Reverse shoulder arthroplasty in cases of glenoid defects using primary-revision metaglene

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

doi:10.17816/vto64589

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N.N. Priorov Journal of Traumatology and Orthopedics

2021

DOI: 10.17816/vto64589

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Reverse shoulder arthroplasty in cases of glenoid defects using primary-revision metaglene

G. A Kesyan¹,

Grigoriy S. Karapetyan²,

Artem A. Shuyskiy³

et al.

Abstract: BACKGROUND: Reverse shoulder arthroplasty is one of the surgical treatment methods of the shoulder joint injuries and diseases accompanied by pronounced changes in the anatomy of the articular structures. Considering the positive aspects of reverse shoulder arthroplasty, the indications for this operation are expanding over time. However, during this operation, errors are possible that lead to early dislocation of the endoprosthesis, compression of the metaglene to the scapula, screw instability and migration … Show more

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Cited by 2 publications

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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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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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Reverse shoulder arthroplasty in cases of glenoid defects using primary-revision metaglene

Cited by 2 publications

References 5 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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