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Rev Esp Cir Ortop Traumatol ; 60(3): 206-13, 2016.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-25435292

RESUMO

OBJECTIVE: Reverse shoulder arthroplasty is becoming a useful tool for many diseases of the shoulder. Any severe glenoid bone defect may affect the fixing of the glenoid component. The aim of this paper is to evaluate the medium-term outcomes of reverse shoulder arthroplasty associated with a glenoplasty. MATERIALS AND METHODS: A retrospective study was conducted on 5 patients from our hospital, selected due to glenoid defects of different etiology. All of them where treated with reverse shoulder arthroplasty associated with glenoplasty with bone graft. RESULTS: The minimum follow-up was one year (mean 30.4 months). All grafts were radiologically integrated, with no signs of resorption or necrosis being observed. At 12 months, the Constant score was 66.75 and the mean EVA score was 1. DISCUSSION: Glenoplasty surgery is technically demanding for restoring original bone size in patients with glenoid structural defects, enabling a reverse shoulder arthroplasty to be implanted. Thus improving both the function and clinical outcomes in selected patients with glenohumeral pathology and providing them with a solution.


Assuntos
Artroplastia do Ombro/métodos , Cavidade Glenoide/patologia , Luxação do Ombro/cirurgia , Fraturas do Ombro/cirurgia , Articulação do Ombro/patologia , Idoso , Idoso de 80 Anos ou mais , Transplante Ósseo , Feminino , Seguimentos , Cavidade Glenoide/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos , Luxação do Ombro/patologia , Fraturas do Ombro/patologia , Articulação do Ombro/cirurgia , Resultado do Tratamento
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