The reverse shoulder prosthesis in the treatment of fractures of the proximal humerus in the elderly

被引:150
|
作者
Cazeneuve, J. -F. [1 ]
Cristofari, D. -J. [1 ]
机构
[1] Ctr Hosp, Dept Orthopaed Surg, Orthopaed Ctr, Laon, France
来源
关键词
FOLLOW-UP; RETROSPECTIVE EVALUATION; 4-PART FRACTURES; EARLY MANAGEMENT; ARTHROPLASTY; HEMIARTHROPLASTY; REPLACEMENT; 3-PART; CUFF; POPULATION;
D O I
10.1302/0301-620X.92B4.22450
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We have previously described the short-term outcome of the use of reverse shoulder arthroplasty in the treatment of acute complex proximal humeral fractures in the elderly. We now report the clinical and radiological outcome of 36 fractures at a mean of 6.6 years (1 to 16). Previously, at a mean follow-up of 6 years (1 to 12) the mean Constant score was 58.5; this was reduced to 53 points with the further follow-up. A total of 23 patients (63%) had radiological evidence of loosening of the glenoid component. Nevertheless, only one patient had aseptic loosening of the baseplate at 12 years' follow-up. The reduction in the mean Constant score with longer follow-up and the further development of scapular notching is worrying. New developments in design, bearing surfaces and surgical technique, and further follow-up, will determine whether reverse shoulder arthroplasty has a place in the management of complex proximal humeral fractures in the elderly.
引用
收藏
页码:535 / 539
页数:5
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