Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases

Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Saier, Tim [verfasserIn] Cotic, Matthias [verfasserIn] Kirchhoff, Chlodwig [verfasserIn] Feucht, Matthias J. [verfasserIn] Minzlaff, Philipp [verfasserIn] Glanzmann, Michael C. [verfasserIn] Schöttle, Philip [verfasserIn] Imhoff, Andreas B. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Rotator Cuff Shoulder Arthroplasty Proximal Humeral Fracture Reverse Shoulder Arthroplasty Reverse Total Shoulder Arthroplasty

Übergeordnetes Werk:	Enthalten in: Journal of orthopaedic science - Amsterdam : Elsevier, 1996, 20(2015), 5 vom: 11. Juni, Seite 830-836
Übergeordnetes Werk:	volume:20 ; year:2015 ; number:5 ; day:11 ; month:06 ; pages:830-836

Links:	Volltext

DOI / URN:	10.1007/s00776-015-0734-4

Katalog-ID:	SPR007765908

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520			\|a Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown.
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allfields	10.1007/s00776-015-0734-4 doi (DE-627)SPR007765908 (SPR)s00776-015-0734-4-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Saier, Tim verfasserin aut Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown. Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213 Cotic, Matthias verfasserin aut Kirchhoff, Chlodwig verfasserin aut Feucht, Matthias J. verfasserin aut Minzlaff, Philipp verfasserin aut Glanzmann, Michael C. verfasserin aut Schöttle, Philip verfasserin aut Imhoff, Andreas B. verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 20(2015), 5 vom: 11. Juni, Seite 830-836 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:20 year:2015 number:5 day:11 month:06 pages:830-836 https://dx.doi.org/10.1007/s00776-015-0734-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 20 2015 5 11 06 830-836
spelling	10.1007/s00776-015-0734-4 doi (DE-627)SPR007765908 (SPR)s00776-015-0734-4-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Saier, Tim verfasserin aut Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown. Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213 Cotic, Matthias verfasserin aut Kirchhoff, Chlodwig verfasserin aut Feucht, Matthias J. verfasserin aut Minzlaff, Philipp verfasserin aut Glanzmann, Michael C. verfasserin aut Schöttle, Philip verfasserin aut Imhoff, Andreas B. verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 20(2015), 5 vom: 11. Juni, Seite 830-836 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:20 year:2015 number:5 day:11 month:06 pages:830-836 https://dx.doi.org/10.1007/s00776-015-0734-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 20 2015 5 11 06 830-836
allfields_unstemmed	10.1007/s00776-015-0734-4 doi (DE-627)SPR007765908 (SPR)s00776-015-0734-4-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Saier, Tim verfasserin aut Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown. Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213 Cotic, Matthias verfasserin aut Kirchhoff, Chlodwig verfasserin aut Feucht, Matthias J. verfasserin aut Minzlaff, Philipp verfasserin aut Glanzmann, Michael C. verfasserin aut Schöttle, Philip verfasserin aut Imhoff, Andreas B. verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 20(2015), 5 vom: 11. Juni, Seite 830-836 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:20 year:2015 number:5 day:11 month:06 pages:830-836 https://dx.doi.org/10.1007/s00776-015-0734-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 20 2015 5 11 06 830-836
allfieldsGer	10.1007/s00776-015-0734-4 doi (DE-627)SPR007765908 (SPR)s00776-015-0734-4-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Saier, Tim verfasserin aut Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown. Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213 Cotic, Matthias verfasserin aut Kirchhoff, Chlodwig verfasserin aut Feucht, Matthias J. verfasserin aut Minzlaff, Philipp verfasserin aut Glanzmann, Michael C. verfasserin aut Schöttle, Philip verfasserin aut Imhoff, Andreas B. verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 20(2015), 5 vom: 11. Juni, Seite 830-836 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:20 year:2015 number:5 day:11 month:06 pages:830-836 https://dx.doi.org/10.1007/s00776-015-0734-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 20 2015 5 11 06 830-836
allfieldsSound	10.1007/s00776-015-0734-4 doi (DE-627)SPR007765908 (SPR)s00776-015-0734-4-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Saier, Tim verfasserin aut Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown. Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213 Cotic, Matthias verfasserin aut Kirchhoff, Chlodwig verfasserin aut Feucht, Matthias J. verfasserin aut Minzlaff, Philipp verfasserin aut Glanzmann, Michael C. verfasserin aut Schöttle, Philip verfasserin aut Imhoff, Andreas B. verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 20(2015), 5 vom: 11. Juni, Seite 830-836 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:20 year:2015 number:5 day:11 month:06 pages:830-836 https://dx.doi.org/10.1007/s00776-015-0734-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 20 2015 5 11 06 830-836
