A Review of Shoulder Replacement Surgery

Wand, R.; Dear, Kea; Bigsby, Ewan; Wand, J

doi:10.1177/175045891602201102

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…La artroplastia de hombro precede incluso el reemplazo de otras articulaciones, la primera prótesis articular data de 1893 en París (Francia) por el cirujano con tuberculosis en el hombro, el primer reemplazo total de cadera fue en 1953 y el primer reemplazo de rodilla total en 1973. (9) En la actualidad es un procedimiento frecuentemente realizado, con diferentes variantes, que permiten un mayor campo terapéutico. Adicionalmente, la literatura alrededor de este procedimiento ha evidenciado tasas de éxito aceptables según la morbilidad, mortalidad y funcionalidad asociadas (10), específicamente el reemplazo articular se asocia con una mejoría significativa en el dolor, la función y la calidad de vida (11).…”

Section: Resultsunclassified

Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study

López-Rincón

Martínez

Herrera-Rodríguez

et al. 2022

JOIO

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Section: Resultsunclassified

Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study

López-Rincón

Martínez

Herrera-Rodríguez

et al. 2022

JOIO

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“…Potential complications of shoulder replacement surgery may include hemorrhage, nerve damage, fracture, infection, dislocation, loosening, or anesthesia-related. 8 The main objective of hemiarthroplasty is to restore the shoulder into the state of fully functional and pain-free. The most important steps in performing hemiarthroplasty are during obtaining proper head height and shaft length, retroversion correction, and tuberosities fixation.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of patients after shoulder hemiarthroplasty for neglected fractured proximal humerus

Marsetio

Aminata

Wonggokusuma

et al. 2020

Preprint

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Introduction. The main objective of hemiarthroplasty is to restore the shoulder into the state of fully functional and pain-free. The most important steps in performing hemiarthroplasty are during obtaining proper head height and shaft length, retroversion correction, and tuberosities fixation. Literatures have shown significant improvement on patients performed shoulder hemiarthroplasty, either in the short and medium term or in the long term.Methods. We did a retrospective cohort on patients with neglected proximal humerus fracture who underwent shoulder hemiarthroplasty at several hospitals in Jakarta, including Fatmawati general hospital, Siaga Raya hospital, Siloam hospital and Mitra Kemayoran hospital. Patients who underwent surgery within 2015 to 2018 were enrolled in this study. All patients with neglected Neer 3-part or Neer 4-part proximal humerus fracture, confirmed by x-ray and computed tomography scans, were included. Patients were referred to the surgeon at least 2 weeks after injuryResult. Hemiarthroplasty result in satisfactory functional outcomes, with ASES score Preoperative (median (range)) 4.9 (5-37) improved to Postoperative (Mean±SD) 67.27 ± 13.37. Despite the Age at surgery (years, Mean±SD) 63.87 ± 14.65 are in the elderly group and timing of the operation relative to the initial trauma is (median, range) 13 weeks (2-156), hemiarthroplasty still result in a satisfactory functional outcome even though our patients fracture pattern were Neer 3 and Neer 4.Conclusion. Hemiarthroplasty in neglected three- and four- part proximal humerus fracture is positively correlated with satisfactory clinical and functional outcomes even with associated AVN of humeral head despite the age and the timing of operation.

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“…There is not yet consensus on the optimal treatment of PHFS (Kilic et al 2010, Alentorn-Geli et al 2014, Jacobson et al 2014, Raiss et al 2014. Stemmed hemiarthroplasty (SHA) came into common usage in the treatment of acute PHF and PHFS in the 1990s, but during the last decade reverse shoulder arthroplasty (RSA) has become increasingly popular (Wand et al 2012). By using the RSA design, shoulder stability and function can be improved even with a compromised rotator cuff (Namdari et al 2013, Nikola et al 2015.…”

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Low arthroplasty survival after treatment for proximal humerus fracture sequelae: 3,245 shoulder replacements from the Nordic Arthroplasty Register Association

et al. 2020

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Background and purpose Proximal humerus fractures (PHF) may result in sequelae indicating arthroplasty. We report cumulative survival rates and reasons for revision after arthroplasty for proximal humerus fracture sequelae (PHFS). Patients and methods Data were derived from the Nordic Arthroplasty Register Association. The Kaplan– Meier method was used to illustrate survival rates. A scaled Schoenfeld residual plot was used to report the risk of revision for men relative to women in patients who were treated with reverse shoulder arthroplasty (RSA). Revision was defined as removal or exchange of any component or the addition of a glenoid component. Results 30,190 primary arthroplasties were reported from 2004 to 2016, of which 3,245 were for PHFS. The estimated 1-, 5-, and 10-year cumulative survival rates (95% CI) were 96% (95–97), 90% (89–92), and 86% (83–88) for stemmed hemiarthroplasty and 94% (92–95), 89% (87–91), and 86% (82–90) for RSA with a median time to revision of 18 months (IQR 9–44) and 3 months (IQR 0–17). The risk of revision for men relative to women in patients who were treated with RSA was 3.2 (1.9–5.1) 0–1 year after surgery and 1.9 (0.9–4.1) 1–8 years after surgery. The estimated 1-, 5-, and 10-year cumulative survival rates (95% CI) were 94% (92–96), 88% (85–90), and 80% (75–86) for men and 95% (94–96), 86% (84–89), and 81% (77–84) for young patients. Interpretation Shoulder arthroplasty for PHFS was associated with lower survival rates, compared with previously published results of shoulder arthroplasty for acute PHF. The low arthroplasty survival rates for men and young patients especially are worrying.

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A Review of Shoulder Replacement Surgery

Cited by 9 publications

References 22 publications

Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study

Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study

Functional outcome of patients after shoulder hemiarthroplasty for neglected fractured proximal humerus

Low arthroplasty survival after treatment for proximal humerus fracture sequelae: 3,245 shoulder replacements from the Nordic Arthroplasty Register Association

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