Evaluación de resultados funcionales y Notching tras el tratamiento de fracturas de húmero mediante artroplastia total invertida a medio plazo

Hernández-Elena, J.; Red-Gallego, María Ángeles de la; Garcés-Zarzalejo, C.; Pascual-Carra, M.A.; Pérez-Aguilar, M.D.; Rodríguez-López, T.; Alfonso-Fernández, A.; Pérez-Núñez, María Isabel

doi:10.1016/j.recot.2015.05.002

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Forty-six studies 15,46,66,69,119-134,134–157 reported a total of 188 intraoperative fractures (IFx) among the complications, representing a global IFx rate of 1.4%.…”

Section: Resultsmentioning

confidence: 99%

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Dolci

Mélis

Verona

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction The reverse shoulder arthroplasty is nowadays a treatment option for a variety of shoulder problems. As its incidence rose, also the number of complications increased, including intraoperative fractures. Significance We performed a systematic review and critical analysis of the current literature following the PRISMA guidelines. Our purpose was to: 1) determine incidence, causes, and characteristics of intraoperative fractures; 2) evaluate their current treatment options, possible related complications, reoperation rates, and the patients’ outcome; and 3) determine the overall incidence of each complication related to reverse shoulder arthroplasty. The articles were selected from PubMed medical database in April 2020 using a comprehensive search strategy. Rayyan software was used to support the selection process of the records. A descriptive and critical analysis of the results was performed. Results The study group included a total of 13,513 reverse shoulder arthroplasty procedures. The total number of complications was 1647 (rate 12.1%). The most common complication was dislocation (340 cases, rate 2.5%). Forty-six studies reported a total of 188 intraoperative fractures among the complications (rate 1.4%). The intraoperative fracture rate was 2.9% and 13.6% in primary and revision settings, respectively. There were 136 humeral fractures, 60% of them occurred in revision RSAs, during the removal of the previous implant, and involved the shaft in the majority of cases (39%). Glenoid fractures were 51 and occurred mostly during the reaming of the glenoid. We observed 7 further related complications (rate of 4%) and 3 reoperations (rate of 1.5%). The outcome was satisfactory in the majority of cases. Conclusions A comprehensive review on intraoperative fractures in reverse shoulder arthroplasties is presented. Results suggest favorable outcomes for all treatment methods, with a modest further complication rate. This investigation may aid in the treatment decision-making for these complications.

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“…Forty-six studies 15,46,66,69,119-134,134–157 reported a total of 188 intraoperative fractures (IFx) among the complications, representing a global IFx rate of 1.4%.…”

Section: Resultsmentioning

confidence: 99%

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Dolci

Mélis

Verona

et al. 2021

Geriatr Orthop Surg Rehabil

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Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly

Jeong

Kong

Park

et al. 2019

Arch Orthop Trauma Surg

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Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

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The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.

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Evaluación de resultados funcionales y Notching tras el tratamiento de fracturas de húmero mediante artroplastia total invertida a medio plazo

Cited by 3 publications

References 24 publications

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

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