Résultats des prothèses inversées

Baulot, E.; Valenti, Philippe; Garaud, P.; Boileau, Pascal; Neyton, Lionel; Sirveaux, François; Navez, G.; Roche, Olivier; Molé, Daniel; Favard, Luc; Guéry, J; Du, Catherine Le; Gerber, Christian; Walch, Gilles; Nové-Josserand, Laurent

doi:10.1016/s0035-1040(07)92712-9

Cited by 13 publications

(2 citation statements)

References 14 publications

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“…[3][4][5]10,12,73,82,89,98 However, these series had a small numbers of patients and reported variable complication and revision rates of 15% to 50% and reoperation rates of 4% to 40%. One reason for the high variability was unclear definitions of complications and revisions, which varied markedly between the series.…”

mentioning

confidence: 99%

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Zumstein¹,

Pinedo²,

Old

et al. 2011

Journal of Shoulder and Elbow Surgery

763

526

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mentioning

confidence: 99%

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Zumstein¹,

Pinedo²,

Old

et al. 2011

Journal of Shoulder and Elbow Surgery

763

526

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“…3,7,11,22 This has been attributed to poor tuberosity healing, associated comorbidities, and inability to comply with rehabilitation. 24 As a result, reverse shoulder arthroplasty (RSA), originally designed to treat shoulder pseudoparalysis associated with cuff tear arthropathy, 1,6,12,19 has been more and more indicated to treat displaced 3-and 4-part PHFs in the elderly population. 8,9,11,12,16,21,[23][24][25]27,[29][30][31]33 However, preliminary data have suggested that in case of tuberosity malunion, migration, or resorption (up to 50%), restoration of external rotation strength is rarely achieved, making all activities of daily living (ADLs) difficult, if not impossible.…”

mentioning

confidence: 99%

Reverse shoulder arthroplasty for acute fractures in the elderly: is it worth reattaching the tuberosities?

Boileau

Alta

Decroocq

et al. 2019

Journal of Shoulder and Elbow Surgery

105

104

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Hypothesis: Reverse Shoulder Arthroplasty (RSA) may be indicated in displaced proximal humerus fractures in elderly patients. We hypothesized that tuberosity fixation and healing around the prosthesis would result in better outcomes and patient satisfaction. Methods: Thirty-eight acute displaced or dislocated 3-and 4-part fractures in elderly patients were treated with reattachment of the tuberosities around a RSA. The mean age at surgery was 80 ± 4 years (range, 70-88 years). A specific reverse fracture stem that incorporated a cancellous bone autograft (harvested from the fractured head) and a standardized suturing technique for tuberosity fixation were used in all operations. Patients were evaluated and radiographed with a minimum 2-year follow-up (mean 36 ± 8 months). Results: The tuberosity union rate was 84% (32 of 38). There were 4 tuberosity resorptions and 2 tuberosity migrations with nonunion, which were associated with significantly lower subjective results (Subjective Shoulder Value of 65% vs. 83%, P = .029) and lower active mobility in forward elevation (115°± 26°vs. 141°± 25°, P = .023) and external rotation (11°± 12°vs. 27°± 12°, P = .010). Among the 5 disappointed patients, 3 presented with tuberosity resorption and 2 with tuberosity migration and nonunion. Conclusions: Despite the advanced age of the patients, tuberosity reattachment and use of bone graft results in a high rate of tuberosity healing. Tuberosity reconstruction and healing in reverse shoulder arthroplasty for fractures improves active forward elevation, external rotation, and patient satisfaction.

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