Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency

We report the use of the reverse shoulder prosthesis in the revision of a failed shoulder hemiarthroplasty in 19 shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff...

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Veröffentlicht in:Journal of bone and joint surgery. British volume 2007-02, Vol.89 (2), p.189-195
Hauptverfasser: LEVY, J. C, VIRANI, N, PUPELLO, D, FRANKLE, M
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container_title Journal of bone and joint surgery. British volume
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creator LEVY, J. C
VIRANI, N
PUPELLO, D
FRANKLE, M
description We report the use of the reverse shoulder prosthesis in the revision of a failed shoulder hemiarthroplasty in 19 shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff deficiency. Statistically significant improvements were seen in pain and functional outcome. After a mean follow-up of 44 months (24 to 89), mean forward flexion improved by 26.4 degrees and mean abduction improved by 35 degrees . There were six prosthesis-related complications in six shoulders (32%), five of which had severe bone loss of the glenoid, proximal humerus or both. Three shoulders (16%) had non-prosthesis related complications. The use of the reverse shoulder prosthesis provides improvement in pain and function for patients with failure of a hemiarthroplasty for glenohumeral arthritis and rotator cuff deficiency. However, high rates of complications were associated with glenoid and proximal humeral bone loss.
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The use of the reverse shoulder prosthesis provides improvement in pain and function for patients with failure of a hemiarthroplasty for glenohumeral arthritis and rotator cuff deficiency. 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Paget disease ; Pain Measurement - methods ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Range of Motion, Articular ; Recovery of Function ; Reoperation - methods ; Rotator Cuff - physiopathology ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - physiopathology ; Shoulder Joint - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Journal of bone and joint surgery. 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C</creatorcontrib><creatorcontrib>VIRANI, N</creatorcontrib><creatorcontrib>PUPELLO, D</creatorcontrib><creatorcontrib>FRANKLE, M</creatorcontrib><title>Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>We report the use of the reverse shoulder prosthesis in the revision of a failed shoulder hemiarthroplasty in 19 shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff deficiency. Statistically significant improvements were seen in pain and functional outcome. After a mean follow-up of 44 months (24 to 89), mean forward flexion improved by 26.4 degrees and mean abduction improved by 35 degrees . There were six prosthesis-related complications in six shoulders (32%), five of which had severe bone loss of the glenoid, proximal humerus or both. Three shoulders (16%) had non-prosthesis related complications. The use of the reverse shoulder prosthesis provides improvement in pain and function for patients with failure of a hemiarthroplasty for glenohumeral arthritis and rotator cuff deficiency. 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Paget disease</subject><subject>Pain Measurement - methods</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Reoperation - methods</subject><subject>Rotator Cuff - physiopathology</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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C</au><au>VIRANI, N</au><au>PUPELLO, D</au><au>FRANKLE, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>89</volume><issue>2</issue><spage>189</spage><epage>195</epage><pages>189-195</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>We report the use of the reverse shoulder prosthesis in the revision of a failed shoulder hemiarthroplasty in 19 shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff deficiency. 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identifier ISSN: 0301-620X
ispartof Journal of bone and joint surgery. British volume, 2007-02, Vol.89 (2), p.189-195
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source MEDLINE; Alma/SFX Local Collection
subjects Aged
Aged, 80 and over
Arthritis - surgery
Arthroplasty, Replacement - adverse effects
Arthroplasty, Replacement - methods
Biological and medical sciences
Diseases of the osteoarticular system
Female
Follow-Up Studies
Humans
Joint Prosthesis - adverse effects
Male
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Orthopedic surgery
Osteoporosis. Osteomalacia. Paget disease
Pain Measurement - methods
Prosthesis Design
Prosthesis Failure
Radiography
Range of Motion, Articular
Recovery of Function
Reoperation - methods
Rotator Cuff - physiopathology
Shoulder Joint - diagnostic imaging
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
title Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency
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