ArticleInternational orthopaedics2017
Early clinical and radiological outcomes of reverse shoulder arthroplasty with an eccentric all-polyethylene glenosphere to treat failed hemiarthroplasty and the sequelae of proximal humeral fractures.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Parallax-free panoramic X-ray imaging combined with minimally invasive plate osteosynthesis for treating proximal humeral shaft fractures.World journal of orthopedics · 2025Article
- Which is the optimal treatment and the most significant prognostic factor for reverse shoulder arthroplasty in case of PHAROS 2 humeral bone loss? A proportional meta-analysis of nononcologic patients.JSES international · 2025Review
- Clinical and radiological results of reverse total shoulder arthroplasty with or without lateralization as revision procedure for failed arthroplasty.JSES international · 2025Article
- Treatment of bony Bankart lesion in geriatric patient with reverse total shoulder arthroplasty using a half-wedge augmented glenoid component: a case report.JSES reviews, reports, and techniques · 2024Article
- Outcomes after salvage reverse shoulder arthroplasty for failed primary fixation or hemiarthroplasty for proximal humerus fractures: A systematic review.Shoulder & elbow · 2023Review
- Complication and revision rates after reverse total shoulder revision from hemiarthroplasty: a systematic review.Shoulder & elbow · 2022Review
- Reverse total shoulder arthroplasty for failed treatment of proximal humerus fractures.Acta orthopaedica et traumatologica turcica · 2021Article
- Outcome and complications following revision shoulder arthroplasty : a systematic review and meta-analysis.Bone & joint open · 2021Article
- Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part II.JSES international · 2021Review
- Wear performance of inverted non-conforming bearings in anatomic total shoulder arthroplasty.Shoulder & elbow · 2020Article
- The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I.JSES international · 2020Review
- Clinical outcomes and complications of reverse shoulder arthroplasty used for failed prior shoulder surgery: a systematic review and meta-analysis.JSES international · 2020Review
- Primary Versus Salvage Reverse Total Shoulder Arthroplasty for Displaced Proximal Humerus Fractures in the Elderly: A Systematic Review and Meta-analysis.Journal of shoulder and elbow arthroplasty · 2020Review
- Reverse shoulder arthroplasty for fracture sequelae: How the initial fracture treatment influences the outcomes of joint replacement.Acta orthopaedica et traumatologica turcica · 2019Article
- Management of Complex Anterior Shoulder Instability: a Case-Based Approach.Current reviews in musculoskeletal medicine · 2017Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to assess the effectiveness of reverse total shoulder arthroplasty (RTSA) with an all-polyethylene glenosphere in patients with failed hemiarthroplasty (HH) or the sequelae of proximal humeral fractures.
methodsThirty-six patients were assessed at a mean follow-up of 36 months using clinical scores and recording shoulder range of movement (ROM).
resultsActive anterior elevation (p < 0.001), lateral elevation (p < 0.001) and internal rotation (p < 0.0001) improved significantly, whereas improvement in external rotation was not significant. The mean Constant score rose significantly from 8.5 ± 7.6 to 40.7 ± 15.7 (p < 0.001) and the Simple Shoulder Test score from 0.42 ± 0.85 to 5.5 ± 2.6 (p < 0.001). Pain improved significantly from 8.7 ± 0.9 to 2.3 ± 1.2 (p < 0.001). Implant radiographic survivorship was 84.6 %. Scapular notching was detected in 7/36 patients (17.5 %). There were five complications: one (stiffness) among patients with fracture sequelae and four among those with failed HH (instability, n = 2; humeral component disassembly, n = 1; pain, n = 1). The two groups did not exhibit significant differences in pain, clinical scores or ROM. DISCUSSION: RTSA with an all-polyethylene glenosphere may have the potential to reduce the risk of biological notching due to polyethylene osteolysis. Further long-term studies are required to assess its efficacy.
conclusionsThe good clinical performance and reasonable rate of notching of the polyethylene glenosphere support its use in primary and revision shoulder arthroplasty. LEVEL OF EVIDENCE: Level 4, retrospective therapeutic case series.
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