Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up

Zilber, S.; Camana, Eleonora; Lapner, Peter; Haritinian, Emil; Josserand, Laurent Nove

doi:10.1007/s00264-018-3891-1

Cited by 15 publications

(4 citation statements)

References 26 publications

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“…Subscapularis repair was studied in four articles [ 14 , 19 , 29 , 48 ]. Sixteen studies included intraoperative stem cementation data; of 1508 cases, 398 stems were cemented (26.4%), and six studies reported press-fit stems [ 23 , 26 , 31 , 44 , 45 , 50 ] only.…”

Section: Resultsmentioning

confidence: 99%

“…Instability (29 dislocations out of 3634 cases) had a mean incidence of 0.8% in 25 studies concerning complications. A total of seven studies including 631 RSA did not record any dislocation [ 24 , 26 , 27 , 32 , 41 , 45 , 50 ]. The role of subscapularis repair in instability was investigated in four studies[ 14 , 19 , 29 , 48 ], with a total of 986 arthroplasties: seven dislocations occurred in 445 nonrepaired subscapularis (1.6% rate) and two dislocations in 541 repaired tendons RSA (0.4% rate).…”

Section: Resultsmentioning

confidence: 99%

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Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I—complications)

et al. 2021

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Background Several modifications to the original Grammont reverse shoulder arthroplasty (RSA) design have been proposed to prevent distinctive issues, such as both glenoid and humeral lateralization. The aim of this systematic review was to determine rates of problems, complications, reoperations, and revisions after onlay lateralized humeral stem RSA, hypothesizing that these are design related. Methods This systematic review was performed in accordance with the PRISMA statement guidelines. A literature search was conducted (01.01.2000–14.04.2020) using PubMed, Cochrane Reviews, Scopus, and Google Scholar employing several combinations of keywords: “reverse shoulder arthroplasty,” “reverse shoulder prosthesis,” “inverse shoulder arthroplasty,” “inverse shoulder prosthesis,” “problems,” “complications,” “results,” “outcomes,” “reoperation,” “revision.” Results Thirty-one studies with 4893 RSA met inclusion criteria. The 892 postoperative problems and 296 postoperative complications represented overall problem and complication rates of 22.7% and 7.5%, respectively. Forty-one reoperations and 63 revisions resulted, with an overall reoperation rate of 1.7% and overall revision rate of 2.6%. Conclusions Problem, complication, and reintervention rates proved acceptable when implanting a high humeral lateralization stem in RSA. The most frequent problem was scapular notching (12.6%), and the most common postoperative complication was scapular stress fracture (1.8%). An overall humeral complication rate of 1.9% was identified, whereas short stems reported no humeral fractures or stem loosening. Infections (1.3%) proved to be the most common reason for component revision, and instability had a complication rate of 0.8%. Level of evidence Systematic review IV

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I—complications)

et al. 2021

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“…Forty-six studies 15,46,66,69,119-134,134–157 reported a total of 188 intraoperative fractures (IFx) among the complications, representing a global IFx rate of 1.4%.…”

Section: Resultsmentioning

confidence: 99%

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Dolci

Mélis

Verona

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction The reverse shoulder arthroplasty is nowadays a treatment option for a variety of shoulder problems. As its incidence rose, also the number of complications increased, including intraoperative fractures. Significance We performed a systematic review and critical analysis of the current literature following the PRISMA guidelines. Our purpose was to: 1) determine incidence, causes, and characteristics of intraoperative fractures; 2) evaluate their current treatment options, possible related complications, reoperation rates, and the patients’ outcome; and 3) determine the overall incidence of each complication related to reverse shoulder arthroplasty. The articles were selected from PubMed medical database in April 2020 using a comprehensive search strategy. Rayyan software was used to support the selection process of the records. A descriptive and critical analysis of the results was performed. Results The study group included a total of 13,513 reverse shoulder arthroplasty procedures. The total number of complications was 1647 (rate 12.1%). The most common complication was dislocation (340 cases, rate 2.5%). Forty-six studies reported a total of 188 intraoperative fractures among the complications (rate 1.4%). The intraoperative fracture rate was 2.9% and 13.6% in primary and revision settings, respectively. There were 136 humeral fractures, 60% of them occurred in revision RSAs, during the removal of the previous implant, and involved the shaft in the majority of cases (39%). Glenoid fractures were 51 and occurred mostly during the reaming of the glenoid. We observed 7 further related complications (rate of 4%) and 3 reoperations (rate of 1.5%). The outcome was satisfactory in the majority of cases. Conclusions A comprehensive review on intraoperative fractures in reverse shoulder arthroplasties is presented. Results suggest favorable outcomes for all treatment methods, with a modest further complication rate. This investigation may aid in the treatment decision-making for these complications.

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“…In patients with osteoporosis, care must be taken during reaming and impaction of the baseplate. In addition, in patients with degenerative osteoarthritis, the glenoid can be fractured despite a high level of hardness [50]. This can be caused by decreased elasticity of the sclerotic bone.…”

Section: Intraoperative Fracturementioning

confidence: 99%

Complications of Reverse Shoulder Arthroplasty: A Concise Review

Kim

Jang

et al. 2021

Clin Shoulder Elbow

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Reverse shoulder arthroplasty is an ideal treatment for glenohumeral dysfunction due to cuff tear arthropathy. As the number of patients treated with reverse shoulder arthroplasty is increasing, the incidence of complications after this procedure also is increasing. The rate of complications in reverse shoulder arthroplasty was reported to be 15%–24%. Recently, the following complications have been reported in order of frequency: periprosthetic infection, dislocation, periprosthetic fracture, neurologic injury, scapular notching, acromion or scapular spine fracture, and aseptic loosening of prosthesis. However, the overall complication rate has varied across studies because of different prosthesis used, improvement of implant and surgical skills, and different definitions of complications. Some authors included complications that affect the clinical outcomes of the surgery, while others reported minor complications that do not affect the clinical outcomes such as minor reversible neurologic deficit or minimal scapular notching. This review article summarizes the processes related to diagnosis and treatment of complications after reverse shoulder arthroplasty with the aim of helping clinicians reduce complications and perform appropriate procedures if/when complications occur.

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Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up

Cited by 15 publications

References 26 publications

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I—complications)

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I—complications)

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Complications of Reverse Shoulder Arthroplasty: A Concise Review

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