Humeral Stem Loosening Following Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis

Fuente

Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/29762342

https://insights.ovid.com/crossref?an=01874474-900000000-99894

De:

Grey B¹, Rodseth RN^2,³, Roche SJ¹

JBJS Rev. 2018 May 15. doi: 10.2106/JBJS.RVW.17.00129. [Epub ahead of print]

Copyright © 2017 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

Aseptic stem loosening following reverse shoulder arthroplasty (RSA) is an uncommon complication. The timing and the factors contributing to aseptic stem loosening remain poorly understood.

CONCLUSIONS:

Aseptic stem loosening occurred more commonly in cohorts with longer follow-up. There were no differences in the rates of aseptic stem loosening or revision for stem loosening between cemented and uncemented stems. Patients treated with RSA following excision of proximal humeral tumors and RSA as a revision procedure after a failed arthroplasty were at greater risk of aseptic stem loosening.

Resumen

ANTECEDENTES:

El aflojamiento aséptico del vástago después de la artroplastia de hombro reversa (ASR) es una complicación poco frecuente. El tiempo y los factores que contribuyen al aflojamiento aséptico del vástago siguen siendo poco conocidos.

CONCLUSIONES:

El aflojamiento aséptico del vástago se produjo con mayor frecuencia en cohortes con un seguimiento más prolongado. No hubo diferencias en las tasas de aflojamiento o revisión aséptica del vástago para el aflojamiento del vástago entre los vástagos cementados y no cementados. Los pacientes tratados con RSA después de la escisión de tumores humerales proximales y RSA como un procedimiento de revisión después de una artroplastia fallida tenían un mayor riesgo de aflojamiento aséptico del vástago.

PMID: 29762342 DOI: 10.2106/JBJS.RVW.17.00129

Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28463917

http://insights.ovid.com/crossref?an=00004623-201705030-00004

De:

Crosby LA¹, Wright TW, Yu S, Zuckerman JD.

J Bone Joint Surg Am. 2017 May 3;99(9):736-742. doi: 10.2106/JBJS.16.00683.

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

Revision shoulder arthroplasty is a technically challenging procedure. It is associated with increased blood loss and operative time, and it frequently necessitates revision implants, augments, and bone-grafting. Shoulder arthroplasty systems with a convertible-platform humeral stem have been developed to reduce the complexity of revision procedures by eliminating the need for humeral component explantation when converting from anatomic shoulder arthroplasty (hemiarthroplasty or total shoulderarthroplasty) to reverse total shoulder arthroplasty (rTSA).

CONCLUSIONS:

Shoulder arthroplasty systems that utilize a convertible-platform humeral stem offer an advantage for rTSA conversion in that a well-fixed, well-positioned humeral stem can be retained. There were significantly fewer complications as well as significantly decreased blood loss and operative time when a convertible-platform stem was utilized (p < 0.050).

LEVEL OF EVIDENCE:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Resumen

ANTECEDENTES:

La artroplastia de hombro de revisión es un procedimiento técnicamente difícil. Se asocia con aumento de la pérdida de sangre y el tiempo quirúrgico, y con frecuencia requiere implantes de revisión, aumentos y injertos óseos. Se han desarrollado sistemas de artroplastia de hombro con un vástago humeral de plataforma convertible para reducir la complejidad de los procedimientos de revisión eliminando la necesidad de explanación de componente humeral al convertir la artroplastia anatómica de hombro (ARTHA).

CONCLUSIONES:

Los sistemas de artroplastia de hombro que utilizan un vástago humeral de plataforma convertible ofrecen una ventaja para la conversión rTSA en que se puede retener un vástago humeral bien fijado y bien posicionado. Hubo significativamente menos complicaciones, así como una disminución significativa de la pérdida de sangre y el tiempo de operación cuando se utilizó un vástago de la plataforma convertible (p <0,050).
NIVEL DE EVIDENCIA:

Nivel terapéutico III. Vea las Instrucciones para los Autores para una descripción completa de los niveles de evidencia.

PMID: 28463917 DOI: 10.2106/JBJS.16.00683

HOSPITAL ÁNGELES METROPOLITANO

5564 2870 / 5564 6000 / FAX 5264 7941

Lunes, Miércoles y Jueves: 19:00 - 20:30

Aflojamiento del vástago humeral después de la artroplastia reversa de hombro : una revisión sistemática y metanálisis

Humeral Stem Loosening Following Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis

https://www.ncbi.nlm.nih.gov/pubmed/29762342

https://insights.ovid.com/crossref?an=01874474-900000000-99894

Grey B¹, Rodseth RN^2,³, Roche SJ¹

JBJS Rev. 2018 May 15. doi: 10.2106/JBJS.RVW.17.00129. [Epub ahead of print]

Copyright © 2017 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

CONCLUSIONS:

Resumen

ANTECEDENTES:

CONCLUSIONES:

Conversión a Artroplastia Total de Hombro Reversa con y sin Retención del vastago Humeral: El Rol de un vastago de Plataforma Convertible.

Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem.

https://www.ncbi.nlm.nih.gov/pubmed/28463917

http://insights.ovid.com/crossref?an=00004623-201705030-00004

Crosby LA¹, Wright TW, Yu S, Zuckerman JD.

J Bone Joint Surg Am. 2017 May 3;99(9):736-742. doi: 10.2106/JBJS.16.00683.

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

CONCLUSIONS:

LEVEL OF EVIDENCE:

Resumen

5564 2870 / 5564 6000 / FAX 5264 7941

HOSPITAL ÁNGELES METROPOLITANO

HOSPITAL ÁNGELES METROPOLITANO

5564 2870 / 5564 6000 / FAX 5264 7941

Lunes, Miércoles y Jueves: 19:00 - 20:30

Humeral Stem Loosening Following Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis

https://www.ncbi.nlm.nih.gov/pubmed/29762342

https://insights.ovid.com/crossref?an=01874474-900000000-99894

Grey B1, Rodseth RN2,3, Roche SJ1

JBJS Rev. 2018 May 15. doi: 10.2106/JBJS.RVW.17.00129. [Epub ahead of print]

Copyright © 2017 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved. Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

CONCLUSIONS:

Resumen

ANTECEDENTES:

CONCLUSIONES:

Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem.

https://www.ncbi.nlm.nih.gov/pubmed/28463917

http://insights.ovid.com/crossref?an=00004623-201705030-00004

Crosby LA1, Wright TW, Yu S, Zuckerman JD.

J Bone Joint Surg Am. 2017 May 3;99(9):736-742. doi: 10.2106/JBJS.16.00683.

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved. Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Abstract

BACKGROUND:

CONCLUSIONS:

LEVEL OF EVIDENCE:

Resumen

5564 2870 / 5564 6000 / FAX 5264 7941

HOSPITAL ÁNGELES METROPOLITANO

Grey B¹, Rodseth RN^2,³, Roche SJ¹

Copyright © 2017 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Crosby LA¹, Wright TW, Yu S, Zuckerman JD.

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.
Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.