Stemless shoulder prosthesis for treatment of proximal humeral malunion does not require tuberosity osteotomy

Ballas, Richard; Teissier, Philippe; Teissier, Jacques

doi:10.1007/s00264-016-3138-y

Cited by 36 publications

(12 citation statements)

References 18 publications

(42 reference statements)

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“…Proposed advantages include ease of revision 209,210 and management of arthritis associated with proximal humeral malunion 209,211 . Three prospective, randomized and nonrandomized studies 78,212,213 and 1 case-control study with early follow-up 214 demonstrated favorable clinical and radiographic results for both hemiarthroplasty and anatomic TSA.…”

Section: Stemless Modular Shoulder Arthroplastymentioning

confidence: 99%

Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

274

199

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d The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE).d The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE.d Glenoid component wear and loosening remain a common cause of failure after anatomic TSA, despite advances in surgical technique and implant design.d Diagnostic confirmation of infection after shoulder arthroplasty remains a challenge. In the setting of a painful and stiff shoulder after arthroplasty, the surgeon should have a heightened suspicion for infection. Inflammatory markers may be normal, radiographs may be inconclusive, and prosthetic joint aspiration may be negative for a causative organism.Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and "yes" to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work. 99:256-69 d http://dx.doi.org/10.2106/JBJS.16.00935 frequency) included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE)The most common complications after anatomic TSA (in order of decreasing frequency) were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE (

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Section: Stemless Modular Shoulder Arthroplastymentioning

confidence: 99%

Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

274

199

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“…Die Einteilung der Frakturfolgen nach Boileau bezieht sich zwar auf chronische Frakturfolgezustände, nach Erfahrung der Autoren können auch frühzeitige Folgezustände mit Notwendigkeit einer Korrektur-oder Revisionsosteosynthese in der Regel analog eingeteilt und nach ähnlichen Prinzipien behandelt werden. Die Boileau-Klassifikation unterscheidet 4 Typen von Frakturfolgen [4,5] In Bezug auf die letzte der 3 Fragen muss festgestellt werden, dass sich diese auf konventionelle, anatomische Schaftprothesen bezieht und nicht auf neuere, schaftlose Implantate, bei denen ohnehin häufig auf eine Osteotomie der Tuberkula verzichtet werden kann [2]. konnte unlängst in einer aktuellen Arbeit mit hoher Rate an Ausheilung und signifikanter Verbesserung der klinischen Situation mit guten Ergebnissen unterstrichen werden [1,4].…”

Section: Häufigkeit Und Typen Von Frakturfolgenunclassified

Posttraumatische Korrekturen und Revisionen bei proximaler Humerusfraktur

Katthagen

Ellwein

Lill

2016

Trauma Berufskrankh

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“…Although shoulder arthroplasty is less common than knee or hip arthroplasty (in 2015 there were 83,886 primary hip arthroplasties, 94,023 primary knee arthroplasties, compared to 5,221 primary shoulder arthroplasties in the UK NJR) [1] the outcome seems to be just as successful or even better in reducing pain and ameliorating shoulder function [2][3][4][5][6][7] compared to other total joint arthroplasties . From 1991 to 2010 the number of shoulder arthroplasties increased very rapidly with 98% for shoulder hemiarthroplasty and 393% especially for reverse total shoulder arthroplasty (RSA) in the New York State [8].…”

Section: Introductionmentioning

confidence: 99%

Treatment Effects of Reverse Total Shoulder Arthroplasty – A Simple Method to Measure Outcomes at 6, 12, 24 and 60 Months for Each Patient

Huber

Irlenbusch

Kääb³

et al. 2020

Preprint

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Background Although shoulder arthroplasty is less common than knee or hip arthroplasty, the number of procedures being performed is increasing rapidly. The treatment effect is a simple method to measure outcome of joint replacement. The method was applied to measure results of total hip/knee arthroplasty but not yet for shoulder arthroplasty. Methods Included were patients with unilateral cuff arthropathy (Hamada grades >=2) treated with reversed total shoulder arthroplasty (RSA) in this prospective multicenter study. The patients were assessed with the ASES questionnaire. The treatment effects (TE) was calculated for each patient. TE = score reduction/baseline score. A positive TE means amelioration, TE = 0 unchanged, and a negative TE means worse. The primary aim was to calculate the TE’s for RSA at 6, 12, 24, and 60 months postoperatively. The secondary aim was to analyze the influence of confounders (preoperative Hamada grade, age, gender, dominance, side of the affected shoulder, general co-morbidities measured using ASA grade). Results 203 patients were included for this analysis of whom 183 patients had a complete 2 year follow up. Two years postoperatively the mean ASES score augmented significant from 20.5 to 78.7 (p<0.001). The 2 year TE's ranged from 1 to 0.09. We had no patient with a negative TE. A higher Hamada grade was associated with better TE’s (Hamada grade 4+ vs. 2, p-value 0.042). For age and dominant side there were weak associations where those aged 80+ and dominant side had better TE’s. The patients with higher ASA grade had lower TE’s (ASA grade 4+ vs. 1, p-value 0.013). The mean TE’s were 0.77 at 6-months, 0.81 at 1 year, 0.76 at 2 years and 0.73 at 5 years. Conclusions The outcome for reverse shoulder arthroplasty can be measured with the treatment effect method; the 2 years TE's vary from 1 to 0.09. The mean treatment effects change little in the first five postoperative years (from 0.73 to 0.81). The confounders for better TE’s were: higher severity of cuff arthropathy (Hamada grade 3, 4 and 5), less co-morbidities (ASA Grade 1), higher age (80+) and dominant side. Gender did not influence the 2-year TE’s. Trial registration: Comité intercantonal d'éthique (Jura, Fribourg, Neuchâtel), number 01/2008, 24.09.2008

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Stemless shoulder prosthesis for treatment of proximal humeral malunion does not require tuberosity osteotomy

Abstract: Use of a stemless anatomic shoulder prosthesis avoids the need for tuberosity osteotomy and certain surgical difficulties, even in cases of severe tuberosity malunion, and leads to good functional outcomes in the short term.

Cited by 36 publications

References 18 publications

Complications of Shoulder Arthroplasty

Complications of Shoulder Arthroplasty

Posttraumatische Korrekturen und Revisionen bei proximaler Humerusfraktur

Treatment Effects of Reverse Total Shoulder Arthroplasty – A Simple Method to Measure Outcomes at 6, 12, 24 and 60 Months for Each Patient

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