CURRENT CONCEPTS IN REVERSE SHOUL-DER ARTHROPLASTY
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 15, Issue 15
Abstract
Introduction Reverse shoulder prostheses are increasingly used in recent years for the treatment of glenohumeral arthropathy with deficiencies of rotator cuff such as: rotator cuff arthropathy, rheumatoid arthritis, proximal humeral fractures sequelae, irreparable rotator cuff tears and failed shoulder replacement. Aim In this report, it was aimed to expose the surgical procedures towards reverse total shoulder arthroplasty basing on own experience and by a review of relevant literature on this topic. Material, methods and results Description of the implants, stemless metaphyseal cementless fixation, surgical techniques, clinical and radiographic results, complications as well as late post traumatic (due to the falls) periprosthetic fractures are provided in cases of patients after the total shoulderarthroplasties. Conclusions The bone preserving short metaphyseal rTSA design without a stem shows encouraging short to midterm results with excellent pain relief and shoulder function, restoration of good active range of motion and high patients’ satisfaction scores. Radiographically, no implant loosening, subsidence or stress shielding are usually observed. The design of this implant seems to result in low incidence of glenoid notching (with low grade of notching) and improved rotational movements compared to the Grammont type prostheses.
Authors and Affiliations
Ofer Levy, Joanna Wałecka
Keywords
Related Articles
- EP ID EP197370
- DOI 10.19271/IRONS-00015-2016-15
- Views 85
- Downloads 0
OBJECTIVIZATION OF A PATIENT’S STATE WITH MYOFASCIAL PAIN SYNDROME IN PHYSIOTHERAPY PRACTICE
Abstract Myofascial pain syndrome (MPS) with myofascial trigger points (TrPs) diagnosed in patients is a very common musculoskeletal disorder. Beside pain symptoms MPS is concerned with many other symptoms like muscle we...
Evaluation of treatment in patients after thoracic spinal cord injury
Introduction The effectiveness of rehabilitation of patients after spinal cord injuries should be objectively verified at successive stages of the therapy. Commonly used methods such as clinical evaluation with ASIA scal...
INFECTIONS IN SHOULDER AND ELBOW SURGERY – INCIDENCE AND PREDISPOSITION
SUMMARy A surgical site infection in shoulder and elbow surgery can be a devastating complication and should be prevented by all means. Several predisposing factors including preoperative preparation, technical equipment...
CHARACTERISTICS AND EVALUATION OF THE RELATIONSHIP BETWEEN PELVIC INCLINATION IN THE SAGITTAL PLANE AND THE SIZE OF THE ANTERIOR-POSTERIOR CURVATURE OF THE SPINE IN SCHOOLCHILDREN AGED 13, 14 AND 15 YEARS
Streszczenie W pracy przedstawiono wyniki pomiarów wielkości pochylenia miednicy i krzywizn kręgosłupa przeprowadzone na 146 osobowej grupie uczniów w wieku 13, 14 i 15 lat. Analizowano charakterystykę wielkości badanych...
POSTUROGRAPHIC AND ELECTROMYOGRAPHIC ASSESMENT OF POSTURAL STABILITY IN PATIENTS WITH DISC-ROOT CONFLICT IN THE LUMBAR PART OF THE SPINE BEFORE AND AFTER THE REHABILITATION TREATMENT
Summary Introduction. In the following study, it is assumed that in patients with disc-root conflict in the lower part of the spine and associated symptom of sciatica, disturbances of postural stability control occur. Ai...