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ANALYSIS OF LONG-TERM RESULTS OF SHOULDER ARTHROPLASTY
- Authors: Nenashev D.V.1, Varfolomeev A.P.1, Maykov S.V.1
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Affiliations:
- The Vreden Russian Research Institute of Traumatology and Orthopedics, St. - Petersburg
- Issue: Vol 18, No 2 (2012)
- Pages: 71-78
- Section: EXPERIENCE EXCHANGE
- URL: https://journal.rniito.org/jour/article/view/247
- DOI: https://doi.org/10.21823/2311-2905-2012--2-71-78
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Abstract
The retrospective analysis of 97 shoulder arthroplasties during 1998 to 2009 was performed. The hemiarthroplasty were fulfilled in 92 patients and total shoulder replacement in 5 patients. Total rate good and satisfactory results consists 32,0%, poor results - 68,0% (66 patients, include 5 patients with total shoulder arthroplasty). The lower level of good results was revealed in patients with chronic fractures and fracture-dislocations of shoulder. It related with changes bones of shoulder and muscles of shoulder (rotator cuff). In the studied group of patients there was no proper pre-operative diagnostics of the rotator cuff, articular surface of the scapula, which shows the need for careful preoperative examination to determine the indications for shoulder arthroplasty and select the type of prosthesis. Unsatisfactory results of total arthroplasty related to screw migration (in case of the transacromion approach) and to the development of subacromial impingement. The conclusion about the need to narrow the indications for use of the scapular component «Ortho-P». The authors showed preference to cemented implants without a metal base. It is necessary to introduce in practice the anatomic implants of the third generation allowing the fullest play the anatomy and biomechanics of the shoulder joint.
About the authors
D. V. Nenashev
The Vreden Russian Research Institute of Traumatology and Orthopedics, St. - Petersburg
Author for correspondence.
Email: noemail@neicon.ru
Russian Federation
A. P. Varfolomeev
The Vreden Russian Research Institute of Traumatology and Orthopedics, St. - Petersburg
Email: Doctor_varf@mail.ru
Russian Federation
S. V. Maykov
The Vreden Russian Research Institute of Traumatology and Orthopedics, St. - Petersburg
Email: Mays.v.80@mail.ru
Russian Federation
References
- Зацепин С.Т., Бурдыгин В.Н. Эндопротез верхнего суставного конца плечевой кости из титана. Актуальные вопросы травматологии и ортопедии. 1972; 6: 118-120.
- Ненашев Д.В. Реконструктивные операции при застарелых повреждениях плечевого сустава [дис.... д-ра мед. наук]. СПб, 2002. 245 с.
- Шаповал А.Н., Балашов Б.Н., Валенцев Г.В. и др. Эндопротез проксимального суставного конца плечевой кости. Бюл. откр. изобр. 1992; (23): 50-52.
- Языков Д.К. Исход операции артроаллопластики плечевого сустава. Ортопед. травматол. 1960; (4): 63-65.
- Bankes M.J., Emery R.J. Pioneers of shoulder replacement: Themistocles Gluck and Jules Emile Pean. J. Shoulder Elbow Surg. 1995; 4(4): 259-262.
- Boileau P., Walch G. Adaptability and modulation in shoulder prosthesis. Acta Orthop. Belg. 1995; 6: 49-61.
- Boileau P., Sinnerton R.J., Chuinard C, Walch G. Arthroplasty of the Shoulder. J. Bone Joint Surg. Br. 2006; 88(5): 562-575.
- Boileau P., Avidor C., Krishnan S.G. et al. Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J. Shoulder Elbow Surg. 2002; 11: 351-359.
- Burkhead W.Z., Fridman R.J. History and development of shoulder arthroplasty. In: Fridman R.J., ed. Arthroplasty of the shoulder. Thieme: New York; 1994. 502 p.
- Gartsman G.M., Edwards T.B. Shoulder arthroplasty. Philadelphia: Saunders Elsevier; 2008. 544 p.
- Harryman D.T., Sidles J.A., Harris S.L., Lippitt S.B., Matsen F.A. 3rd. The effect of articular conformity and the size of the humeral head component on laxity and motion after gleniohumeral arthroplasty: A study in cadaver. J. Bone Joint Surg. Am. 1995; 77: 555-563.
- Katz D.A., O'Toole G., Cogswell L., Sauzieres P., Valenti P. A history of the reverse shoulder prosthesis. Int. J. Shoulder Surg. 2007; 1(4): 108-113.
- Krueger F.G. A vitalium replica arthroplasty on the shoulder: A case report of aseptic necrosis of the proximal end of the humerus. Surgery. 1951; 30: 1005-1011.
- Neer C. Articular replacement for the humeral head. J. Bone Joint Surg. Am. 1955; 37: 215-228.
- Neer C.S. Displaced proximal humeral fractures. Part 1. Classification and evaluation. J. Bone Joint Surg. Am. 1970; 52(6): 1077-1089.
- Neer C.S. 2nd Replacement arthroplasty for gleniohumeral osteoarthritis. J. Bone Joint Surg. Am. 1974; 56(1): 1-13.
- Nyffeler R.V., Sheikh R., Jacob H.A., Gerber C. Influence of humeral prosthesis height on biomechanics of gleniohumeral abduction an in vitro study. J. Bone Joint Surg. Am. 2004; 86: 575-580.
- Pearl M.L., Volk A.G. Coronal plane geometry of the proximal humerus relevant to prosthetic arthroplasty. J. Shoulder Elbow Surg. 1996; 5: 320-326.
- Pearl M.L., Kurutz S. Geometric analysis of commonly used prosthetic systems for proximal humeral replacement. J. Bone Joint Surg. Am. 1999; 81: 660-671.
- Richard A., Judet R., Rene L. Acrylik prosthetic reconstruction of the upper end of the humerus for fracture-luxations. J. Chir. 1952; 68: 537-547.
- Takase K.R., Yamamoto K., Imakiire A., Burkhead W.Z. Jr. The radiographic study in the relationship of the gleniohumeral joint. J. Orthop. Res. 2004; 22: 298-305.
