Reverse Prostheses in Arthropathies With Cuff Tear
|
|
- Hugh Charles
- 6 years ago
- Views:
Transcription
1 Clin Orthop Relat Res (2011) 469: DOI /s y SYMPOSIUM: REVERSE TOTAL SHOULDER ARTHROPLASTY Reverse Prostheses in Arthropathies With Cuff Tear Are Survivorship and Function Maintained Over Time? Luc Favard MD, Christophe Levigne MD, Cécile Nerot MD, Christian Gerber MD, Lieven De Wilde MD, Daniel Mole MD Published online: 8 March 2011 Ó The Association of Bone and Joint Surgeons Abstract Background The use of reverse shoulder arthroplasty has considerably increased since first introduced in Despite demonstrating early improvement of function and pain, there is limited information regarding the durability and longer-term outcomes of this prosthesis. Questions/purposes We determined complication rates, functional scores over time, survivorship, and whether radiographs would develop signs of loosening. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution approved or waived approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. This work was performed at Service Orthopedie Traumatologie. L. Favard (&) Service Orthopedie Traumatologie, 1 CHU Trousseau, Tours Cedex, France favard@med.univ-tours.fr C. Levigne Chirurgie Orthopédique, Clinique du Parc, Lyon, France C. Nerot Hôpital Maison Blanche, Orthopédie, Reims, France C. Gerber Orthopädische Universitätsklinik, Zurich, Switzerland L. De Wilde Kliniek voor Orthopedie, Fysische Geneeskunde en Revalidatie, Universitair Ziekenhuis Gent, Ghent, Belgium D. Mole Clinique de Traumatologie et Orthopédie, Nancy, France Patients and Methods We retrospectively reviewed 527 reverse shoulder arthroplasties performed in 506 patients between 1985 and Clinical and radiographic assessment was performed in 464 patients with a minimum followup of 2 years and 148 patients with a minimum followup of 5 years (mean, 7.5 years; range, 5 17 years). Cumulative survival curves were established with end points being prosthesis revision and Constant-Murley score of less than 30 points. Results Eighty-nine of 489 had at least one complication for a total of 107 complications. Survivorship free of revision was 89% at 10 years with a marked break occurring at 2 and 9 years. Survivorship to a Constant-Murley score of less than 30 was 72% at 10 years with a marked break observed at 8 years. We observed progressive radiographic changes after 5 years and an increasing frequency of large notches with long-term followup. Conclusions Although the need for revision of reverse shoulder arthroplasty was relatively low at 10 years, Constant-Murley score and radiographic changes deteriorated with time. These findings are concerning regarding the longevity of the reverse shoulder arthroplasty, and therefore caution must be exercised when recommending reverse shoulder arthroplasty, especially in younger patients. Level of Evidence Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence. Introduction Nonconstrained shoulder arthroplasty reportedly provides high improvement of function and ROM for patients with shoulder arthritis [18]; however, function is substantially
2 2470 Favard et al. Clinical Orthopaedics and Related Research 1 Table 1. Main series of reverse prostheses and their mean followup Study Year Mean retrospective period (months) Number of cases Etiology Rittmeister and Kerschbaumer [21] RA Sirveaux et al. [25] CTA Vanhove and Beugnies [26] CTA Werner et al. [28] Varied Seebauer et al. [23] CTA Frankle et al. [6] CTA Guery et al. [11] Varied Boileau et al. [3] Varied Levy et al. [17] Revisions Bufquin et al. [4] Fracture Gohlke and Rolf [8] Revisions Wall et al. [27] Varied RA = rheumatoid arthritis; CTA = cuff tear arthropathy. compromised in the presence of rotator cuff deficiency [1, 29]. The absence of a rotator cuff causes superior migration of the humeral head and an increased risk of glenoid loosening through a rocking horse effect [7]. The use of hemiarthroplasty avoids the problem of glenoid loosening, but four of 18 needed revision in the study of Arntz et al. [1], and five of 21 achieved less than 90 of active flexion after operation in the study of Sanchez-Sotelo et al. [22]. Progressive superior migration of the head also causes wear of the acromial arch and reportedly is associated with worsening function over time [22]. An alternative treatment is the constrained prosthesis with a fixed and lateralized center of rotation, but this is associated with complication rates ranging from 9% to 28% and loosening rates of 5% to 20% at 6.8 years [14, 15, 20]. The reverse shoulder prosthesis, initially proposed by Grammont for cuff tear arthropathy (CTA), reportedly improves pain and mobility at 2 years [2]. In one study, implant survival at 5 years was reported as 91% [25]. However, as a result of its semiconstrained nature, there remain concerns regarding an increased risk of wear and loosening [11, 25]. Distribution of this prosthesis was initially limited; however, many new models of reverse shoulder arthroplasty have been introduced and only limited followup has been reported (Table 1). Sirveaux et al. [25] reported one of the earliest series of reverse shoulder arthroplasty performed for CTA and found 91.3% implant survival rate at 5 years and a Constant-Murley score improvement of 42.3 points after an average of 44 months. Guery et al. [11] found 91% implant survival at a minimum followup of 5 years and substantially better survival rate in those patients with arthropathy associated with a massive cuff tear (MCT) than other indications and therefore suggested the best indication for a reverse shoulder arthroplasty was CTA. Wall et al. [27] reported other indications, especially revision surgery, were associated with a higher risk of complications, including the need for revision. Rittmeister and Kerschbaumer [21] reported three of eight shoulders developed glenoid loosening in a small series of patients with rheumatoid arthritis. From these studies, we can expect a high survival rate at 5 years in patients with CTA, but the mean followup used to determine survival curves was moderate (44 [25] to 69 months [11]) and the number of patients assessed after 5 years followup was low. Moreover, we do not know whether the survival rate and functional score persist after 5 years and whether there are progressive radiographic changes including signs of loosening. We, therefore, determined complication rates, functional scores over time, survivorship, and whether radiographs would develop signs of loosening in patients with CTA who had reverse shoulder arthroplasties. Patients and Methods We retrospectively reviewed all 506 patients who underwent 527 reverse shoulder arthroplasties for CTA, MCT, or primary osteoarthritis with a deficient cuff from January 1, 1985, to December 31, The study was multicenterorganized by the French Orthopaedic Society. There were 383 women and men, a gender ratio of approximately 3:1. Mean age at the time of surgery was 73 years (range, years). The dominant side was involved in 76% of cases. In 21 cases, both shoulders were involved. One hundred thirty-four shoulders had undergone previous surgery for rotator cuff problems. At the time of the review,
