Reversed Revised : What To Do When It Goes Wrong ? / Bart MIDDERNACHT in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321 Titre : Reversed Revised : What To Do When It Goes Wrong ? Type de document : texte imprimé Auteurs : Bart MIDDERNACHT, Auteur Année de publication : 2014 Article en page(s) : p.314-321 Langues : Anglais (eng) Mots-clés : reversed  total shoulder prothesis  revision  complications  infection  dislocation  malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645 [article] Reversed Revised : What To Do When It Goes Wrong ? [texte imprimé] / Bart MIDDERNACHT, Auteur . - 2014 . - p.314-321. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321 Mots-clés : reversed  total shoulder prothesis  revision  complications  infection  dislocation  malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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