Shoulder Surface Arthroplasty and Complications - Paul Jairaj 4/10/2001

Author

O.Levy, S.Copeland. ( Reading )

Title

Cementless Surface Replacement Arthroplasty of the Shoulder

Reference

JBJS 83B(2) 213-221.March 2001

Summary

103 cases /mark II prosthesis/For OA,RA,AVN,Cuff/Instab/traumatic Arthropathy./ Outcome via Constant score/ TSR>Hemi/ 6.7 yr FU

Critique

Prospective/longtitudinal/same surgeon. All Indic /Diff approach/TSR vs Hemi/some had rc tears,acj exc,subac decomp,/Assessor colleague/

Surgeon financial gain.



Author

U.Rydholm, J.Sjogren. ( Lund )

Title

Surface Replacement of Humeral head in the Rheumatoid shoulder

Reference

JSES 2(6) 286-295 Nov/Dec 1993

Summary

72 cases/ Scan Shoulder/ RA only/ Outcome questionaire/ 94% pain relief,82% inc mobility/ Hemis only/ 25% loose on Xray/4.2 yr FU

Critique

Retrospective/ longtitudinal/ sameapproach/ all hemis/ no rc repairs Questionnaire FU/only 1 comp/ Xray interpret error/ no revisions done

Author

A.Boyd, T.Thornhill. (Harvard)

Title

Fractures adjacent to Humeral Prosthesis

Reference

JBJS 74A(10) 1498-1504. Dec 1992

Summary

7/436 Fractures/5 had surg=healed,2 non-op=did poorly/2 late Rad N palsy hence explored+fixed/post op mobility poorer in all.

Critique

Retrospective/small nos/different fixations/TSR and Hemis/some Bone Grafted/no ROM figures/Fracture pattern irrelevant/Neers

Author

T.Wright, R.Cofield. (Mayo)

Title

Humeral Fractures after Shoulder Arthroplasty

Reference

JBJS 77A(9) 1340-6 Sept 1995.

Summary

9/499 Fractures/5 had surg of which 2 Rad neuropraxia/Outcome depends on Fracture Type A-C and config /6/8 had same mobility post-op/ Bone Graft reqd

Critique

Retrospective/small nos/different fixations and orthoses/TSR and Hemis/no loosening noted/ Diff surgeons/ 2 had TER who fractured/ Diff prosthesis.



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