Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff -: Results of a multicentre study of 80 shoulders

被引:988
作者
Sirveaux, F [1 ]
Favard, L [1 ]
Oudet, D [1 ]
Huquet, D [1 ]
Walch, G [1 ]
Molé, D [1 ]
机构
[1] Clin Traumatol & Orthoped, F-54000 Nancy, France
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2004年 / 86B卷 / 03期
关键词
D O I
10.1302/0301-620X.86B3.14024
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 reviewed 80 shoulders (77 patients) at a mean follow-up of 44 months after insertion of a Grammont inverted shoulder prosthesis. Three implants had failed and had been revised. The mean Constant score had increased from 22.6 points pre-operatively to 65.6 points at review. In 96% of these shoulders there was no or only minimal pain. The mean active forward elevation increased from 73degrees to 138degrees. The integrity of teres minor is essential for the recovery of external rotation and significantly influenced the Constant score. Five cases of aseptic loosening of the glenoid and seven of dissociation of the glenoid component were noted. This study confirms the promising early results obtained with the inverted prosthesis in the treatment of a cuff-tear arthropathy. It should be considered in the treatment of osteoarthritis with a massive tear of the cuff but should be reserved for elderly patients.
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页码:388 / 395
页数:8
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