3 Volume 469, Number 9, September 2011 Reverse Prostheses in CTA patients died before 2 years followup; all had the prosthesis in place at the time of death. Five were lost to followup before 2 years. This left 489 patients with 509 prostheses. Of these 489 patients, 25 had prosthetic removal or conversion to hemiarthroplasty of their prostheses. This left 464 patients with 484 prostheses with a minimum followup of 2 years. Minimum followup was 2 years (mean, 4.5 years; range, 2 17 months) and mean age at review was 76.1 years (range, years); 138 patients (148 shoulders) had a minimum followup of 5 years (mean, 7.5 years; range, 5 17 months), 65 (69 shoulders) had a minimum followup of 7 years, and 40 (41 shoulders) had a minimum followup of 9 years. The patients were divided into three groups according to etiology and the five-grade classification of Hamada et al. [12]. That classification is based on radiographic features including narrowing of the subacromial space and degenerative changes of the glenohumeral joint. In our study, we had (1) 254 shoulders in a CTA group (Hamada et al. Grade 4 or 5); (2) 229 shoulders in a MCT group (Hamada et al. Grade 1, 2, or 3); and (3) 44 in a primary osteoarthritis group defined as glenohumeral arthritis with a deficient cuff (rupture of at least two tendons or fatty infiltration greater than Grade 2 according to the classification of Goutallier et al. [9]). That classification is a fourstage system based on the amount of fatty infiltration of rotator cuff muscles observed on CT scan. Preoperatively, the Constant-Murley score [5] was 24.4 points (range, 0 68 points) and the relative Constant- Murley score [5] was 34.2 points (range, 0% 93%). The active anterior elevation was 70.5 (range, ), the active external rotation was 8 (range, 45 to 80 ), and the active external rotation in elevation was 23.5 (range, 20 to 90 ). The surgical approach was anterosuperior in 301 cases, deltopectoral in 215 cases, and a transacromial approach according to Baulot et al. [2] in 11 cases. The implant was a Delta TM prosthesis (DePuy, Warsaw, IN) in 461 cases and an Aequalis Reversed TM (Tornier, Inc, Edina, MN) in 66 cases. All patients were operated on in a beach chair position. If the subscapularis was intact, it was detached in its superior two-thirds. If the long head of the biceps was present, we performed either tenotomy or a tenodesis. We exposed the glenoid by initial release of the anterior capsule, then the inferior capsule, and, if necessary, the posterior and inferior parts of the capsule. Many of these procedures were the first performed by the various surgeons, and as a result, the vertical position of the glenoid was not standardized and variable. The humeral retroversion was often unknown. Glenoid implants were uncemented. The first model of Delta TM (before 1995) had a glenosphere with a threaded locking mechanism and after 1995 had a glenosphere with a Morse taper. Humeral implants were cemented in 351 cases. Postoperatively, the shoulder was immobilized with use of a simple sling or a slight abduction pillow that held the arm in internal rotation for 3 weeks. Passive ROM was begun immediately. After 3 weeks, use of the sling was discontinued and the patient was allowed to use the hand on the involved side for simple activities of daily living. Patients were seen within the first 3 months, between 6 and 12 months at 2 years, and then every 2 or 3 years. At each postoperative visit, clinical assessment was based on the Constant-Murley score and active ROM and we obtained an AP and glenoid profile view if possible under fluoroscopy to ensure an accurate view. We had minimum 2-year followup radiographs in 464 of the 484 patients. One surgeon evaluated all 464 images for the presence of a notch according to the classification of Sirveaux et al. [25], the presence of abnormalities of the prosthesis (disassembly, humeral or glenoid unscrewing), fracture or lysis around the screws or the central peg, and the existence of lysis of the different humeral Zones 1 to 7 by a modification of the Gruen classification for the hip [10]. Survival curves were established with the Kaplan-Meier technique [13] and with 95% confidence intervals according to Rothman. We considered two end points: (1) implant removal or replacement for any reason; and (2) a Constant- Murley score of less than 30 points. The curve was cumulative. The patients who died with prostheses still in place were censored. The patients lost to followup before 2 years were considered failures. We compared pre- and postoperative scores with a Wilcoxon signed-rank test and determined differences between subgroups (before 5 years followup and after 5, 7, and 9 years followup) with a Mann- Whitney U test. We made all analyses with StatView 1 (Abacus Concepts Inc, Berkeley, CA). Results Eighty-nine of the 489 patients had at least one complication for a total of 107 complications. Seventy-three had one complication, 14 had two complications, and two had three complications. Three complications were observed most frequently: (1) infection: 27 cases, 12 of which required the removal of the prosthesis; (2) glenoid complications (unscrewing, loosening): 27 cases, 13 of which required revision to a hemiarthroplasty; and (3) dislocation: 19 cases. The other complications were hematoma in 14 cases, humeral complication (fractures, unscrewing of metaphysis, loosening) in 11 cases, neurologic complication in six cases, and fracture of the scapula spine in three cases.
4 2472 Favard et al. Clinical Orthopaedics and Related Research 1 Of the 138 patients (148 shoulders) with a minimum 5-year followup, all parameters of the Constant-Murley score improved. Active motion was improved in forward elevation and external rotation in elevation but not in external rotation with the elbow at the side (Table 2). The 138 patients with greater than 5 years followup had Constant-Murley scores similar to (p = 0.38) those of the 326 patients with less than 5 years followup. The 65 patients with a minimum followup of 7 years had lower Table 2. Clinical results of the 148 shoulders reviewed with a minimum followup of 5 years (p = 0.03) relative Constant-Murley scores than those with less than 5 years. The 40 patients with a minimum followup of 9 years had lower pain (p = 0.04), mobility (p = 0.006), relative Constant-Murley (p = 0.003), and Constant-Murley scores (p = 0.01) than those with less than 5 years (Table 3). Using removal of the prosthesis or conversion to hemiarthroplasty as an end point, we observed a survival rate of 89% at 10 years with a break in the curve at approximately 2 years and then at 9 years (Fig. 1). Twelve prostheses were removed for infection in the first 3 years at a mean Parameter Preoperative Postoperative p Value Constant-Murley score parameters (points) Pain 3.3 ± ± 3.7 \ Activity 6.2 ± ± 4.0 \ Mobility 12.7 ± ± 8.3 \ Strength 1.7 ± ± 4.5 \ Absolute Constant-Murley 23.9 ± ± 16.9 \ score Relative Constant-Murley 33.1 ± ± 23.9 \ score ROM ( ) AAE 69.3 ± ± 32.6 \ AER1 4.9 ± ± AER ± ± 30.2 \ Values are expressed as mean ± SD; AAE = active anterior elevation; AER1 = active external rotation with the elbow at the side; AER2 = active external rotation at 90 of elevation. Fig. 1 A graph shows the survival curve with removal of the reverse prosthesis or its conversion to hemiarthroplasty as the end point. The survival relating to removal of the reverse prosthesis or its conversion to hemiarthroplasty was 89% at 10 years. Table 3. Comparison of the clinical and radiographic results of the population with followup of less than 5 years and the populations with followup of 5, 7, and 9 years Parameter \ 5 years [ 5 years [ 7 years [ 9 years Number of shoulders Constant-Murley score parameters (mean value) (points) Pain * Activity Mobility * Strength Absolute Constant-Murley score * Relative Constant-Murley score * 78.00* ROM (mean value) ( ) AAE AER AER * Radiographic parameters Humeral radiographic complications 9% 21%* 32%* 39%* Glenoid radiographic complications 6.8% 24.6%* 26.8%* 31.8%* Notch Grade 3 or 4 18% 35%* 47%* 50%* *p\ 0.05; AAE = active anterior elevation; AER1 = active external rotation with the elbow at the side; AER2 = active external rotation at 90 of elevation.
