Expanding roles for reverse shoulder arthroplasty

被引：49
作者：
Chalmers P.N. [1 ]
Keener J.D. [1 ]
机构：
[1] Department of Orthopaedic Surgery, Washington University in Saint Louis, 660 South Euclid Avenue, Campus Box 8233, St. Louis, 63110, MO
来源：
Current Reviews in Musculoskeletal Medicine | 2016年 / 9卷 / 1期
基金：
美国国家卫生研究院;
关键词：
Glenohumeral osteoarthritis; Proximal humerus fracture; Reverse total shoulder arthroplasty; Revision shoulder arthroplasty; Rotator cuff tear; Rotator cuff tear arthropathy;
D O I：
10.1007/s12178-016-9316-0
中图分类号：
学科分类号：
摘要：
Since its introduction in the USA in 2003, reverse total shoulder arthroplasty (RTSA) has been used with increasingly frequency as surgeons have observed the remarkable improvement in pain, range of motion, and function associated with this implant. RTSA was initially used exclusively for elderly, low demand individuals with end-stage rotator cuff tear arthropathy. However, RTSA is now being increasingly successfully employed for the management of irreparable rotator cuff tears, glenohumeral osteoarthritis with an intact rotator cuff, acute proximal humerus fractures, the sequelae of proximal humerus fractures, neoplasms of the proximal humerus, inflammatory arthropathy, young patients and failed anatomic total shoulder arthroplasty and hemiarthroplasty. While long-term outcomes are pending, short- and mid-term follow-up results suggest that in experienced hands, RTSA may be a reasonable treatment for many previously difficult to treat pathologies within the shoulder. © 2016, Springer Science+Business Media New York.
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页码：40 / 48
页数：8
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