| Revision shoulder arthroplasty: an analysis of indications and outcomes. | |
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MedLine Citation:
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PMID: 19733095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We reviewed all revision operations performed by a single surgeon on previous hemi- and total shoulder arthroplasties from November 1987 to March 2005. METHOD: Thirty-five patients' charts were reviewed to determine the causes of failures. In addition, their outcomes after the revision surgery were analyzed. RESULTS: Overall, results were satisfactory in 71% by Neer criteria at a mean follow-up of 27.6 months. Outcomes were related to reason for failure. When failure was because of glenoid erosion, loosening, or humeral loosening, the mean improvement in forward elevation (FE) (28.9 degrees ) and external rotation (ER) (16.1 degrees ) was significantly better (P=.024 FE; P=.000 ER) than when the failure was because of infection, soft-tissue problems, or pain of undetermined origin (FE=-5.6 degrees ; ER=-6.8 degrees ).Likewise, UCLA scores in the first group were significantly better than in the second group (P=.003). In the first group, 16/18 patients were satisfied, while in the second group only 4/17 were satisfied. CONCLUSION: Our data suggest that patients whose revisions are because of glenoid erosion or component loosening can expect to have better outcomes than those whose revisions are performed for infection, instability, or other soft-tissue problems. |
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Authors:
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Kaveh R Sajadi; Young W Kwon; Joseph D Zuckerman |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-09-03 |
Journal Detail:
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Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 19 ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-26 Completed Date: 2010-06-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
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Languages: eng Pagination: 308-13 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Kentucky Bone & Joint Surgeons, Lexington, KY40504, USA. krsajadi@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Analysis of Variance Arthroplasty, Replacement / adverse effects, methods* Cohort Studies Female Follow-Up Studies Humans Joint Instability / etiology, surgery* Joint Prosthesis* Male Middle Aged Pain Measurement Probability Prosthesis Failure* Range of Motion, Articular / physiology Reoperation / methods Retrospective Studies Risk Assessment Shoulder Joint / physiopathology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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