5 Volume 469, Number 9, September 2011 Reverse Prostheses in CTA 2473 followup of 23 months. We converted 13 shoulders to hemiarthroplasty at a mean followup of 51 months but with a substantial peak before 2 years (10 of 13 cases). These cases were all the result of glenoid problems. The survival using a Constant-Murley score of less than 30 was 72% at 10 years and showed a regular gradient with a break at approximately 8 years (Fig. 2). Likewise, the percentage of radiographic humeral or glenoid abnormalities differed (p = 0.002) between the two populations before and after minimum 5-year followup: we observed more Stage 3 and 4 notches in the population with the longest followup. The percentage of Stage 3 and 4 notches increased from 35% for 5 years followup to 49% for 9 years minimum followup, whereas the percentage of Stage 1 and 2 notches and Stage 0 notches decreased slightly. The presence of notching, even Stage 3 or 4, did not correlate with the Constant-Murley score (Table 4). Discussion The use of reverse shoulder arthroplasty has considerably increased since first introduced in Some authors Fig. 2 A graph shows the survival curve with an absolute Constant- Murley score of less than 30 points as the end point. The survival using a Constant-Murley score of less than 30 points was 72% at 10 years and showed a regular gradient with a break at approximately 8 years. suggest glenohumeral arthropathy associated with MCT is the best indication for reverse prosthesis [3, 11]. In these patients, the survivorship of the prosthesis is reportedly approximately 91% at 5 years [11, 25] and the functional results remain stable until 7 years followup. The longerterm durability, however, is unknown. We, therefore, determined complication rates, functional scores over time, survivorship, and whether radiographs would develop signs of loosening. We recognize a number of limitations in our study. First, throughout the study period, we did not follow a standardized clinical and radiographic assessment. The quality of radiographs was variable and the analysis was sometimes difficult, especially for staging of notches. It should be emphasized, however, that the radiographs were analyzed by a surgeon with substantial experience in the classification of notching. Second, this was a multicenter study. The number of patients included in this study was relatively large with a low number lost to followup. The number of patients assessed with greater than 5 years followup was high. However, there was wide variability in the operative technique. In particular, the positioning of the glenoid component was not always as recommended by Nyffeler et al. [19]. Moreover, the evaluators were the operative surgeons. Third, most of the surgeons were at the beginning of their experience with reverse prostheses and so the data include a learning curve. However, each surgeon had a subspecialist interest in shoulder surgery. Lastly, at the time of review, many of the patients were elderly and sometimes demented. This may have influenced the reliability of the clinical assessment but would not modify the survivorship of the prosthesis apart from when the general status of health is the reason for not revising a true or potential loosening. Like Sirveaux et al. [25], Frankle et al. [6], and Werner et al. [28] (Table 5), we analyzed the results of the reverse prosthesis in MCT with or without glenohumeral arthropathy. The study of Guery et al. [11] considered other indications, but these were fairly nonhomogeneous with a substantial majority still being CTA. However, the grouping together of CTA on the one hand and other etiologies on the other hand revealed differences in prosthesis survival in favor of CTA. Rheumatoid arthritis also appeared Table 4. Comparison of the number of notches and Constant-Murley scores with increasing followup time Notch stage \ 5 years [ 7 years [ 9 years Number Constant-Murley score Number Constant-Murley score Number Constant-Murley score Stage Stages 1 and Stages 3 and 4* * The number of Stage 3 or 4 notches increased over time but without significant influence on Constant-Murley score.
6 2474 Favard et al. Clinical Orthopaedics and Related Research 1 Table 5. Results of main series of reverse prosthesis for massive cuff tears with or without glenohumeral arthritis Study Mean followup (months) Revision rate (ablation or conversion to hemiarthroplasty) Score Percentage of Stage 3 and 4 notches Sirveaux et al. [25] % 67 (Constant-Murley) 24% Werner et al. [28] % 72% (Relative Constant-Murley) 46% Frankle et al. [6] 33 13% 68.2 (ASES) 0% Favard et al. 91 5% 61 (Constant-Murley) 35% ASES = American Shoulder and Elbow Surgeons. to be an at-risk etiology [21]. In addition, the study of Wall et al. [27] provided additional information about the greater risk of complications in cases of revision. That is why we chose to analyze only MCT with or without glenohumeral arthropathy, which remains today the best indication for this prosthesis. This means the results reported here are potentially the best we can expect. Guery et al. [11] concentrated on the appearance of the survival curve, which presented a break between 1 and 3 years in relation to prosthesis revision. In fact, most of the revisions occurred during this period because of either an infection or rapid loosening. Our study confirmed these findings. The frequency of infection complicating reverse shoulder arthroplasty has been reported in other series [4, 8, 28, 29]. The problem with unscrewing of the glenoid has now been resolved after technical modifications to the prosthesis. Apart from these problems, the fixation of the glenoid component seems to be stable and long-lasting with minimal or no glenoid problems once the initial period of 3 to 4 years has passed. Sirveaux et al. [25] found substantial improvement in the Constant-Murley score and noted a revision rate of 6.2%. Among our 148 patients with more than 5 years followup, the Constant-Murley score was higher than preoperatively. On the other hand, the score decreased after 9 years. In the study of Guery et al. [11], the survivorship to a Constant-Murley score of greater than 30 revealed a break after the sixth year. We found a similar break at approximately 8 years. In the study of Guery et al. [11], the survival curves to a low Constant-Murley score and to a low relative Constant-Murley score were similar, taking age into account, thus suggesting age was not the cause of deterioration. The cause of this deterioration is, therefore, currently unknown but could be related to the delayed consequence of radiographic signs of potential failure. Levigne et al. [16] noted a notching rate of 62% and an increasing frequency of notches with time. In their study, the presence of a notch had no impact on the Constant- Murley score. The explanation provided for the occurrence of a notch of this nature was either a mechanical impingement between the polyethylene and the scapula pillar or a biologic response relating to debris from wear [28]. We found a substantial increase in Stage 3 and 4 notches with increasing followup period, although these had no influence on the functional results. Our results are in accordance with those of other studies [16, 28] but disagree with some reports that have identified the occurrence of a notch as a prognostic factor for function [24, 25]. In conclusion, the long-term results of reverse prostheses for CTA can be summarized as follows: a survival rate of 89% after 10 years with the end point being removal or conversion of the prosthesis but only 72% with the end point being a Constant-Murley