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Verfasst von:Tsitlakidis, Stefanos [VerfasserIn]   i
 Doll, Julian [VerfasserIn]   i
 Westhauser, Fabian [VerfasserIn]   i
 Wolf, Matthias [VerfasserIn]   i
 Hetto, Pit [VerfasserIn]   i
 Maier, Michael Wolfgang [VerfasserIn]   i
 Sowa, Boris [VerfasserIn]   i
Titel:Résultats prometteurs des hémi-arthroplasties humérales à têtes en pyrocarbone chez des patients jeunes et d’âge moyen
Verf.angabe:Stefanos Tsitlakidis, Julian Doll, Fabian Westhauser, Matthias Wolf, Pit Hetto, Michael Maier, Boris Sowa
E-Jahr:2021
Jahr:20 May 2021
Umfang:1 S.
Fussnoten:Gesehen am 06.09.2021
Titel Quelle:Enthalten in: Revue de chirurgie orthopédique et traumatologique
Ort Quelle:Paris : Elsevier Masson, 2009
Jahr Quelle:2021
Band/Heft Quelle:107(2021), 4 vom: Juni, Seite 467
ISSN Quelle:1877-0525
Abstract:Introduction - The objective of this prospective cohort study was the assessment of short-term outcome results of shoulder hemiarthroplasty (HA) using pyrolytic carbon (PC) heads. PC has been introduced as a new material to avoid surgical revision due to glenoid erosion after HA. Glenoid erosion due to the use of metallic heads is known to reduce durability. - Hypothesis - HA using PC heads shows comparable or better radiographic and clinical outcome compared to the conventional HA using metallic heads in the short term. - Patients & methods - This study was conducted as a single center prospective cohort follow-up study including a total number of 16 consecutive HA with PC heads. Inclusion criteria were indication for HA, an intact rotator cuff, no proximal humeral fractures in patient's history and age >18 years. Mean age at the time of arthroplasty was 52.8±10.8 years. The mean follow-up was 24.3±8.1 months. Baseline and follow-up Numeric Rating Scale (NRS), Constant Scores (CS), Range of Motion (ROM) and radiographs were assessed. - Results - At a mean follow-up of 24.3 months the mean CS (p<0.001), mean NRS (p<0.001) and mean ROM (p<0.05) improved statistically significant. Subgroup analysis revealed no differences between subgroups (sex, age, diagnosis, and handedness). Survival rate was high (94.1%). One periprosthetic fracture occurred as the only complication during follow-up. Radiographs showed glenoid erosion in one case and subacromial space reduction in two cases. - Discussion - PC heads in HA show satisfying short-term results at a mean follow-up of two years, which are comparable to those of conventional HA. The clinical improvements were highly significant with good implant survival. However, long-term follow-up results are necessary, especially compared to conventional HA. - Level of evidence - : IV; Observational Therapeutic Cohort Study.
DOI:doi:10.1016/j.rcot.2021.03.021
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.rcot.2021.03.021
 Volltext: https://www.sciencedirect.com/science/article/pii/S1877051721001234
 DOI: https://doi.org/10.1016/j.rcot.2021.03.021
Datenträger:Online-Ressource
Sprache:fre
Bibliogr. Hinweis:Parallele Sprachausgabe : englischTsitlakidis, Stefanos, 1990 - : Promising results after hemi-shoulder arthroplasty using pyrolytic carbon heads in young and middle-aged patients
Sach-SW:Follow-up
 Glenohumeral osteoarthritis
 PC)
 Pyrolytic carbon (pyrocarbon
 Shoulder hemiarthroplasty
K10plus-PPN:1769501754
Verknüpfungen:→ Zeitschrift

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