nach oben

European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

19.05.2016 | Original Article • SHOULDER - ARTHROPLASTY

Ranges of motion after reverse shoulder arthroplasty improve significantly the first year after surgery in patients with rheumatoid arthritis

verfasst von: Hannu Tiusanen, Pjotor Sarantsin, Miika Stenholm, Ryan Mattie, Mikhail Saltychev

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To evaluate the trajectory of the change in range of motion after reverse shoulder joint replacement during 3-year follow-up among patients with rheumatoid arthritis.

Methods

Retrospective cohort longitudinal study of 76 shoulder replacements performed in a university clinic. The range of shoulder motion was assessed by a physiotherapist using a manual goniometer with 5-degree precision before the surgery and 1, 3, 6, 12, and 36 months postoperatively.

Results

The shapes of the regression curves suggest that the improvement or decline observed in joint motion was happening mostly during the first year after surgery. After 1 year, the trajectories become flat and they remained unchanged until the end of follow-up.

Conclusions

After shoulder joint replacement, the range of shoulder motion showed substantial changes during the first year only. This should be taken into account when scheduling control visits, planning rehabilitation, and predicting the use of community services after the surgery.

Lehtinen JT, Belt EA, Lybäck CO, Kauppi MJ, Kaarela K, Kautiainen HJ, Lehto MUK (2000) Subacromial space in the rheumatoid shoulder: a radiographic 15-year follow-up study of 148 shoulders. J Shoulder Elbow Surg 9:183–187CrossRefPubMed

Rozing PM, Brand R (1998) Rotator cuff repair during shoulder arthroplasty in rheumatoid arthritis. J Arthroplasty 13(3):311–319CrossRefPubMed

Kelly IG (1994) Unconstrained shoulder arthroplasty in rheumatoid arthritis. Clin Orthop Relat Res 307:94–102PubMed

Betts HM, Abu-Rajab R, Nunn T, Brooksbank AJ (2009) Total shoulder replacement in rheumatoid disease. J Bone Joint Surg Br 91:1197–1200CrossRefPubMed

Young AA, Smith MM, Bacle G, Moraga C, Walch G (2011) Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 93(20):1915–1923CrossRefPubMed

Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn (Stockh) 18(4):481–491

Valenti PH, Boutens D, Nerot C (2001) Delta 3 reversed prosthesis for osteoarthritis with massive rotator cuff tear: long term results. In: Walch G, Boileau P, Molé D (eds) 2000 shoulder prostheses… two to ten year follow-up. Montpellier: Sauramps Medical

Gould D et al (2001) Visual Analogue Scale (VAS). J Clin Nurs 10:697–706CrossRefPubMed

Woodruff MJ, Cohen AP, Bradley JG (2003) Arthroplasty of the shoulder in rheumatoid arthritis with rotator cuff dysfunction. Int Orthop 27(1):7–10PubMed

10.

Werner CM, Steinmann PA, Gilbart M, Gerber C (2005) Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg. 87A:1476–1486CrossRef

11.

Boileau P, Watkinson D, Hatzidakis AM, Hovorka I (2006) Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 15:527–540CrossRefPubMed

12.

Cuff D, Pupello D, Virani N et al (2008) Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg. 90A:1244–1251CrossRef

13.

Frankle M, Levy JC, Pupello D et al (2006) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency: a minimum two-year follow-up study of sixty patients surgical technique. J Bone Joint Surg. 88A(suppl 1):178–190

14.

Frankle M, Siegal S, Pupello D et al (2005) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency: a minimum two-year follow-up study of sixty patients. J Bone Joint Surg 87A:1697–1705CrossRef

15.

Jacobs R, Debeer P, De Smet L (2001) Treament of rotator cuff arthropathy with a reversed Delta shoulder prosthesis [published correction appears in Acta Orthop Belg. (2002) 68:preceding 100]. Acta Orthop Belg 67:344–347

16.

Levy J, Frankle M, Mighell M, Pupello D (2007) The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture. J Bone Joint Surg. 89A:292–300CrossRef

17.

McFarland EG, Sanguanjit S, Tasaki A et al (2006) The reverse shoulder prosthesis: a review of imaging features and complications. Skeletal Radiol 35:488–496CrossRefPubMed

18.

Rittmeister M, Kerschbaumer F (2001) Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg 10:17–22CrossRefPubMed

19.

Boileau P, Watkinson DJ, Hatzidakis AM, Balg F (2005) Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg 14(1 suppl S):147S–161SCrossRefPubMed

20.

Boileau P, Trojani C, Walch G et al (2001) Shoulder arthroplasty for treatment of sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg 10:299–308CrossRefPubMed

21.

De Wilde L, Mombert M, Van Petegem P, Verdonk R (2001) Revision of shoulder replacement with a reversed shoulder prosthesis (Delta III): report of five cases. Acta Orthop Belg 67:348–353PubMed

22.

Harman M, Frankle M, Vasey M, Banks S (2005) Initial glenoid component fixation in “reverse” total shoulder arthroplasty: a biomechanical evaluation. J Shoulder Elbow Surg 14(1 suppl S):162S–167SCrossRefPubMed

23.

Julien Y, Gondrand I, Charpenay C et al (2003) Shoulder reconstruction using Grammont (Delta III) total arthroplasty after resection for malignant bony tumors of proximal humerus. Eur J Orthopaed Surg Traumatol 13:77–79CrossRef

24.

Favard L, Guery J, Bicknell R (2006) Survivorship of the reverse prosthesis. In: Walch G, Boileau P, Mole D et al (eds) Reverse Shoulder Arthroplasty. Sauramps Medical, Montpellier, pp 373–379

25.

DeFranco MJ, Walch G (2011) Current issues in reverse total shoulder arthroplasty. J Musculoskelet Med 28:85

26.

Lädermann A, Derarnd PJ, Boileua P, Farron PP, Terrier A, Ston J, Walch G (2015) Effect of humeral stem design on humeral position and range of motion in reverse shoulder arthroplasty. Int Orthop (SICOT) 39:2205–2213CrossRef

Titel: Ranges of motion after reverse shoulder arthroplasty improve significantly the first year after surgery in patients with rheumatoid arthritis
verfasst von: Hannu Tiusanen
Pjotor Sarantsin
Miika Stenholm
Ryan Mattie
Mikhail Saltychev
Publikationsdatum: 19.05.2016
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 5/2016
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-016-1795-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2016

Neonatal septic arthritis in a tertiary care hospital: a descriptive study

Changes in the three-dimensional load-bearing axis after mobile-bearing total knee arthroplasty

Return to sport after ACL reconstruction: a survey between the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopaedic Technologies (SIGASCOT) members

Midterm results of surgical treatment of displaced proximal humeral fractures in children

Early failure with the Journey-Deuce bicompartmental knee arthroplasty

High tibial osteotomy for the treatment of medial osteoarthritis of the knee with new iBalance system: 2 years of follow-up