score of less than 30; minimal functional deterioration up to 8 years; increasing concern regarding radiographic signs after 5 years; and rate of Stage 3 and 4 notches increasing with time but without any major influence on the Constant-Murley score. We concur with the recommendations made by Guery et al. [11] that the reverse prosthesis is an indication for CTA. Attention must be paid to preventing infections and to the initial positioning of the glenoid implant to minimize early revisions. On average, patient function deteriorates progressively after the eighth year so caution must be observed in relation to the indication, especially in younger patients. Acknowledgments We thank Allan Young, Gilles Walch, Pascal Boileau, François Sirveaux, Carlos Maynou, Philippe Valenti, and the French Society of Orthopedic Surgery for their participation in this study. References 1. Arntz CT, Jackins S, Matsen FA 3rd. Prosthetic replacement of the shoulder for the treatment of defects in the rotator cuff and the surface of the glenohumeral joint. J Bone Joint Surg Am. 1993; 75: Baulot E, Chabernaud D, Grammont PM. [Results of Grammont s inverted prosthesis in omarthritis associated with major cuff destruction: a propos of 16 cases] [in French]. Acta Orthop Belg. 1995;61(Suppl 1): Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg. 2006;15: Bufquin T, Hersan A, Hubert L, Massin P. Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly: a prospective review of
7 Volume 469, Number 9, September 2011 Reverse Prostheses in CTA cases with a short-term follow-up. J Bone Joint Surg Br. 2007; 89: Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214: Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. 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 Am. 2005; 87: Franklin JL, Barrett WP, Jackins SE, Matsen FA 3rd. Glenoid loosening in total shoulder arthroplasty: association with rotator cuff deficiency. J Arthroplasty. 1988;3: Gohlke F, Rolf O. Revision of failed fracture hemiarthroplasties to reverse total shoulder prosthesis through the transhumeral approach: method incorporating a pectoralis-major-pedicled bone window. Oper Orthop Traumatol. 2007;19: Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures: pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;304: Gruen TA, McNeice GM, Amstutz HC. Modes of failure of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;141: Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty: survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am. 2006;88: Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears: a long-term observation. Clin Orthop Relat Res. 1990;254: Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc. 1958;53: Laurence M. Replacement arthroplasty of the rotator cuff deficient shoulder. J Bone Joint Surg Br. 1991;73: Lettin AW, Copeland SA, Scales JT. The Stanmore total shoulder replacement. J Bone Joint Surg Br. 1982;64: Levigne C, Boileau P, Favard L, Garaud P, Mole D, Sirveaux F, Walch G. Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2008;17: Levy JC, Virani N, Pupello D, Frankle M. Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency. J Bone Joint Surg Br. 2007;89: Neer CS 2nd, Watson KC, Stanton FJ. Recent experience in total shoulder replacement. J Bone Joint Surg Am. 1982;64: Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elbow Surg. 2005;14: Post M. Constrained arthroplasty of the shoulder. Orthop Clin North Am. 1987;18: Rittmeister M, Kerschbaumer F. Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and non reconstructible rotator cuff lesions. J Shoulder Elbow Surg. 2001;10: Sanchez-Sotelo J, Cofield RH, Rowland CM. Shoulder hemiarthroplasty for glenohumeral arthritis associated with severe rotator cuff deficiency. J Bone Joint Surg Am. 2001;83: Seebauer L, Walter W, Keyl W. Reverse total shoulder arthroplasty for the treatment of defect arthropathy. Oper Orthop Traumatol. 2005;17: Simovitch RW, Zumstein MA, Lohri E, Helmy N, Gerber C. Predictors of scapular notching in patients managed with the Delta III reverse total shoulder replacement. J Bone Joint Surg Am. 2007;89: Sirveaux F, Favard L, Oudet D, Huguet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff: results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86: Vanhove B, Beugnies A. Grammont s reverse shoulder prosthesis for rotator cuff arthropathy: a retrospective study of 32 cases. Acta Orthop Belg. 2004;70: Wall B, Nove-Josserand L, O Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007;89: Werner CM, Steinmann PA, Gilbart M, Gerber C. 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 Am. 2005;87: Williams GR Jr, Rockwood CA. Hemiarthroplasty in rotator cuffdeficient shoulders. J Shoulder Elbow Surg. 1996;5:
Scapular notching in reverse shoulder arthroplasties: The influence of glenometaphyseal angle
Orthopaedics & Traumatology: Surgery & Research (2011) 97S, S131 S137 ORIGINAL ARTICLE Scapular notching in reverse shoulder arthroplasties: The influence of glenometaphyseal angle V. Falaise a, C. Levigne
More informationAn evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years
UPPER LIMB An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years B. Melis, M. DeFranco, A. Lädermann, D. Molé, L. Favard, C. Nérot,
More informationClinical Outcomes and Complications during the Learning Curve for Reverse Total Shoulder Arthroplasty: An Analysis of the First 40 Cases
Original Article Clinics in Orthopedic Surgery 2017;9:213-217 https://doi.org/10.4055/cios.2017.9.2.213 Clinical Outcomes and Complications during the Learning Curve for Reverse Total Shoulder Arthroplasty:
More informationWhy are these shoulder replacements called a reverse prosthesis?
PATIENT GUIDE TO REVERSE PROSTHESIS Edward G. McFarland MD The Division of Sports Medicine and Shoulder Surgery The Department of Orthopaedic Surgery The Johns Hopkins University Baltimore MD Why are these
More informationReverse Total Shoulder Arthroplasty: A Review of Results According to Etiology
1476 COPYRIGHT 2007 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED Reverse Total Shoulder Arthroplasty: A Review of Results According to Etiology By Bryan Wall, MD, Laurent Nové-Josserand, MD,
More informationBoth anatomic (atsa) and reverse (rtsa) total
S101 Comparison of Outcomes Using Anatomic and Reverse Total Shoulder Arthroplasty Pierre-Henri Flurin, M.D., Yann Marczuk, M.D., Martin Janout, M.D., Thomas W. Wright, M.D., Joseph Zuckerman, M.D., and
More informationScapular Notching. Recognition and Strategies to Minimize Clinical Impact. Gregory P. Nicholson MD, Eric J. Strauss MD, Seth L.
Clin Orthop Relat Res DOI 10.1007/s11999-010-1720-y SYMPOSIUM: REVERSE TOTAL SHOULDER ARTHROPLASTY Scapular Notching Recognition and Strategies to Minimize Clinical Impact Gregory P. Nicholson MD, Eric
More informationAJO DO NOT COPY. The low grade of the intrinsic stability of the shoulder. Total Reverse Shoulder Arthroplasty: European Lessons and Future Trends
A Review Paper Total Reverse Shoulder Arthroplasty: European Lessons and Future Trends Ludwig Seebauer, MD Abstract In the late 1980s, Grammont introduced a new reverse total shoulder arthroplasty (TSA),
More informationAssessment of Scapular Morphology and Surgical Technique as Predictors of Notching in Reverse Shoulder Arthroplasty
An Original Study Assessment of Scapular Morphology and Surgical Technique as Predictors of Notching in Reverse Shoulder Arthroplasty Vani Sabesan, MD, Mark Callanan, MD, Vinay Sharma, BA, and J. Michael
More informationReverse shoulder arthroplasty : Does reduced medialisation improve radiological and clinical results?
