| The use of the Lima reverse shoulder arthroplasty for the treatment of fracture sequelae of the proximal humerus. | |
| | |
MedLine Citation:
|
PMID: 22258120 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Experience treating proximal humerus fracture sequelae with reverse total shoulder arthroplasty is limited. We report our results. PATIENTS: Forty-four patients with sequelae of a proximal humeral fracture were treated with a reverse total shoulder prosthesis. There were 26 women and 18 men, with a mean age of 77 years (range, 74-84 years). The mean follow-up after reverse arthroplasty was 48 months (range, 40-84 months). RESULTS: The mean Constant score increased from 28 preoperatively to 58 postoperatively (p < 0.0001). The average anterior elevation increased from 40° to 100° (p < 0.0001), abduction from 41° to 95° (p < 0.0001), external rotation from 15° to 35° (p < 0.0001) and internal rotation from 25° to 60° (p < 0.0001). The average subjective shoulder score increased from 13% preoperatively to 56% postoperatively (p < 0.0001). All but six patients would undergo the same procedure again if faced with the same problem. Twenty-four patients were very satisfied, 14 satisfied and 6 unhappy with the operation. Six prosthetic dislocations occurred (13.6%). Two of them were successfully treated by adding an extension to the humeral neck component to increase the offset and tension. In the other four dislocations this procedure failed, and the prosthesis was revised and converted to a hemiarthroplasty. There was one case of glenoid component loosening that was converted to a hemiarthroplasty. CONCLUSIONS: The reverse total shoulder arthroplasty improves function and motion in patients with proximal humeral fracture sequelae. However, the dislocation rate is high. |
| | |
Authors:
|
Angel Antonio Martinez; Angel Calvo; Carlos Bejarano; Ignacio Carbonel; Antonio Herrera |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-19 |
Journal Detail:
|
Title: Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association Volume: - ISSN: 1436-2023 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9604934 Medline TA: J Orthop Sci Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, C/Calamita s/n, Avda. Juan Pablo II, 48, 9°G, 50009, Zaragoza, Spain, anmarti67@yahoo.es. |
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 end of evidence-based medicine?
Next Document: Neonatal T-cell maturation and homing receptor responses to Toll-like receptor ligands differ from t...