کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4094046 1268438 2010 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Resurfacing or Reverse Arthroplasty: Forward or Backward Thinking?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Resurfacing or Reverse Arthroplasty: Forward or Backward Thinking?
چکیده انگلیسی

The reverse shoulder arthroplasty has evolved as a form of management for cuff tear arthropathy. This technique however sacrifices a significant amount of bone stock, is technically demanding, has been associated with multiple complications, has a relatively short track record and is significantly more expensive than most other implants. Resurfacing using a cup arthroplasty, however, provides a smooth “seamless” articular surface for the upper humerus under the coracoacromial arch and if needed can be augmented with a fascial arthroplasty. This technique provides substantial pain relief, functional range of motion, preserves bone stock, is readily revisable and is substantially less expensive. For cuff tear arthropathy with a captured humeral head, well maintained beneath coracoacromial arch, resurfacing using a seamless cup arthroplasty placed over the entire humeral head in a valgus orientation, has proven to provide a satisfactory outcome in the majority of patients. Reverse arthroplasty utilizing state-of-the-art surgical technique to ensure appropriate implant positioning, soft tissue tensioning and avoidance of glenoid impingement and notching should be reserved for cases of severe “pseudo-paralysis” with significant superior escape, in patients with adequate bone stock and a well preserved deltoid.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Arthroplasty - Volume 21, Issue 3, September 2010, Pages 175–186
نویسندگان
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