| Rim reconstruction with autogenous iliac crest for anterior glenoid deficiency: forty-three instability cases followed for 5-19 years. | |
| | |
MedLine Citation:
|
PMID: 22947237 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: The purpose of this study was to evaluate the long-term results of instability patients treated with iliac crest graft glenoid augmentation. MATERIALS AND METHODS: Retrospective study including 48 consecutive patients (40 male; mean age 25; range, 17-35) with defects ranging from 15% to 25%. There were 20 primary and 28 revision cases. Three patients declined follow-up examination, and 5 lost to >5 years follow-up. Mean follow-up was 9.2 years (range, 5-19). Reconstruction comprised: iliac crest graft, interposition of the labrum on the burred surface of the graft and capsular re-tensioning. We measured the Oxford Shoulder Instability Score (OSIS) and assessed arthrotic changes and atrophy and fatty infiltration of the subscapularis. RESULTS: 8/43 had residual pain, 3/43 had a subjective sensation of instability, 1/43 had a re-dislocation and required re-intervention. The mean OSIS was 18.1 points (12-50) (n = 40). 1/40 developed postoperative subscapularis insufficiency. The mean subscapularis atrophy was 6% (46% atrophy to 41% hypertrophy). 2/40 had a relevant fatty infiltration of the SSC muscle stage III to stage IV. 19/40 had mild and 1/40 had a moderate arthrosis. Arthrosis progressed by 1 stage in 7 of 35 shoulders. The mean residual glenoid defect was 4.0% (0-13.5) (n = 40). CONCLUSION: Glenoid rim reconstruction with iliac crest graft was equally effective for patients with primary repair and for failed previous stabilization. It offered the advantage of an anatomic reconstruction with a comparatively good long-term preservation of the joint line. |
| | |
Authors:
|
Viviane Steffen; Ralph Hertel |
Related Documents
:
|
3515527 - A double-blind placebo-controlled evaluation of fenflumizole in rheumatoid arthritis. 14872477 - Dose escalation of parenteral methotrexate in active rheumatoid arthritis that has been... 21514517 - Silicone and polyurethane tunneled infusion catheters: a comparison of durability and b... 93377 - Pulmonary disease complicating intermittent methotrexate therapy of psoriasis. 22968467 - National trends in utilization and outcomes of endovascular treatment of acute ischemic... 22494507 - Coronectomy of the lower third molar is safe within the first 3 years. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-9-1 |
Journal Detail:
|
Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: - ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-9-5 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Department of Orthopaedic Surgery, Lindenhofspital, Berne, Switzerland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The Latarjet coracoid process transfer procedure: alterations in the neurovascular structures.
Next Document: Comparison of computerized and paper versions of the Western Ontario Rotator Cuff Index (WORC).