Efficacy of anatomical prostheses in primary glenohumeral osteoarthritis.

被引：6
作者：
Merolla G. [1 ]
Paladini P. [1 ]
Campi F. [1 ]
Porcellini G. [1 ]
机构：
[1] Unit of Shoulder and Elbow Surgery, Ospedale D. Cervesi, Via L. Van Beethoven 1, Cattolica
来源：
La Chirurgia degli Organi di Movimento | 2008年 / 91卷 / 2期
关键词：
Shoulder; Osteoarthritis; Anatomical prosthesis;
D O I：
10.1007/s12306-007-0019-y
中图分类号：
学科分类号：
摘要：
More than 32.8% of the over-60s suffer from shoulder osteoarthritis. For advanced osteoarthritis, arthroplasty is the treatment of choice. Current systems have moved on from the first shoulder prosthesis implanted by Neer in 1974, thanks to the use of adaptable modular systems. The aim of this study was to investigate the effectiveness of anatomical shoulder replacements in 30 cases of primary glenohumeral osteoarthritis through clinical and radiographic follow-up for a mean of 5 years. All implants were total cemented prostheses. Preoperative investigations included a clinical examination, conventional X-rays and CT. The Constant-Murley scale was used to evaluate the results; the mean score increased from 21.4 preoperative to 69.8 postoperative (p<0.05). In patients aged under 50, the increase in the mean postoperative Constant Score and ROM was greater than for the sample as a whole. The following complications were encountered: 2 postoperative radial nerve paralyses, resolving in 3 months, 2 cases of glenoid loosening, 1 periprosthetic fracture and 3 cases of pain and stiffness. The results led us to conclude that anatomical prostheses are effective in the treatment of severe primary glenohumeral arthropathy.
引用
收藏
页码：109 / 115
页数：6
相关论文
共 118 条
[1]  
Kerr R.(1985)Osteoarthritis of the glenohumeral joint: a radiologic-pathologic study Am J Roentgenol 144 967-972
[2]  
Resnick D.(2005)Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis J Bone Joint Surgery Am 87 10-498
[3]  
Pineda C.(2004)Radiographic analysis of polyethylene glenoid components using modern cemented technique J Shoulder Elbow Surg 13 492-613
[4]  
Haghighi P.(1991)Osteoarthritis: with emphasis on primary osteoarthritis of the shoulder Del Med J 63 609-13
[5]  
Lo I.K.Y.(1974)Replacement arthroplasty for glenohumeral osteoarthritis J Bone Joint Surg Am 56 1-603
[6]  
Litchfield R.B.(2004)Conversion of painful hemiarthroplasty to total shoulder arthroplasty: long-term results J Shoulder Elbow Surg 13 599-906
[7]  
Griffin S.(1984)Total shoulder arthroplasty with the Neer prosthesis J Bone Joint Surg Am 66 899-195
[8]  
Mileti J.(1982)Revision of humeral head and total shoulder arthroplasties Clin Orthop Relat Res 170 189-135
[9]  
Boardman N.D.(2002)Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study J Shoulder Elbow Surg 11 130-473
[10]  
Sperling J.W.(1998)Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results J Bone Joint Surg Am 80 464-221
12345678910