Revision of Anatomic Total Shoulder Arthroplasty to Hemiarthroplasty: Does it work? | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 8، شماره 2، خرداد 2020، صفحه 147-153 اصل مقاله (461.97 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2019.34244.1897 | ||
| نویسندگان | ||
| Mihir Sheth1؛ Daniel Sholder2؛ Joseph Abboud2؛ Mark Lazarus2؛ Gerald Williams Jr2؛ Surena Namdari* 2 | ||
| 1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA | ||
| 2Rothman Institute, Thomas Jefferson University, Department of Orthopaedic Surgery, Philadelphia, PA, USA | ||
| چکیده | ||
| Background: The projected increase in revision shoulder arthroplasty has increased interest in the outcomes of these procedures. Glenoid component removal and conversion to a hemiarthroplasty (HA) is an option for aseptic glenoid loosening after anatomic total shoulder arthroplasty (aTSA). Methods: We identified patients who had undergone revision shoulder arthroplasty over a 15-year period. 17 patients met inclusion and exclusion criteria, and a retrospective chart review was conducted for pre-surgical and operative data. We contacted patients at a mean follow-up of 70 months from revision surgery for implant survival, reoperations and functional outcomes scores. Results: Implant survival was estimated to be 88% at 2 years and 67% at 5 years. Mean ASES score for surviving implants was 58 ± 22. Mean SANE score was 54 ± 24, and mean VAS pain score was 3.5 ± 2.8. Mean SF-12 Mental and Physical scores were 46 ± 15 and 38 ± 10, respectively. Five patients (50% of those with surviving implants) reported being either very satisfied or satisfied with the status of their shoulder. There were complications in 6 patients (35%) and 5 patients (29%) required reoperation. Conclusion: HA following failed aTSA due to glenoid loosening produced modest clinical results and satisfaction rates. Reverse arthroplasty may be a more reliable treatment strategy in this patient population. Level of evidence: IV | ||
| کلیدواژهها | ||
| Aseptic glenoid loosening؛ Hemiarthroplasty؛ Implant survival؛ Revision arthroplasty؛ Shoulder replacement؛ Total shoulder arthroplasty | ||
| مراجع | ||
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