| Glenoid reconstruction in revision shoulder arthroplasty. | |
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MedLine Citation:
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PMID: 18213509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Failed shoulder arthroplasty associated with glenoid bony deficiency is a difficult problem. Revision surgery is complex with unpredictable outcome. We asked whether revision shoulder arthroplasty with glenoid bone grafting could lead to good outcome. We retrospectively reviewed 21 patients who underwent glenoid bone grafting using corticocancellous bone grafting or impaction grafting using cancellous bone graft. Three patients underwent revision TSA, five patients hemiarthroplasty, 10 patients hemiarthroplasty with biologic resurfacing of the glenoid, and three patients revision to reverse TSA. The patients had minimum 25 months followup (average, 45 months; range, 25-92 months). All patients had improvement in their range of motion and the Constant-Murley score. Most improvement occurred in patients with glenoid reimplantation. Patients who underwent revision reverse TSA had improvement in shoulder flexion but decrease in external rotation motion. We conclude revision shoulder arthroplasty with glenoid bone grafting can produce good short-term outcome and glenoid component reinsertion should be attempted whenever possible. |
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Authors:
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Bassem Elhassan; Mehmet Ozbaydar; Lawrence D Higgins; Jon J P Warner |
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Publication Detail:
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Type: Journal Article Date: 2008-01-23 |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 466 ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-11 Completed Date: 2008-04-25 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 599-607 Citation Subset: AIM; IM |
Affiliation:
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Harvard Shoulder Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arthroplasty* Bone Transplantation* Female Follow-Up Studies Humans Male Middle Aged Range of Motion, Articular Recovery of Function Reoperation Replantation* Retrospective Studies Scapula / surgery* Shoulder Joint / physiopathology, radiography, surgery* Time Factors Treatment Failure Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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