Acta Orthop. Belg., 2009, 75, 158-166 ORIGINAL STUDY Reverse shoulder arthroplasty : Does reduced medialisation improve radiological and clinical results? Ibrahim KALOUCHE, Nuno SEVIVAS, Abhijeet WAHEGAONKER,
More informationRadiology Case Reports. Scapular Spine Stress Fracture as a Complication of Reverse Shoulder Arthroplasty
Radiology Case Reports Volume 2, Issue 2, 2007 Scapular Spine Stress Fracture as a Complication of Reverse Shoulder Arthroplasty Kimberly J. Burkholz, Catherine C. Roberts, and Steven J. Hattrup We report
More informationReverse Total Shoulder Arthroplasty: Early Outcome and Complication Report
ORIGINAL ARTICLE Clinics in Shoulder and Elbow Vol. 17, No. 2, June, 2014 http://dx.doi.org/10.5397/cise.2014.17.2.68 CiSE Clinics in Shoulder and Elbow Reverse Total Shoulder Arthroplasty: Early Outcome
More information)532( COPYRIGHT 2018 BY THE ARCHIVES OF BONE AND JOINT SURGERY
)532( COPYRIGHT 2018 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE The Midterm Results of the Delta Xtend Reverse Shoulder System: A Five-Year Outcome Study John G. Horneff, MD; Thema A. Nicholson,
More informationInfluence of Glenosphere Design on Outcomes and Complications of Reverse Arthroplasty: A Systematic Review
Original Article Clinics in Orthopedic Surgery 2016;8:288-297 http://dx.doi.org/10.4055/cios.2016.8.3.288 Influence of Glenosphere Design on Outcomes and Complications of Reverse Arthroplasty: A Systematic
More informationLate Results of Total Shoulder Replacement in Patients With Rheumatoid Arthritis
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 366, pp. 39-45 0 1999 Lippincott Williams & Wilkins, Inc. Late Results of Total Shoulder Replacement in Patients With Rheumatoid Arthritis Jens 0. S@jbjerg,
More informationRevision of reversed total shoulder arthroplasty. Indications and outcome
Farshad et al. BMC Musculoskeletal Disorders 2012, 13:160 RESEARCH ARTICLE Open Access Revision of reversed total shoulder arthroplasty. Indications and outcome Mazda Farshad *, Marion Grögli, Sabrina
More informationThe use of the Lima reverse shoulder arthroplasty for the treatment of fracture sequelae of the proximal humerus
J Orthop Sci (2012) 17:141 147 DOI 10.1007/s00776-011-0185-5 ORIGINAL ARTICLE The use of the Lima reverse shoulder arthroplasty for the treatment of fracture sequelae of the proximal humerus Angel Antonio
More informationReverse Total Shoulder Arthroplasty Improves Function in Cuff Tear Arthropathy
Clin Orthop Relat Res (2011) 469:2476 2482 DOI 10.1007/s11999-010-1683-z SYMPOSIUM: REVERSE TOTAL SHOULDER ARTHROPLASTY Reverse Total Shoulder Arthroplasty Improves Function in Cuff Tear Arthropathy Betsy
More informationAugmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty
Clin Orthop Relat Res (2008) 466:579 583 DOI 10.1007/s11999-007-0104-4 SYMPOSIUM: NEW APPROACHES TO SHOULDER SURGERY Augmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty Robert S. Rice
More informationReverse Total Shoulder Arthroplasty: A New Frontier (of Complications)
Reverse Total Shoulder Arthroplasty: A New Frontier (of Complications) Emilie Cheung, MD Associate Professor Chief Shoulder Elbow Svc Stanford University Department of Orthopedic Surgery Procedure volumes
More informationBilateral Anatomic Total Shoulder Arthroplasty Versus Reverse Shoulder Arthroplasty
Bilateral Anatomic Total Shoulder Arthroplasty Versus Reverse Shoulder Arthroplasty Vaqar Latif, MD; Patrick J. Denard, MD; Allan A. Young, MD; Jean-Pierre Liotard, MD; Gilles Walch, MD abstract Full article
More informationBiomechanical concepts of total shoulder replacement. «Shoulder Course» Day 1. Richard W. Nyffeler Orthopädie Sonnenhof Bern. 11. Sept.
Biomechanical concepts of total shoulder replacement Richard W. Nyffeler Orthopädie Sonnenhof Bern First total shoulder prosthesis Jules Emile Péan, 1830-1898 Monobloc prostheses Charles Neer, 1917-2011
More informationHow repaired rotator cuff function influences Constant scoring
Orthopaedics & Traumatology: Surgery & Research (2010) 96, 500 505 ORIGINAL ARTICLE How repaired rotator cuff function influences Constant scoring D. Goutallier a,, J.-M. Postel a, C. Radier b, J. Bernageau
More informationMatthew D. Saltzman, MD a, Deana M. Mercer, MD c, Winston J. Warme, MD b, Alexander L. Bertelsen, PA-C b, Frederick A. Matsen III, MD b, *
J Shoulder Elbow Surg (2010) 19, 1028-1033 www.elsevier.com/locate/ymse A method for documenting the change in center of rotation with reverse total shoulder arthroplasty and its application to a consecutive
More informationL. Favard a,, D. Katz b, M. Colmar c, T. Benkalfate d, H. Thomazeau e, S. Emily c WORKSHOPS OF THE SOO (2011, LA BAULE).
Orthopaedics & Traumatology: Surgery & Research (2012) 98, S41 S47 Available online at www.sciencedirect.com WORKSHOPS OF THE SOO (2011, LA BAULE). ORIGINAL ARTICLE Total shoulder arthroplasty Arthroplasty
More informationReverse shoulder arthroplasty for the treatment of three and four part fractures of the proximal humerus in patients older than 75 years old
Acta Orthop. Belg., 2014, 80, 99-105 ORIGINAL STUDY Reverse shoulder arthroplasty for the treatment of three and four part fractures of the proximal humerus in patients older than 75 years old Aristotelis
More information"Stability and Instability of RTSA"
Orthopedics Update «Reverse Total Shoulder Arthroplasty» Stability and Instability of RTSA A. LÄDERMANN Orthopaedics and Traumatology, La Tour Hospital, Meyrin, Switzerland Orthopaedics and Traumatology,
More informationShoulder Arthroplasty. Valentin Lance 3/24/16
Shoulder Arthroplasty Valentin Lance 3/24/16 Outline Background Pre-operative imaging assessment Total Shoulder Arthroplasty: Standard and Reverse Complications Other shoulder hardware Hemiarthroplasty
More informationThe Role of Concomitant Biceps Tenodesis in Shoulder Arthroplasty for Primary Osteoarthritis: Results of a Multicentric Study
4edwards.qxd 4/6/04 3:53 PM Page 401 The Role of Concomitant Biceps Tenodesis in Shoulder Arthroplasty for Primary Osteoarthritis: Results of a Multicentric Study GIUSEPPE FAMA, MD*; T. BRADLEY EDWARDS,
More informationGerald R. Williams, MD
Reverse Arthroplasty: Is Overutilization a Problem? Gerald R. Williams, MD John M. Fenlin, Jr, MD Professor of Shoulder and Elbow Surgery The Rothman Institute Jefferson Medical College Royalties Conflict
More informationOptimal Baseplate Rotational Alignment in Reverse Total Shoulder Arthroplasty: A Three-Dimensional Computer-Aided Design Study.
Optimal Baseplate Rotational Alignment in Reverse Total Shoulder Arthroplasty: A Three-Dimensional Computer-Aided Design Study. Byron F. Stephens, MD 1, Casey T. Hebert 2, Thomas W. Throckmorton, MD 1,
More informationInstability After Reverse Total Shoulder Arthroplasty: Which Patients Dislocate?
