Study on glenoid component in anatomical total shoulder arthroplasty in Nagapattinam district
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20210497Keywords:
Arm lengthening, Comprehensive shoulder prosthesis, Lateral humeral offset, Quick DASH, Scapular notching, TESS shoulder prosthesis, Total shoulder arthroplastyAbstract
Background: Depending upon the mechanism of dysfunction or injury a shoulder arthroplasty can either be a partial or total replacement. Shoulder arthroplasty surgery has shown remarkable progress during the last few decades. The objective was to study the effect of prosthesis positioning in reverse shoulder arthroplasty on radiological and clinical outcomes.
Methods: This was a prospective comparative non-randomized study of 37 patients who underwent reverse shoulder arthroplasty (RSA) in Government District Head Quarters Hospital Nagapattinam with a follow-up ranging from March 2018 to January 2019 (11 months).
Results: Grade 1 indicated a notch limited to the scapular pillar, grade 2 reached the inferior screw of the baseplate, grade 3 extended beyond the inferior screw and grade 4 reached the central peg of the baseplate. Glenoid loosening was defined as radiolucencies under the baseplate or around the peg or screws, screw breakage, or glenoid migration.
Conclusions: Outcome measures were improved regardless of the LHO. At 3 months follow-up increased LHO harmed shoulder function and gave more shoulder pain at rest and exertion but did not affect the quality of life, health status, or ROM. At 12 months follow-up, LHO had no relation with the outcome measures. Further studies are warranted to investigate the influence of LHO on long-term prosthetic survival.
References
Afolabi B, Youderian AR, Napolitano L, Szerlip BW, Evans PJ, Nowinski RJ, et al. Radiographic assessment of prosthetic humeral head size after anatomic shoulder arthroplasty. J Shoulder Elbow Surg. 2014;23(11):1740-6.
Atroshi I, Gummesson C, Andersson B, Dahlgren E, Johansson A. The disabilities of the arm, shoulder, and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand. 2000;71(6):613-8.
Ballas R, Béguin L. Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Shoulder Elbow Surg. 2013;22(9).
Bankes MJ, Emery RJ. Pioneers of shoulder replacement: Themistocles Gluck and Jules Emile Péan. J Shoulder Elbow Surg. 1995;4(4): 259-62.
Baulot E, Valenti P, Garaud P, Boileau P, Neyton L, Sirveaux F, et al. Results of reverse prostheses. J Orthoped Restorat Surg Motor Device. 2007;93(6):63-92.
Berth A, Pap G. Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis inpatients with osteoarthritis: a comparison of the functional outcome after a minimum of two years follow-up. J OrthopTraumatol. 2013;14:31-7.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307-10.
Blevins FT, Deng X, Torzilli PA, Dines D, Warren RF. Dissociation of modular humeral head components: a biomechanical and implant retrieval study. J Shoulder Elbow Surg. 1997;6:113-24.
Chin PYK, Sperling JW, Cofield RH, Schleck C. Complications of total shoulder arthroplasty: are they fewer or different? J Should Elbow Surg. 2006;15(1):19-22.
Churchill RS. Stemless shoulder arthroplasty: current status. J Shoulder Elbow Surg. 2014;23:1409-14.
Clitherow HD, Frampton CM, Astley TM. Effect of glenoid cementation on total shoulder arthroplasty for degenerative arthritis of the shoulder: a review of the New Zealand National Joint Registry. J Shoulder Elbow Surg. 2014;23(6):775-81.
Cofield RH. Uncemented total shoulder arthroplasty: a review. Clin Orthop. 1994;307:86-93.
EuroQol Group. EuroQol- a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199-208.
Eynon-Lewis NJ, Ferry D, Pearse MF. Themistocles Gluck: an unrecognized genius. BMJ. 1992;305:1534-6.
Faul F, Erdfelder E, Buchner A. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149.
Gerber C, Pennington SD, Nyffeler RW. Reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2009;17:284-95.
Grammont P, Trouilloud P, Laffay JP, Diaries X. Concept study and realization of a new total shoulder prosthesis. Rhumatologie. 1987;39:407-18.
Gutiérrez S, Levy JC, Frankle MA, Cuff D, Keller TS, Pupello DR, et al. Evaluation of abduction range of motion and avoidance of inferior scapular impingement in a reverse shoulder model. J Shoulder Elbow Surg. 2008;17:608-15.
Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA. The effect of articular conformity and the size of the humeral head component on laxity and motion after glenohumeral arthroplasty. A study in cadavers. J Bone Joint Surg Am. 1995;77(4):555-63.
Hayes K, Walton JR, Szomor ZR, Murrell GA. Reliability of five methods for assessing shoulder range of motion. A randomized control ledtrial. Aust J Physiother. 2001;47(4):289-94.
Ho JC, Youderian A, Davidson IU, Bryan J, Iannotti JP. Accuracy and reliability of post-operative radiographic measurements of glenoid anatomy and relationships in patients with total shoulder arthroplasty. J Shoulder Elbow Surg. 2013;8:1068-77.
Horneij E, Holmström E, Hemborg B, Isberg PE, Ekdahl C. Interrater reliability and between-days repeatability of eight physical performance tests. Adv Physiother. 2002;4:146-60.
Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29(6):602-8.
Huguet D, De Clercq G, Rio B, Teissier J, Zipoli B, TESS Group. Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years’ follow-up. J Shoulder Elbow Surg. 2010;19:847-52.
Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal gleno humeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992;74(4):491-500.
