| Online-Ressource |
Verfasst von: | Bülhoff, Matthias [VerfasserIn]  |
| Zeifang, Felix [VerfasserIn]  |
| Welters, Caroline Charlotte [VerfasserIn]  |
| Renkawitz, Tobias [VerfasserIn]  |
| Schiltenwolf, Marcus [VerfasserIn]  |
| Tross, Anna-Katharina [VerfasserIn]  |
Titel: | Medium- to long-term outcomes after reverse total shoulder arthroplasty with a standard long stem |
Verf.angabe: | Matthias Bülhoff, Felix Zeifang, Caroline Welters, Tobias Renkawitz, Marcus Schiltenwolf and Anna-K. Tross |
E-Jahr: | 2022 |
Jahr: | 19 April 2022 |
Umfang: | 11 S. |
Fussnoten: | Gesehen am 14.06.2022 |
Titel Quelle: | Enthalten in: Journal of Clinical Medicine |
Ort Quelle: | Basel : MDPI, 2012 |
Jahr Quelle: | 2022 |
Band/Heft Quelle: | 11(2022), 9, Artikel-ID 2274, Seite 1-11 |
ISSN Quelle: | 2077-0383 |
Abstract: | Background: Long-term clinical and radiographic outcome data after standard cemented long-stem reverse shoulder arthroplasty (RSA) remain underreported. The aim of this study is to report on medium- to long-term data of patients over 60 years of age. Methods: The same type of RSA (Aequalis Reverse II, Memphis, TN, USA) was implanted in 27 patients with a mean age of 73 years (range 61-84). Indications for RSA were cuff tear arthropathy (CTA) in 25 cases and osteoarthritis (OA) in two cases. Pre- and postoperative Constant Score was assessed and component loosening, polyethylene wear, scapular notching and revision rates were recorded at a mean clinical follow-up (FU) of 127.6 months (SD ± 33.7; range 83-185). Results: The mean-adjusted CS (aCS) improved from 30.0 (range 10-59) to 95.0 (range 33-141) points (p < 0.001). Glenoid loosening was found in two (9.1%) and stem loosening was found in three (13.6%) cases. Polyethylene wear was observed in four (18.2%) cases. Scapular notching appeared in 15 (68.2%) cases but was not associated with poor aCS (p = 0.423), high levels of pain (p = 0.798) or external rotation (p = 0.229). Revision surgery was necessary in three (11.1%) cases. Conclusions: RSA with a cemented standard long stem leads to improvement in forward elevation, abduction and pain after a mean FU of 10 years. However, external rotation does not improve with this prosthetic design. Moreover, scapular notching is observed in the majority of cases, and revision rates (11.1%) as well as humeral loosening rates (13.6%) remain a concern. Level of evidence: Level 4, retrospective cohort study. |
DOI: | doi:10.3390/jcm11092274 |
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 ; Verlag: https://doi.org/10.3390/jcm11092274 |
| Volltext: https://www.mdpi.com/2077-0383/11/9/2274 |
| DOI: https://doi.org/10.3390/jcm11092274 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | glenoid loosening |
| humeral loosening |
| polyethylene wear |
| reverse arthroplasty |
| scapular notching |
| shoulder |
K10plus-PPN: | 1806977109 |
Verknüpfungen: | → Zeitschrift |
Medium- to long-term outcomes after reverse total shoulder arthroplasty with a standard long stem / Bülhoff, Matthias [VerfasserIn]; 19 April 2022 (Online-Ressource)