An Original Study Instability After Reverse Total Shoulder Arthroplasty: Which Patients Dislocate? Eric M. Padegimas, MD, Benjamin Zmistowski, MD, Camilo Restrepo, MD, Joseph A. Abboud, MD, Mark D. Lazarus,
More informationSSSR. 1. Nov Shoulder Prosthesis. Postoperative Imaging. Florian M. Buck, MD
Shoulder Prosthesis Postoperative Imaging Florian M. Buck, MD Shoulder Prosthesis Surgical Approach Findings Imaging Modalities Postoperative Problems Shoulder Prosthesis What are we talking about Anatomical
More informationReverse Total Shoulder. Dr. Minoo Patel
Reverse Total Shoulder Dr. Minoo Patel AOA VIC, Lorne, 2011 The role of the rotator cuff Depress and humeral head (against the force of the deltoid) Keep the humeral head co-apted in the glenoid Initiate
More informationAnalysis of a retrieved Delta III total shoulder prosthesis
Analysis of a retrieved Delta III total shoulder prosthesis R. W. Nyffeler, C. M. L. Werner, B. R. Simmen, C. Gerber From the University of Zurich, Zurich, Switzerland A reversed Delta III total shoulder
More informationINITIAL FIXATION OF THE TRABECULAR METAL REVERSE SHOULDER GLENOID BASE PLATE IMPLANT
Copyright 2008 by Zimmer, Inc. INITIAL FIXATION OF THE TRABECULAR METAL REVERSE SHOULDER GLENOID BASE PLATE IMPLANT Matthew L. Mroczkowski M.S. Roy Wiley Background Reverse total shoulder arthroplasty
More informationThe Reverse Total Shoulder Arthroplasty
This is an enhanced PDF from The Journal of Bone and Joint Surgery The PDF of the article you requested follows this cover page. The Reverse Total Shoulder Arthroplasty Frederick A. Matsen, III, Pascal
More informationPost-Operative Physical Therapy Management of a Reverse Total Shoulder Arthroplasty (rtsa)
Post-Operative Physical Therapy Management of a Reverse Total Shoulder Arthroplasty (rtsa) Steve Volpe PT, MBA, OCS, CHT, CSCS Regional Director of Rehabilitation Services, ProMedica Health System South
More informationResults of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening
J Shoulder Elbow Surg (2013) 22, e1-e6 www.elsevier.com/locate/ymse Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening Richard Ballas, MD a, *, Laurent Beguin,
More informationProsthetic design of reverse shoulder arthroplasty contributes to scapular notching and instability
Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.5312/wjo.v7.i11.738 World J Orthop 2016 November 18; 7(11): 738-745 ISSN 2218-5836 (online)
More informationImmediate post surgical findings of soft tissue swelling, subcutaneous emphysema, and skin staples for reverse total shoulder arthroplasty.
Immediate post surgical findings of soft tissue swelling, subcutaneous emphysema, and skin staples for reverse total shoulder arthroplasty. REVERSE TOTAL SHOULDER ARTHROPLASTY WITH FRACTURED ACROMION Above:
More informationWhat Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy?
Clin Orthop Relat Res (2016) 474:2682 2688 DOI 10.1007/s11999-016-5037-3 Clinical Orthopaedics and Related Research A Publication of The Association of Bone and Joint Surgeons CLINICAL RESEARCH What Factors
More informationGrammont reverse prosthesis: Design, rationale, and biomechanics
Grammont reverse prosthesis: Design, rationale, and biomechanics Pascal Boileau, MD, Duncan J. Watkinson, FRCS, Armodios M. Hatzidakis, MD, and Frederic Balg, MD, FRCSC, Nice, France Combined destruction
More informationReverse Shoulder Arthroplasty A Literature Review
Send Orders for Reprints to reprints@benthamscience.net 366 The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M13) 366-372 Reverse Shoulder Arthroplasty A Literature Review Open Access Aatif Mahmood, Joby
More informationEvaluating Scapular Notching after Reverse Total Shoulder Arthroplasty
ORIGINAL ARTICLE Clinics in Shoulder and Elbow Vol. 18, No. 4, December, 2015 http://dx.doi.org/10.5397/cise.2015.18.4.248 CiSE Clinics in Shoulder and Elbow Evaluating Scapular Notching after Reverse
More informationD Degenerative joint disease, rotator cuff deficiency with, 149 Deltopectoral approach component removal with, 128
Index A Abduction exercise, outpatient with, 193, 194 Acromioclavicular arthritis, with, 80 Acromiohumeral articulation, with, 149 Acromio-humeral interval (AHI), physical examination with, 9, 10 Active
More informationThe reverse shoulder prosthesis in the treatment of fractures of the proximal humerus in the elderly
The reverse shoulder prosthesis in the treatment of fractures of the proximal humerus in the elderly J.-F. Cazeneuve, D.-J. Cristofari From Orthopaedic Centre, Centre Hospitalier, Laon, France We have
More informationDisclosures A prospective comparison between reverse and anatomic total shoulder arthroplasty
Disclosures A prospective comparison between reverse and anatomic total shoulder arthroplasty Tuyen Kiet Micah Naimark, MD Brian T. Feeley, MD Teddy T. Chung Tatiana Gajiu Sarah L. Hall, MA C. Benjamin
More informationChapter 7. Arthroplasty and Rotator Cuff Deficiency. Gregory P. Nicholson
Chapter 7 Arthroplasty and Rotator Cuff Deficiency Gregory P. Nicholson Rotator cuff deficient shoulders with degenerative joint disease are a treatment challenge. Most patients present primarily due to
More informationMid-term outcome of reverse shoulder prostheses in complex proximal humeral fractures
Reference number to be mentioned by correspondence : ORTHO/2982-VALENTI- Acta Orthop. Belg., 2012, 78, 00-00 ORIGINAL STUDY Mid-term outcome of reverse shoulder prostheses in complex proximal humeral fractures
More informationConversion of Anatomic TSA to RSA
Conversion of Anatomic TSA to RSA Joseph A. Abboud, M.D. Professor of Shoulder and Elbow Surgery Senior Vice-President at the Rothman Institute Philadelphia, PA Disclosures Joseph A. Abboud, MD Depuy Synthes
More informationA symptom-based classification for shoulders with massive rotator cuff defects
International Orthopaedics (SICOT) (2010) 34:63 69 DOI 10.1007/s00264-009-0725-1 ORIGINAL PAPER A symptom-based classification for shoulders with massive rotator cuff defects Markus Loew & Patric Raiss
More information0 Introduction (20.9%) [7]
Chinese Journal of Tissue Engineering Research www.crter.org ( 443000) DOI:10.3969/j.issn.2095-4344.0187 ORCID: 0000-0003-0005-1839() 60 120 2 60 1980 2015 443000 :R318 :A 2017-12-05 3 4 120 60 () 3 (P
More informationS h o u l d e r Solutions by Tornier C o n v e r T i b l e S h o u l d e r S y S T e m
S h o u l d e r Solutions by Tornier C o n v e r t i b l e s h o u l d e r s y s t e m C o n v e r t i b l e s h o u l d e r s y s t e m A n a t o m i c Aequalis Ascend Flex - UDZF131 One System. Two Solutions.
More informationRCR or rtsa? Massive Rotator Cuff Tears without Arthritis in Patients Older than 65 Reverse Total Shoulder Arthroplasty or Rotator Cuff Repair?
