Treatment of glenoid loosening and bone loss due to osteolysis with glenoid bone grafting.
J Shoulder Elbow Surg
; 15(1): 84-7, 2006.
Article
en En
| MEDLINE
| ID: mdl-16414474
ABSTRACT
Twenty-four patients underwent conversion of a total shoulder replacement to a humeral head replacement with glenoid bone grafting for glenoid loosening due to osteolysis. Of the 24 patients, 18 (75%) had satisfactory pain relief at a mean follow-up of 33.4 months (range, 24-63 months). Four had good pain relief with conversion back to total shoulder replacement at a mean of 11 months (range, 9-15 months) after the index procedure, thus bringing the rate of overall satisfactory pain relief to 92%. Two patients continued to report significant pain and were not satisfied with the procedure. Significant functional motion improvements were not seen (P > .05). Graft subsidence was seen in 10 of 20 cases (50%). Bone grafting of glenoid defects in revision arthroplasty provides satisfactory improvement in terms of pain relief and, by improving bone stock, allows for placement of a glenoid component at a later date if there is persistent pain. However, high rates of graft subsidence are concerning.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Osteólisis
/
Trasplante Óseo
/
Artroplastia de Reemplazo
Límite:
Aged
/
Aged80
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Shoulder Elbow Surg
Asunto de la revista:
ORTOPEDIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos