Effectiveness of CT for the detection of glenoid bone graft resorption following reverse shoulder arthroplasty

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Effectiveness of CT for the detection of glenoid bone graft resorption following reverse shoulder arthroplasty.

INTRODUCTION Glenoid bone grafting is often used in cases of reverse shoulder arthroplasty (RSA) with glenoid deficiency. Additionally, bony increased-offset RSA (BIO-RSA) uses a cylindrical bonegraft harvested from the humeral head and is positioned beneath the glenoid baseplate to increase lateralization. Postoperative computed tomography (CT) has been used to detect glenoid bonegraft resorpt...

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Challenges in Reverse Shoulder Arthroplasty: Addressing Glenoid Bone Loss.

Reverse shoulder arthroplasty (RSA) was designed for the treatment of elderly patients with cuff tear arthropathy. Because of its success, the indications for RSA have expanded beyond cuff tear arthropathy to include acute fractures, fracture sequelae, massive rotator cuff tears, inflammatory arthritis, and revision shoulder arthroplasty. Consequently, the number of RSAs performed has increased...

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Humeral-sided Radiographic Changes Following Reverse Total Shoulder Arthroplasty

Background: We sought to characterize humeral-sided radiographic changes at a minimum of 2 years after reverseshoulder arthroplasty (RSA) to determine their association with specific implantation techniques.Methods: The immediate and most recent postoperative anteroposterior radiographs of 120 shoulders with primary RSAand a minimum of 2-years of radiographic follow-up were an...

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Hip-inspired implant for revision of failed reverse shoulder arthroplasty with severe glenoid bone loss

BACKGROUND AND PURPOSE Glenoid reconstruction and inverted glenoid re-implantation is strongly advocated in revisions of failed reverse shoulder arthroplasty (RSA). Nevertheless, severe glenoid deficiency may preclude glenoid reconstruction and may dictate less favorable solutions, such as conversion to hemiarthropasty or resection arthropasty. The CAD/CAM shoulder (Stanmore Implants, Elstree, ...

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The glenoid in shoulder arthroplasty.

Total shoulder arthroplasty is a common treatment for glenohumeral arthritis. One of the most common failure modes of total shoulder arthroplasty is glenoid loosening, causing postoperative pain, limitation of function, and potentially, the need for revision surgery. The literature has devoted considerable attention to the design of the glenoid component; efforts to better understand the biomec...

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ژورنال

عنوان ژورنال: Orthopaedics & Traumatology: Surgery & Research

سال: 2015

ISSN: 1877-0568

DOI: 10.1016/j.otsr.2015.03.010