Massive Rotator Cuff Tears without Arthritis in Patients Older than 65 Reverse Total Shoulder Arthroplasty or Rotator Cuff Repair? JESSE W. ALLERT, MD THOMAS SELLERS, MD PETER SIMON, PHD RACHEL CLARK,
More informationThe Irreparable Rotator Cuff Tear:
The Irreparable Rotator Cuff Tear: Trauma 101: Shoulder Session #2 Brian Grawe, MD Assistant Professor Orthopaedics & Sports Medicine 5/10/2018 Brian Grawe, MD Assistant Professor Phone Number: 513-558-4516
More informationDelta III reverse shoulder arthroplasty: Radiological outcome for acute complex fractures of the proximal humerus in elderly patients
Orthopaedics & Traumatology: Surgery & Research (2009) 95, 325 329 ORIGINAL ARTICLE Delta III reverse shoulder arthroplasty: Radiological outcome for acute complex fractures of the proximal humerus in
More informationAdvantages to medialize less
Advantages to medialize less less RSP? Clinical and radiological results Ph Valenti, D Katz, Ph Sauzieres J Kany, K Elkolti, P Gleyze Paris, Lorient, Toulouse, Lyon, Colmar Delta RSP CTA pseudoparalytic
More informationANATOMIC TOTAL SHOULDER REPLACEMENT:
The Shoulder Replacement A total shoulder arthroplasty (TSA) is a surgery to replace the damaged parts of the ball and socket shoulder joint with an artificial prosthesis. The damage to the shoulder can
More informationP. Trouilloud M. Gonzalvez P. Martz H. Charles F. Handelberg R. W. Nyffeler E. Baulot DuocentricÒ Group
DOI 10.1007/s00590-013-1213-2 ORIGINAL ARTICLE Duocentric Ò reversed shoulder prosthesis and Personal Fit Ò templates: innovative strategies to optimize prosthesis positioning and prevent scapular notching
More informationConvertibilité. Ph. Valenti. Paris Shoulder Unit Clinique Bizet (Paris, France)
Convertibilité Ph. Valenti Paris Shoulder Unit Clinique Bizet (Paris, France) Disclosures Arthroplasty Consultant : FH orthopaedics receive royalties Arthroscopy Consultant : Zimmer Biomet Arthrex In Last
More informationHemiarthroplasty Versus Reverse Total Shoulder Arthroplasty for Acute Proximal Humerus Fractures in Elderly Patients
Hemiarthroplasty Versus Reverse Total Shoulder Arthroplasty for Acute Proximal Humerus Fractures in Elderly Patients Grant E. Garrigues, MD; Peter S. Johnston, MD; Matthew D. Pepe, MD; Bradford S. Tucker,
More informationMassive Rotator Cuff Tears. Rafael M. Williams, MD
Massive Rotator Cuff Tears Rafael M. Williams, MD Rotator Cuff MRI MRI Small / Partial Thickness Medium Tear Arthroscopic View Massive Tear Fatty Atrophy Arthroscopic View MassiveTears Tear is > 5cm
More informationThree-Dimensional Scapular Kinematics in Patients with Reverse Total Shoulder Arthroplasty during Arm Motion
Original rticle Clinics in Orthopedic Surgery 216;8:316-324 http://dx.doi.org/1.455/cios.216.8.3.316 Three-Dimensional Scapular Kinematics in Patients with Reverse Total Shoulder rthroplasty during rm
More informationKeywords Arthroplasty; Replacement; Joint Diseases; Rotator Cuff
ORIGINAL article Results of Surgical Treatment of Denerative Arthropathy of the Rotator Cuff using Hemiarthroplasty- CTA Rômulo Brasil Filho 1, Fabiano Rebouças Ribeiro 1, Antonio Carlos Tenor Junior 1,
More informationOptions for the Irreparable RCT 3/9/2018. Your Patient has an Irreparable RC Tear: What Now? Asheesh Bedi, MD
Your Patient has an Irreparable RC Tear: What Now? Asheesh Bedi, MD Harold and Helen W. Gehring Professor Chief, Sports Medicine & Shoulder Surgery MedSport, Department of Orthopedic Surgery Head Team
More informationName of Policy: Shoulder Resurfacing
Name of Policy: Shoulder Resurfacing Policy #: 366 Latest Review Date: November 2010 Category: Surgery Policy Grade: Active policy but no longer scheduled for regular literature reviews and update. Background/Definitions:
More information)19( COPYRIGHT 2019 BY THE ARCHIVES OF BONE AND JOINT SURGERY
)19( COPYRIGHT 2019 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE Failure of Anatomic Total Shoulder Arthroplasty with Revision to Another Anatomic Total Shoulder Arthroplasty Mihir Sheth,
More informationManagement of arthritis of the shoulder. Omar Haddo Consultant Orthopaedic Surgeon
Management of arthritis of the shoulder Omar Haddo Consultant Orthopaedic Surgeon Diagnosis Pain - with activity initially. As disease progresses night pain is common and sleep difficult Stiffness trouble
More informationAccuracy of CT-based measurements of glenoid version for total shoulder arthroplasty
J Shoulder Elbow Surg (2009) -, 1-6 www.elsevier.com/locate/ymse Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty Heinz R. Hoenecke Jr., MD*, Juan C. Hermida, MD, Cesar
More informationIndex. B Backslap technique depth assessment, 82, 83 diaphysis distal trocar, 82 83
Index A Acromial impingement, 75, 76 Aequalis intramedullary locking avascular necrosis, 95 central humeral head, 78, 80 clinical and functional outcomes, 95, 96 design, 77, 79 perioperative complications,
More informationReversed Revised : What to do when it goes wrong?
Acta Orthop. Belg., 2014, 80, 314-321 ORIGINAL STUDY Reversed Revised : What to do when it goes wrong? Bart Middernacht, Alexander Van Tongel, Lieven De Wilde From Department of Orthopaedics, University
More informationShoulder hemiarthroplasty in the management of humeral head fractures
Acta Orthop. Belg., 2004, 70, 214-218 ORIGINAL STUDY Shoulder hemiarthroplasty in the management of humeral head fractures Joseph J. CHRISTOFORAKIS, George M. KONTAKIS, Pavlos G. KATONIS, Konstantinos
More informationEffect of Prosthesis Design on Muscle Length and Moment Arms in Reverse Total Shoulder Arthroplasty
S31 Effect of Prosthesis Design on Muscle Length and Moment Arms in Reverse Total Shoulder Arthroplasty Matthew A. Hamilton, Ph.D., Christopher P. Roche, M.S., M.B.A., Phong Diep, B.S., Pierre- Henri Flurin,
More informationNot relevant to this presentation.
