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Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2016

01.03.2016 | Shoulder Arthroplasty (G Athwal, Section Editor)

Expanding roles for reverse shoulder arthroplasty

verfasst von: Peter N. Chalmers, Jay D. Keener

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2016

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Abstract

Since its introduction in the USA in 2003, reverse total shoulder arthroplasty (RTSA) has been used with increasingly frequency as surgeons have observed the remarkable improvement in pain, range of motion, and function associated with this implant. RTSA was initially used exclusively for elderly, low demand individuals with end-stage rotator cuff tear arthropathy. However, RTSA is now being increasingly successfully employed for the management of irreparable rotator cuff tears, glenohumeral osteoarthritis with an intact rotator cuff, acute proximal humerus fractures, the sequelae of proximal humerus fractures, neoplasms of the proximal humerus, inflammatory arthropathy, young patients and failed anatomic total shoulder arthroplasty and hemiarthroplasty. While long-term outcomes are pending, short- and mid-term follow-up results suggest that in experienced hands, RTSA may be a reasonable treatment for many previously difficult to treat pathologies within the shoulder.
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Zurück zum Zitat Favard L, Katz D, Colmar M, Benkalfate T, Thomazeau H, Emily S. Total shoulder arthroplasty—arthroplasty for glenohumeral arthropathies: results and complications after a minimum follow-up of 8 years according to the type of arthroplasty and etiology. Orthop Traumatol Surg Res. 2012;98:S41–7.CrossRefPubMed Favard L, Katz D, Colmar M, Benkalfate T, Thomazeau H, Emily S. Total shoulder arthroplasty—arthroplasty for glenohumeral arthropathies: results and complications after a minimum follow-up of 8 years according to the type of arthroplasty and etiology. Orthop Traumatol Surg Res. 2012;98:S41–7.CrossRefPubMed
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Zurück zum Zitat Wagner E, Houdek MT, Griffith T, Elhassan BT, Sanchez-Sotelo J, Sperling JW, et al. Glenoid bone-grafting in revision to a reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2015;97:1653–60. This retrospective comparative cohort study demonstrates a 24 % 5-year revision rate for RTSA performed as a revision from a prior arthroplasty with concomitant bone grafting, which was significantly higher than RTSA without bone grafting.CrossRefPubMed Wagner E, Houdek MT, Griffith T, Elhassan BT, Sanchez-Sotelo J, Sperling JW, et al. Glenoid bone-grafting in revision to a reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2015;97:1653–60. This retrospective comparative cohort study demonstrates a 24 % 5-year revision rate for RTSA performed as a revision from a prior arthroplasty with concomitant bone grafting, which was significantly higher than RTSA without bone grafting.CrossRefPubMed
Metadaten
Titel
Expanding roles for reverse shoulder arthroplasty
verfasst von
Peter N. Chalmers
Jay D. Keener
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2016
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9316-0

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