Shoulder Arthroplasty for Arthritis After Instability Surgery

Sperling, John W.; Antuña, Samuel; Sánchez-Sotelo, Joaquín; Schleck, Cathy D.; Cofield, Robert H.

doi:10.2106/00004623-200210000-00006

Cited by 129 publications

(104 citation statements)

References 11 publications

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“…The survival rate for TSA can exceed 90 % at ten years follow-up and 80 % at 15 years [5,[8][9][10][11]33]. A concern about hemiarthroplasty in the treatment of humeral head fracture is that the survival rate rises from 50 % to 80 % at medium follow-up [12][13][14][15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have reported an incidence of failure of approximately 10 % at ten-years follow-up and have identified several causes for revision surgery after TSA [3][4][5][6][7][8][9][10][11]. Rotator cuff failure that leads to anterocranial migration due to the loss of the depressor strength, which is generally granted by the rotator cuff, is one of the most common causes of failure [3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Rotator cuff failure that leads to anterocranial migration due to the loss of the depressor strength, which is generally granted by the rotator cuff, is one of the most common causes of failure [3][4][5][6][7][8][9][10][11]. Other causes include glenoid component loosening, instability, infection and component malposition.…”

Section: Introductionmentioning

confidence: 99%

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Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system

Castagna

Delcogliano

et al. 2013

International Orthopaedics (SICOT)

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Purpose Revision of a shoulder arthroplasty to a reverse arthroplasty is a highly demanding procedure. The aim of this study is to report the clinical results of hemi and total shoulder prosthesis revisions to reverse implants without removal of the humeral stem, using a modular shoulder replacement system (SMR Lima LTD). We retrospectively reviewed 26 patients who underwent an operation from 2004 to 2009. Methods The patients were divided into two groups: in Group I, 18 patients underwent a revision of hemiarthroplasty implanted for fracture; in Group II, eight patients underwent a revision of anatomical total prosthesis. All patients were evaluated at a mean follow-up of 32.3 (±12.7) months using the Constant score rating scale and by range of motion evaluation, EQ-VAS, X-ray and CT scan. Results The Constant score of each patient was 47.88 (±5.88) after the revision. The EQ-VAS improved from 40 (±20) to 70 (±10). All patients improved in terms of range of motion.The radiographs and CT scans obtained after revision showed good integration and no signs of loosening of the implant. The mean time of surgery was recorded as 62′ (±8′), with a maximum blood loss of less than 300 ml in all cases. Conclusions Our study demonstrates that using a full modular system at the time of the first implant allows avoidance of the step to remove the humeral stem and metal back in cases of shoulder prosthesis revision to a reverse prosthesis, resulting in a short operative time, few intraoperative complications and a satisfactory clinical outcome at medium-term follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system

Castagna

Delcogliano

et al. 2013

International Orthopaedics (SICOT)

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“…These pathologies include osteoarthritis (OA), 5,10,16,17,24,25,28,35,38,39,43,46,50,59,60 rheumatoid arthritis (RA), 5,19,20,23,32,33,35,40,61,62 rotator (RC) tear arthropathy, 4,18,35,54,55,64,65 osteonecrosis, 12,30,31,35,37,41 and fractures of the humeral head. 1,2,5,11,26,34,36,45,51,53 Outcomes of patients with RC deficiency, having undergone a TSA or hemiarthroplasty (HA), have not been uniform.…”

mentioning

confidence: 99%

Rehabilitation Following Reverse Total Shoulder Arthroplasty

Boudreau

Boudreau²,

Higgins³

et al. 2007

J Orthop Sports Phys Ther

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“…82 TSA is a standard treatment intervention for patients with underlying advanced joint pathology who have persistent pain and loss of function despite conservative management. These pathologies include osteoarthritis (OA), 7,13,30,32,39,41,43,44,64,71,74,82,86,88,89,100,101 rheumatoid arthritis (RA), 6,34,35,38,52,61,64,76,91,102,106 cuff tear arthropathy, 5,33,64,94,95,107,111 osteonecrosis, 26,48,49,64,70,79 and fractures of the humeral head. 2,3,6,21,42,62,69,…”

mentioning

confidence: 99%

Rehabilitation Following Total Shoulder Arthroplasty

Wilcox

Arslanian²,

Millett³

2005

J Orthop Sports Phys Ther

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Total shoulder arthroplasty (TSA) is a standard operative treatment for a variety of disorders of the glenohumeral joint. Patients, who have continued shoulder pain and loss of function in the presence of advanced joint pathology, despite conservative management, are often managed by undergoing a TSA. The overall outcomes that are reported after surgical intervention are quite good and appear to be primarily determined by the underlying pathology and the tissue quality of the rotator cuff. The current Neer protocol for postoperative TSA rehabilitation is widely used and based on tradition and the basic science of soft tissue and bone healing. The purpose of this paper is to review the indications for TSA, focusing on the underlying pathologies, and to describe the variables that impact the rehabilitation program of individuals who have had a TSA. A postoperative TSA rehabilitation protocol and algorithm, founded on basic science principles and tailored toward the specific clinical condition, are presented. J Orthop Sports Phys Ther 2005;35:821-836. Key Words: physical therapy, protocols, shoulder rehabilitation T he first total shoulder arthroplasty (TSA) was performed by Jules Emile Pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder. 68 Neer 81 developed a humeral prosthesis for the treatment of 4-part fractures in 1955, and in the mid-1970s he refined his prosthesis for the treatment of the degenerative humeral head. 82 TSA is a standard treatment intervention for patients with underlying advanced joint pathology who have persistent pain and loss of function despite conservative management. These pathologies include osteoarthritis (OA), 7,13,30,32,39,41,43,44,64,71,74,82,86,88,89,100,101 rheumatoid arthritis (RA), 6,34,35,38,52,61,64,76,91,102,106 cuff tear arthropathy, 5,33,64,94,95,107,111 osteonecrosis, 26,48,49,64,70,79 and fractures of the humeral head. 2,3,6,21,42,62,69,85,90,93 Over the last 25 years, surgical techniques and prostheses have advanced greatly. However, there is still considerable variability in surgical techniques, particularly the use of cement for fixation and the type of prosthesis. Despite these significant variations, the overall reported outcomes for patients that have undergone TSA are good. 31,49,64,99,104 Self-assessed health status reports of individuals who have undergone TSA are comparable to those of individuals who have undergone a total hip arthroplasty or coronary artery bypass graft.

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Shoulder Arthroplasty for Arthritis After Instability Surgery

Cited by 129 publications

References 11 publications

Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system

Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system

Rehabilitation Following Reverse Total Shoulder Arthroplasty

Rehabilitation Following Total Shoulder Arthroplasty

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