Nolan R. May, MD Kearney, NE Heartland Surgery Center, Kearney NE Not relevant to this presentation. 1 What are the indications for total shoulder arthroplasty? What are the differences between total shoulder
More informationUncommon Indications for Reverse Total Shoulder Arthroplasty
Review Article Clinics in Orthopedic Surgery 2013;5:243-255 http://dx.doi.org/10.4055/cios.2013.5.4.243 Uncommon Indications for Reverse Total Shoulder Arthroplasty Yoon Suk Hyun, MD, Gazi Huri, MD, Nickolas
More informationMEDICAL POLICY MEDICAL POLICY DETAILS POLICY STATEMENT. Page: 1 of 6
Page: 1 of 6 MEDICAL POLICY MEDICAL POLICY DETAILS Medical Policy Title SHOULDER ARTHROPLASTY (TOTAL, PARTIAL AND REVERSE) Policy Number 7.01.95 Category Technology Assessment Effective Date 6/21/18 Revised
More informationUse of a partial humeral head resurfacing system for management of an osseous mechanic... Page 1 of 12 Int J Shoulder Surg. 2011 Jan-Mar; 5(1): 17 20. doi: 10.4103/0973-6042.80465. PMCID: PMC3109768 Copyright
More informationFunctional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures
J Shoulder Elbow Surg (2013) 22, 32-37 www.elsevier.com/locate/ymse Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures Matthew J. Boyle,
More informationRevision of the humeral component for aseptic loosening in arthroplasty of the shoulder
Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder A. Cil, C. J. H. Veillette, J. Sanchez-Sotelo, J. W. Sperling, C. Schleck, R. H. Cofield From the Mayo Clinic, Rochester,
More informationIndications for reverse shoulder replacement
INSTRUCTIONAL REVIEW: UPPER LIMB Indications for reverse shoulder replacement A SYSTEMATIC REVIEW C. D. Smith, P. Guyver, T. D. Bunker From Princess Elizabeth Orthopaedic Centre, Exeter, United Kingdom
More informationMassive rotator cuff tears in patients younger than 65 years. What treatment options are available?
Orthopaedics & Traumatology: Surgery & Research (2009) 95S, S19 S26 WORKSHOPS OF THE SOO (2008 LE HAVRE). SYMPOSIUM: MASSIVE ROTATOR CUFF TEARS IN PATIENTS YOUNGER THAN 65 YEARS Massive rotator cuff tears
More informationThe Deltopectoral Approach for Reverse Shoulder Arthroplasty
The Deltopectoral Approach for Reverse Shoulder Arthroplasty George M. McCluskey III, MD, and Howard D. Routman, DO Director, St. Francis Shoulder Center, St. Francis Orthopaedic Institute, Columbus, Georgia
More informationRevision of total shoulder arthroplasty
Orthopaedics & Traumatology: Surgery & Research (2013) 99S, S12 S21 Available online at www.sciencedirect.com REVIEW ARTICLE Revision of total shoulder arthroplasty L. Favard Orthopaedic and Trauma Surgery,
More informationTitle: Scapular Notching on Kinematic Simulated Range of Motion after Reverse Shoulder Arthroplasty is not the Result of Impingement in Adduction
1 2 Title: Scapular Notching on Kinematic Simulated Range of Motion after Reverse Shoulder Arthroplasty is not the Result of Impingement in Adduction 3 4 Running title: Scapular notching in RSA 5 6 7 Alexandre
More informationRetrospective Analysis of Arthroscopic Management of Glenohumeral Degenerative Disease
Retrospective Analysis of Arthroscopic Management of Glenohumeral Degenerative Disease Geoffrey S. Van Thiel, M.D., M.B.A., Steven Sheehan, B.S., Rachel M. Frank, B.S., Mark Slabaugh, M.D., Brian J. Cole,
More informationResults of a new stemless shoulder prosthesis: Radiologic proof of maintained fixation and stability after a minimum of three years follow-up
J Shoulder Elbow Surg (2010) 19, 847-852 www.elsevier.com/locate/ymse Results of a new stemless shoulder prosthesis: Radiologic proof of maintained fixation and stability after a minimum of three years
More informationSurgical Management of Instability and SLAP Lesions SHOULDER AND ELBOW UPDATE Gerald R. Williams, Jr., MD 1
Surgical Management of Instability and SLAP Lesions Conflict of Interest Slide Surgical Management of Instability and SLAP Lesions Gerald R. Williams, MD John M. Fenlin, Jr, MD Professor, The Rothman Institute
More informationMaking sense of all our measures-inclination, version, subluxation, reaming depth & implant seating
Thursday - ANATOMIC SHOULDER ARTHROPLASTY 7:00-7:15a Welcome and Introduction of Faculty Athwal, Keener, 7:15-7:22a The ABC s of the Walch Classification Walch 7:22-7:32a How I use x-rays, CT +/- MRI for
More informationCIC Edizioni Internazionali
Alfonso Maria Romano 1 Francesco Oliva 2 Guglielmo Nastrucci 1 Pasquale Casillo 3 Angelo Di Giunta 4 Massimiliano Susanna 5 Francesco Ascione 3 1 Orthopedic Division, Campolongo Hospital, Salerno, Italy
More informationInvestigation performed at the Mayo Clinic and Mayo Foundation, Rochester, Minnesota
1814 COPYRIGHT 2001 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED Shoulder Hemiarthroplasty for Glenohumeral Arthritis Associated with Severe Rotator Cuff Deficiency BY JOAQUIN SANCHEZ-SOTELO,
More informationManaging acromial fractures: prevention and treatment, both nonoperative and operative
Review Article Page 1 of 8 Managing acromial fractures: prevention and treatment, both nonoperative and operative Christopher D. Joyce, Adam J. Seidl Department of Orthopaedics, University of Colorado,
More informationBalgrist Shoulder Course 2017
My approach to failed hemiprosthesis Ernst Wiedemann OCM Clinic Munich Consultant to Arthrex Royalties from Arthrex Consultant to Zimmer Disclosures Pathways Hemi-prosthesis Anatomical prosthesis (HSA
More informationLatissimus dorsi transfer for primary treatment of irreparable rotator cuff tears
J Orthopaed Traumatol (2002) 2:139 145 Springer-Verlag 2002 ORIGINAL F. Postacchini S. Gumina P. De Santis R. Di Virgilio Latissimus dorsi transfer for primary treatment of irreparable rotator cuff tears
More information3/9/2018. Algorithm for Massive RCT s. Massive Rotator Cuff Tears: When is Reverse TSA the only option?
Massive Rotator Cuff Tears: When is Reverse TSA the only option? Anthony A. Romeo, MD Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox
More informationComparison of conforming and nonconforming retrieved glenoid components
Comparison of conforming and nonconforming retrieved glenoid components Shane J. Nho, MD, MS, a Owen L. Ala, c Christopher C. Dodson, MD, a Mark P. Figgie, MD, b Timothy M. Wright, PhD, c Edward V. Craig,
More informationBulletin of the Hospital for Joint Diseases 2013;71(4):284-93
284 Impact of Inferior Glenoid Tilt, Humeral Retroversion, Bone Grafting, and Design Parameters on Muscle Length and Wrapping in Reverse Shoulder Arthroplasty Christopher P. Roche, M.S., M.B.A., Phong
More informationShoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
More informationDESIGN RATIONALE AND SURGICAL TECHNIQUE
DESIGN RATIONALE AND SURGICAL TECHNIQUE ANCHOR PEG GLENOID DESIGN RATIONALE In total shoulder arthroplasty, most cases of clinical and radiographic loosening involve failure of the fixation of the glenoid
More informationInstability of the Shoulder after Arthroplasty*
Copyright 1993 by The Journal ofbone and Joint Surgery, Incorporated Instability of the Shoulder after Arthroplasty* BY BRUCE H. MOECKEL. M.D.t. DAVID w. ALTCHEK. M.D3. RUSSELL F. WARREN. M.D4, THOMAS
More information