Гений Ортопедии, том 25, № 3, 2019 г.
© Чирков Н.Н., Николаев Н.С., Каминский А.В., 2019
УДК 616.727.2-089.227.843-77
DOI 10.18019/1028-4427-2019-25-3-312-317
These authors sought to identify causes of poor functional outcomes and complications after total shoulder replacement. They reviewed the outcomes of 168 patients.
Reverse shoulder arthroplasty and cemented humeral fixation was employed for the majority of patients (n = 125; 74.4 %). Minimal follow-up was at least one year with an average term of 3 to 5 years.
Positive results of TSA were observed in 83.3 % of the cases and 16.7 % had poor outcomes. Patients developed implant dislocation in 9.5 %, infection in 3 %, early instability of the shoulder component in 1.2 %, intraoperative fracture of the humerus shaft in 1.8 % and injury to vascular and nerve bundle in 1.2 % of the cases.
The best results were obtained with anatomic shoulder replacement, integrity and functionality of the rotator cuff, absence of fatty degeneration verified with magnetic resonance imaging in sagittal plane.
Clear understanding of the exact nature of osseous changes using computed tomography allows adequate positioning of implant components. Preoperative deltoid evaluation is important for posttraumatic cases as well as BMD measurements are vital for severe osteoporosis patients with application of reverse shoulder arthroplasty.
Comment: It appears that we have much in common with our Russian colleagues and hopefully we will see much more exchange of experiences in the future.
=====
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
