Shoulder arthrodesis: Indications, technique, results, and complications

Rühmann, O.; Schmolke, S.; Bohnsack, Michael; Flamme, Christian; Wirth, Carl Joachim

doi:10.1016/j.jse.2004.05.008

Cited by 68 publications

(80 citation statements)

References 45 publications

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“…Postoperative infections have been reported in 0~14% of shoulder arthrodeses [7,9,15,19]. In our cases, we routinely used prophylactic antibiotics and did not experience any infections.…”

Section: Discussionmentioning

confidence: 65%

Shoulder arthrodesis with a reconstruction plate

Chun

Byeon

2008

International Orthopaedics (SICOT)

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“…Postoperative infections have been reported in 0~14% of shoulder arthrodeses [7,9,15,19]. In our cases, we routinely used prophylactic antibiotics and did not experience any infections.…”

Section: Discussionmentioning

confidence: 65%

Shoulder arthrodesis with a reconstruction plate

Chun

Byeon

2008

International Orthopaedics (SICOT)

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“…Clare et al (2002) stated, however, that nonunion may be less of a problem and may be successfully solved by secondary bone grafting, and that less nonunions were reported using the current AO fixation technique. Rühmann et al (2005) also demonstrated that nonunions occur less frequently in plate arthrodesis than in screw arthrodesis. In our series of patients, operated with internal fixation using one plate and compression screws, all healed with no wound complications.…”

Section: Discussionmentioning

confidence: 93%

“…Nonunion has been frequent and postoperative soft tissue problems with infection rates up to 14% have been reported (Richards et al 1993, Groh et al 1997, Rühmann et al 1999, 2005, Rühmann 2002), as well as frequent postoperative fractures of the humeral shaft (Cofield and Briggs 1979, Groh et al 1997, Richards et al 1993, Rüh-mann et al 2005.…”

mentioning

confidence: 99%

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Dimmen

Madsen

2007

Acta Orthopaedica

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Background and purpose There have been few reports on the long-term function after shoulder arthrodesis. We report the outcome after shoulder arthrodesis with plate fixation in 18 patients who were followed for 3-15 years.Methods 25 patients with a median age of 64 (19-75) years were operated with a shoulder arthrodesis between 1982 and 2003. Standard AO surgical technique with plating was used in all patients. 18 of the patients were examined retrospectively after a mean of 8 (3-15) years. 6 of the other patients had died and 1 refused examination.Results Radiologically, all but two arthrodeses fused completely. The remaining two were partially fused, within the glenohumeral joint or between humerus and acromion. The mean Oxford shoulder score was 32 and the mean ASES shoulder index was 59. Nine patients had intermittent or continuous pain; their mean pain score on a visual analog scale was 3. One patient had been re-operated after 4 months because of severe pain and 1 was operated due to a humeral shaft fracture after 8 months. 1 patient suffered from a complex regional pain syndrome. No infections occurred.Interpretation In this patient series there were few complications after shoulder arthrodesis, and the longterm functional results were acceptable.

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“…11 Compared with an open approach, a minimally invasive arthroscopic approach carries a lower risk of infection, hardware prominence, and periprosthetic fracture. 1,3 The addition of O-armebased navigation to an arthroscopic technique may be advantageous, particularly in cases of limited glenoid bone stock, because it allows precise radiographic control of screw position.…”

Section: Glenohumeral Arthrodesis and O-arm Navigation E207mentioning

confidence: 99%

“…Traditionally, the procedure has been performed in an open manner with screw and/or plate fixation. [1][2][3] Arthroscopic glenohumeral arthrodesis has been described in a few cases. [4][5][6][7] An arthroscopic approach to arthrodesis allows complete visualization so that accurate acromiohumeral and glenohumeral decortication can be performed while minimizing invasiveness.…”

mentioning

confidence: 99%

Arthroscopic Glenohumeral Arthrodesis With O-Arm Navigation

Lädermann

Denard

2014

Arthroscopy Techniques

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Glenohumeral arthrodesis is an end-stage salvage operation that has traditionally been performed in an open fashion. In recent years an arthroscopic approach has been described. The purpose of this report was to present an arthroscopic glenohumeral arthrodesis technique with the assistance of O-armebased navigation. An illustrative case example is presented. This technique allows not only a minimally invasive glenohumeral arthrodesis but also precise screw fixation by navigation, which may be particularly useful in cases of limited bone stock and/or bony deformity. Glenohumeral arthrodesis is an end-stage surgical option indicated in cases of permanent brachial plexus injury, post-tumor resection, unreconstructable glenohumeral arthritis, chronic infection, and refractory instability with rotator cuff and deltoid dysfunction. Traditionally, the procedure has been performed in an open manner with screw and/or plate fixation.

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Shoulder arthrodesis: Indications, technique, results, and complications

Cited by 68 publications

References 45 publications

Shoulder arthrodesis with a reconstruction plate

Shoulder arthrodesis with a reconstruction plate

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Arthroscopic Glenohumeral Arthrodesis With O-Arm Navigation

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