…Выраженная рарефикация, снижение плотности костной ткани по данным КТ (ниже 139 HU), заставляет задуматься о наличии системного патологического процесса, не ограничивающегося локальным поражением плечевого сустава [11]. Снижение минеральной плотности костной ткани наблюдается при остеопорозе и остеопении.…”

Section: рис 10unclassified

“…Снижение минеральной плотности костной ткани наблюдается при остеопорозе и остеопении. Интересен тот факт, что измерение единиц Хаунсфилда суставной впадины лопатки может являться достоверным диагностическим критерием при изменении минеральной плотности костной ткани на организменном уровне [11]. В исследовании пациенты с показателями единиц Хаунсфилда выше порогового значения 257 имели нормальную минеральную плотность костной ткани [11].…”

Section: рис 10unclassified

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Features of reverse arthroplasty of the shoulder joint in orthopedic pathology of the glenoid (literature review)

Karapetyan

Shuyskiy

2022

Acta biomedica scientifica

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The reverse shoulder arthroplasty in the conditions of the modified anatomy of the glenoid is complex and often excludes the possibility of using the standard tactics of installing the glenoid component. There are no identical glenoids, each articular cavity of the scapula differs in height, width, angle of inclination, density of bone tissue, absence or presence of various defects of bone tissue. Given the variety of options for changing the structure and quality of the glenoid bone tissue in injuries and diseases of the shoulder joint, each case of endoprosthetics should be considered individually. In order to perform an adequate metaglen installation, these parameters must be normalized or standardized. The purpose of this work is to review the domestic and foreign literature devoted to the features of reversible shoulder joint replacement during deformation of the articular cavity of the scapula. Based on the analysis of literature data, the percentage of complications associated with unsatisfactory treatment results due to the instability of the glenosphere is quite large, which indicates the lack of elaboration of this topic and its relevance for practical traumatology and orthopedics. The paper considers eccentric non-standard methods of rimming the articular cavity of the scapula, methods of its bone grafting, the use of metaglens made taking into account the deformation of the glenoid, as well as indications for the use of technology for the individual manufacture of scapular components. The study and analysis of indications for the use of various types of techniques for solution glenoid deformities made it possible to systematize and differentially approach the issue of preoperative planning and choosing the correct, right treatment tactics in complex cases of reversible shoulder joint replacement.

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Section: рис 7 классификация Levigne и Franceschi [5] Figunclassified

Section: рис 10unclassified

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Features of reverse arthroplasty of the shoulder joint in orthopedic pathology of the glenoid (literature review)

Karapetyan

Shuyskiy

2022

Acta biomedica scientifica

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Our first experience with the use of hydroxyapatite paste to improve the integration of the glenoid component of a reverse prosthesis with a bone defect of the scapula (case report)

Karapetyan

Shuyskiy

2023

Acta biomedica scientifica

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The problem of reverse shoulder arthroplasty with various deformities of the glenoid is relevant for modern traumatology and orthopedics. In addition to various defects, the methods of solving which can be eccentric reaming of the glenoid by milling cutters, bone autoplasty, augmentation, the use of individual implants, orthopedic traumatologists have to deal with a decrease in the mineral density of the bone tissue of the scapula.The aim of this study is to demonstrate the possibility of using hydroxyapatite paste together with bone autoplasty in revision shoulder arthroplasty in conditions of a massive defect and reduced glenoid bone density.Discussion. The article presents a case of surgical treatment of a patient with the consequences of a fracture of the proximal metaepiphysis of the humerus and local osteoporosis of the glenoid by the method of reverse shoulder arthroplasty in combination with the use of hydroxyapatite paste. A detailed description of the operation technique is given.Conclusion. The described clinical case demonstrates the effectiveness of the technique of using hydroxyapatite preparations for shoulder joint replacement.

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Diagnostics and methods of solving the reduction of bone mineral density and deformities of the articular cavity of the scapula during reverse shoulder arthroplasty

Cited by 2 publications

References 8 publications

Features of reverse arthroplasty of the shoulder joint in orthopedic pathology of the glenoid (literature review)

Features of reverse arthroplasty of the shoulder joint in orthopedic pathology of the glenoid (literature review)

Our first experience with the use of hydroxyapatite paste to improve the integration of the glenoid component of a reverse prosthesis with a bone defect of the scapula (case report)

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