ObjectiveTo evaluate the functional results from reverse arthroplasty and its complications and relationships with types of injury.MethodsTwenty-seven shoulders (26 women and one man) were treated. The patients were assessed using the UCLA functional scale. The implant used was the Delta Xtend Depuy® model. The injuries were classified using the Seebauer method for the degree of arthroplasty and the Nerot method for notching.ResultThe mean age was 77.4 years (range: 67–89) and the follow-up was 25.8 months (range: 6–51). The preoperative UCLA score was 10.1 (range: 6–15) and the postoperative UCLA score was 29.8 (range: 22–35), which was a statistically significant improvement (p < 0.001). According to the Seebauer classification, five patients were 1B, 19 were 2A and three were 2B. Fifteen cases presented complications (55.5%) and notching was the commonest of these, occurring in 14 patients (nine with grade 1 and five with grade 2), but this did not cause instability in any of them. Only one patient (3.7%) had a major complication, consisting of dislocation in the immediate postoperative period. Two patients (7.4%) said that they would undergo the procedure again. One patient (3.7%) underwent a revision procedure.ConclusionReverse arthroplasty was shown to be an excellent option for treating patients with rotator cuff arthropathy, with a low rate of major complications. Notching was a frequent complication, but in the majority of the cases, it did not present clinical repercussions.

Objective: The aim was to describe the experience of our group in treating humeral shaft fractures using the bridge–plate technique via an anterior approach. Methods: Seventeen patients with acute diaphyseal humeral fractures with an indication for surgical treatment who were operated in 2006–2010 were evaluated. The AO and Gustilo & Anderson classifications were used. All the patients were operated using the anterior bridge-plate technique and completed a follow–up period of at least twelve months. Results: Sixteen men and one woman were treated. Their mean age was 31.8 years (18–52). Among the injury mechanisms found were: five motorcycle accidents, four car accidents, three fractures due to firearm projectiles, two falls to the ground and finally, with one case each, assault, crushing and being run over. Eight patients had open fractures: two grade I, one grade II, four grade IIIa and one grade IIIb, according to the Gustilo-Anderson classification. In relation to the AO classification, we found: one 12A1, three 12A2, four 12A3, one 12B1, four 12 B2, three 12B3 and one 12C2. The mean postoperative follow-up was 25 months (12–48). As complications, two patients had pain in the elbow and a ROM deficit and one had deep infection. The mean time taken to achieve consolidation was 17.5 weeks. There was no loss of reduction, pseudarthrosis or malunion in this series of patients. Conclusion: The authors believe that the technique described has low rates of complications and morbidity, with good initial results, although the series is limited by the small sample.

Como citar este artigo: Fávaro RC, et al. Artropatia de manguito: o que esperar do resultado funcional da artroplastia reversa? Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2015.04.007 No. of Pages 7 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx w w w . r b o . o r g . b r Artigo original Artropatia de manguito: o que esperar do resultado funcional da artroplastia reversa? ଝ informações sobre o artigo Histórico do artigo: Recebido em 17 de setembro de 2014 Aceito em 10 de novembro de 2014 On-line em xxx Palavras-chave: Bainha rotadora Artroplastia Ombro Avaliação de resultados r e s u m o Objetivo: Avaliar o resultado funcional da artroplastia reversa, suas complicaç ões e relaç ões com os tipos de lesões. Métodos: Foram tratados 27 ombros, de 26 mulheres e um homem. Os pacientes foram avaliados pela escala funcional de UCLA. O modelo de implantes usado foi o Delta Xtend Depuy ® . As lesões foram classificadas segundo Seebauer para o grau de artropatia e Nerot para o notching. Resultado: A idade média foi de 77,4 (67-89), o seguimento foi de 25,8 meses (6-51), o UCLA pré era de 10,1 (6-15) e o UCLA pós foi de 29,8 (22-35), com uma melhoria estatisticamente significativa (p < 0,001). Pela classificação de Seebauer, cinco eram 1 B, 19 eram 2 A e três eram 2 B. Tivemos 15 complicaç ões (55,5%), o notching foi o mais comum e ocorreu em 14 pacientes, nove deles grau I e cinco grau II, mas nenhum deles gerou instabilidade. Apenas uma paciente (3,7%) teve complicação maior, com luxação no pós-operatório imediato. Dois pacientes (7,4%) alegaram que não repetiriam o procedimento. Uma paciente (3,7%) foi submetida a revisão. Conclusão: A artroplastia reversa mostrou-se uma excelente opção para o tratamento de pacientes com artropatia do manguito rotador com baixo índice de complicaç ões maiores. O notching é uma complicação frequente, mas que na maioria dos casos não apresenta repercussão clínica Como citar este artigo: Fávaro RC, et al. Artropatia de manguito: o que esperar do resultado funcional da artroplastia reversa? Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2015.04.007 ARTICLE IN PRESS RBO-952; No. of Pages 7 2 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx Rotator cuff arthropathy: what functional results can be expected from reverse arthroplasty? Keywords: Rotator cuff Arthroplasty Shoulder Evaluation of results a b s t r a c t Objective: To evaluate the functional results from reverse arthroplasty and its complications and relationships with types of injury. ARTICLE IN PRESSMethods: Twenty-seven shoulders (26 women and one man) were treated. The patients were assessed using the UCLA functional scale. The implant used was the Delta Xtend Depuy ® model. The injuries were classified using the Seebauer method for the degree of arthroplasty and the Nerot method for notching.Result: The mean age was 77.4 years (range: 67-89) and the follow-up was 25.8 months (range: 6-51). The preoperative UCLA score was 10.1 (range: 6-15) and the postoperative UCLA score was 29.8 (range: 22-35), whic...

Objective to evaluate the results of the arthroscopic treatment of the lateral epicondylitis. Methods we evaluated 14 patients (15 elbows) submitted to the arthroscopic treatment of the lateral epicondylitis refractory to the conservative treatment, which was realized for a minimum period of 18 months. Beyond the demographic data collection, patients were evaluated according to the arthroscopic classification of Baker et al., the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and the Mayo Elbow Performance Score (MEPS). The patients’ ages ranged between 23 and 56 years (average 46 years) (eight males and six females). Of the 15 elbows, 12 were the dominant and one patient had bilateral lesion. The follow-up after surgery was minimum 24 months and maximum 72 months (average 41 months). Results we found, according to the arthroscopic classification of Baker et al., two patients with type I lesions, nine with type II lesions and three with type III lesions. We found the following complications: one patient with altered sensitivity in the region of the lateral portal, one with a deficit of ten degrees in length, one with synovial plica and one with synovitis in the lateral compartment. Our score on the DASH questionnaire was minimum of 32 points and maximum of 120 points (average 57 points) and the scale of MEPS had a minimum score of 60 points and a maximum of 100 points (average 90 points). Conclusion the arthroscopic treatment of the lateral epicondylitis, plus insurance, provides satisfactory results.

Objective: The aim was to describe the experience of our group in treating humeral shaft fractures using the bridge--plate technique via an anterior approach. Methods: Seventeen patients with acute diaphyseal humeral fractures with an indication for surgical treatment who were operated in 2006-2010 were evaluated. The AO and Gustilo & Anderson classifications were used. All the patients were operated using the anterior bridge-plate technique and completed a follow--up period of at least twelve months. Results: Sixteen men and one woman were treated. Their mean age was 31.8 years (18-52). Among the injury mechanisms found were: five motorcycle accidents, four car accidents, three fractures due to firearm projectiles, two falls to the ground and finally, with one case each, assault, crushing and being run over. Eight pa-