Shoulder arthrodesis with a reconstruction plate

Chun, Jae Myeung; Byeon, Hwa Kyo

doi:10.1007/s00264-008-0599-7

Cited by 14 publications

(15 citation statements)

References 24 publications

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“…16,25,37 With the use of perioperative antibiotics, Dimmen and Madsen 39 (series of 18) and Chun and Byeon 25 (series of 8) had no infections, while other studies previously have demonstrated 0% to 14% infection rates. 2,22,23,25,[39][40][41] In terms of postoperative fracture, up to 11% of patient's undergoing arthrodesis have had humeral Figure 5. A, Thirty-seven-year-old female laborer with history of prior trauma to right shoulder with recurrent instability associated with poor glenoid bone stock that persisted despite multiple instability procedures.…”

Section: Complicationsmentioning

confidence: 90%

“…9 Regardless of precisely measured positions, intraoperatively the shoulder should be positioned to optimize patient function and facilitate reaching the mouth, waist, back pocket, and contralateral shoulder ( Figure 2). 2,9,15,17,23,25,34 Although the literature defines the angles stated earlier, it is practically important for an individual patient, with a specific individual body habitus, to be able to achieve the expected activities of daily living, and the angles of fusion appropriately titrated.…”

Section: Ideal Fusion Positionmentioning

confidence: 99%

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Shoulder Arthrodesis in the Management of Glenohumeral Pathologies

Kamineni

Unger

Desai

2019

Journal of Shoulder and Elbow Arthroplasty

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Background: In an era of advanced shoulder stabilization procedures, arthroplasty implants and techniques, shoulder arthrodesis is considered an end-stage salvage procedure with negative connotations. However, in correctly selected patients, arthrodesis can alleviate pain, provide acceptable and stable motion, with a resultant functional shoulder. Methods: The current literature on shoulder arthrodesis was reviewed to determine the indications, surgical technique, post-operative rehabilitation, complications and outcomes. Results: Indications for shoulder arthrodesis include brachial plexus injuries, paralytic disorders, pseudo paralysis from combined severe/irreparable rotator cuff and deltoid injuries, inflammatory arthritis with severe rotator cuff pathology, persistent refractory instability, and tumor resection. Shoulder arthrodesis generally involves compression screws with or without plate fixation and bone graft. The arthrodesis is positioned to optimize the function of the extremity, primarily for activities of daily living. Postoperatively, most patients are immobilized for 8 to 10 weeks, dependent on the completeness of radiological fusion. Complications include nonunion, shoulder girdle muscle atrophy, painful hardware, periprosthetic fractures, and infection. Discussion: With the use of recent biological innovations, the nonunion rate has declined, and rehabilitation technologies have allowed maintenance of muscle mass for future conversion to shoulder arthroplasty. Hence, in carefully selected patients, shoulder arthrodesis provides a valuable option for a stable, functional, and pain-free shoulder and should be retained as part of the treatment algorithm for complex shoulder pathology.

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Section: Complicationsmentioning

confidence: 90%

Section: Ideal Fusion Positionmentioning

confidence: 99%

Shoulder Arthrodesis in the Management of Glenohumeral Pathologies

Kamineni

Unger

Desai

2019

Journal of Shoulder and Elbow Arthroplasty

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“…With this position the patient can comfortably reach his or her mouth, belt buckle, and contralateral shoulder. Shoulder arthrodesis with recostruction plates has merits in that the plate can be bent easily depending on the anatomical location, there is less skin stimulation since the internal fixation used has few protrusions and adequate bone arthrodesis can be achieved [47]. Therefore, arthrodesis with a reconstruction plate is recommended by many researches [46,48].…”

Section: Studymentioning

confidence: 99%

Rotator Cuff Tear Arthropathy: Pathophysiology, Diagnosis and Treatment

Aydin¹

2014

Orthop Muscul Syst

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The term rotator cuff tear arthropathy is a broad spectrum pathology but it involves common characteristic features as rotator cuff tear, leading to glenohumeral joint arthritis and superior migration of the humeral head. Although there are several factors described causing rotator cuff tear arthropathy, the exact mechanism is still unknown because the rotator cuff tear arthropathy develops in only a group of patients with chronic rotator cuff tear. The aim of this article is to review pathophysiology of rotator cuff tear arthropathy, to explain the diagnostic features and to discuss the management of the disease.

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“…Radiologisch wurde die vollstän-dige knöcherne Konsolidierung nach durchschnittlich 4,0 (2,9) Monaten dokumentiert. Die knöcherne Durchbauung eines der beiden Arthrodeseflächen -des akromiohumeralen oder glenohumeralen Gelenks -wurde durchschnittlich nach 3,4 (1,(4)(5)9) …”

Section: Operationsprinzip Und -Zielunclassified

Schraubenarthrodese der Schulter

Lerch

Berndt

Lipka

et al. 2011

Oper Orthop Traumatol

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In a prospective study from January 2007 to September 2008, 4 patients with a medium age of 35.7 years underwent screw arthrodesis of the shoulder with a follow-up of 1.0 (0.6-1.5) year. Primary fusion of all arthrodesis surfaces was achieved in all patients; no revision surgery was necessary. All patients improved in shoulder function with an average range of motion of 60° abduction and 40° anteversion.

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Shoulder arthrodesis with a reconstruction plate

Cited by 14 publications

References 24 publications

Shoulder Arthrodesis in the Management of Glenohumeral Pathologies

Shoulder Arthrodesis in the Management of Glenohumeral Pathologies

Rotator Cuff Tear Arthropathy: Pathophysiology, Diagnosis and Treatment

Schraubenarthrodese der Schulter

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