Document Detail


Shoulder replacement in end-stage rotator cuff tear arthropathy: 5- to 11-year follow-up analysis of the bi-polar shoulder prosthesis.
MedLine Citation:
PMID:  17963655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1991 and 1997, 49 patients with rotator cuff arthropathy underwent 52 Bi-Polar shoulder replacements and were followed for 5-11 years (average follow-up 6.7 years). Active forward flexion increased an average of 35.2 degrees (from 45 degrees preoperatively to 80.2 degrees postoperatively). UCLA scores improved from 8.4 (range 4-16) preoperatively to 24.3 (range 15-35) postoperatively. Average age- and sex-adjusted Constant scores were 83.4% and ASES index was 68.5 points at the time of final review. Two shoulders (3.8%) were revised--both secondary to periprosthetic fracture requiring long-stem implants. Probability of survival at 11 years using Kaplan-Meier survival estimates was 93.3% (95% Cl: 84%-100%). Bipolar shoulder arthroplasty is an effective way to treat end-stage rotator cuff arthropathy with clinical results as good or better than those reported in the literature for hemiarthroplasty and total shoulder replacement with reasonable follow-up.
Authors:
Efrain Diaz-Borjon; Kotaro Yamakado; Roque Pinilla; Prue Keith; Richard L Worland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical orthopaedic advances     Volume:  16     ISSN:  1548-825X     ISO Abbreviation:  J Surg Orthop Adv     Publication Date:  2007  
Date Detail:
Created Date:  2007-10-29     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197881     Medline TA:  J Surg Orthop Adv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  123-30     Citation Subset:  IM    
Affiliation:
Joint Replacement Center, Advanced Orthopaedic Centers, Richmond, VA 23294, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty, Replacement* / methods
Female
Follow-Up Studies
Humans
Joint Diseases / surgery*
Joint Prosthesis
Male
Middle Aged
Muscle Strength / physiology
Osteoarthritis / surgery
Pain Measurement
Patient Satisfaction
Postoperative Complications
Range of Motion, Articular / physiology
Reoperation
Retrospective Studies
Rotator Cuff / injuries*,  surgery
Shoulder Joint / radiography,  surgery*
Shoulder Pain / therapy
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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