language	English
source	Enthalten in Journal of orthopaedic science 20(2015), 5 vom: 11. Juni, Seite 830-836 volume:20 year:2015 number:5 day:11 month:06 pages:830-836
sourceStr	Enthalten in Journal of orthopaedic science 20(2015), 5 vom: 11. Juni, Seite 830-836 volume:20 year:2015 number:5 day:11 month:06 pages:830-836
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Rotator Cuff Shoulder Arthroplasty Proximal Humeral Fracture Reverse Shoulder Arthroplasty Reverse Total Shoulder Arthroplasty
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of orthopaedic science
authorswithroles_txt_mv	Saier, Tim @@aut@@ Cotic, Matthias @@aut@@ Kirchhoff, Chlodwig @@aut@@ Feucht, Matthias J. @@aut@@ Minzlaff, Philipp @@aut@@ Glanzmann, Michael C. @@aut@@ Schöttle, Philip @@aut@@ Imhoff, Andreas B. @@aut@@
publishDateDaySort_date	2015-06-11T00:00:00Z
hierarchy_top_id	300185928
dewey-sort	3610
id	SPR007765908
language_de	englisch
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Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. 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author	Saier, Tim
spellingShingle	Saier, Tim ddc 610 bkl 44.00 bkl 44.83 misc Rotator Cuff misc Shoulder Arthroplasty misc Proximal Humeral Fracture misc Reverse Shoulder Arthroplasty misc Reverse Total Shoulder Arthroplasty Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
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topic_title	610 ASE 44.00 bkl 44.83 bkl Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases Rotator Cuff (dpeaa)DE-He213 Shoulder Arthroplasty (dpeaa)DE-He213 Proximal Humeral Fracture (dpeaa)DE-He213 Reverse Shoulder Arthroplasty (dpeaa)DE-He213 Reverse Total Shoulder Arthroplasty (dpeaa)DE-He213
topic	ddc 610 bkl 44.00 bkl 44.83 misc Rotator Cuff misc Shoulder Arthroplasty misc Proximal Humeral Fracture misc Reverse Shoulder Arthroplasty misc Reverse Total Shoulder Arthroplasty
topic_unstemmed	ddc 610 bkl 44.00 bkl 44.83 misc Rotator Cuff misc Shoulder Arthroplasty misc Proximal Humeral Fracture misc Reverse Shoulder Arthroplasty misc Reverse Total Shoulder Arthroplasty
topic_browse	ddc 610 bkl 44.00 bkl 44.83 misc Rotator Cuff misc Shoulder Arthroplasty misc Proximal Humeral Fracture misc Reverse Shoulder Arthroplasty misc Reverse Total Shoulder Arthroplasty
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title	Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
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title_full	Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
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author_browse	Saier, Tim Cotic, Matthias Kirchhoff, Chlodwig Feucht, Matthias J. Minzlaff, Philipp Glanzmann, Michael C. Schöttle, Philip Imhoff, Andreas B.
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title_sort	early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
title_auth	Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
abstract	Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown.
abstractGer	Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown.
abstract_unstemmed	Background This study evaluated the outcome of a third generation modular non-cemented reverse total shoulder arthroplasty (RTSA) in incongruent glenohumeral degeneration with severe rotator cuff deficiency. Materials and methods Thirty-eight consecutive RTSA with a mean age of 72 years (range 58–89 years) were prospectively enrolled. Mean follow-up was 24 months (range 21–29 months). Pain and standardized clinical functional scores were monitored. Radiographic and MRI findings have been scored and correlated to clinical outcome and complication rate. Results Preoperative pain decreased significantly from VAS 8 to 2 at 24 months postop., as ROM improved significantly, by at least doubling preoperative values of elevation, abduction, and external rotation. Nevertheless, internal rotation languished. The preoperative median constant was 18 points and 70 points 24 months postop. (p < 0.001). Initial median DASH was 95 vs. 50 2 years after surgery (p < 0.001). Median prospective ASES was 23 (IQR 8–33) vs. 70 points (p < 0.001) at final follow-up. Each outcome measurement improved significantly at 6, 12, and 24 months follow-up. There was no significant correlation between pre-operative radiographic findings of osseous and/or soft-tissue degeneration and short-term clinical outcome and/or complication rate (13 %). At final follow-up, 54 % showed radiographic signs of inferior scapular notching. There was no revision and/or loosening observed. Conclusion RSTA with this modular system results in significant pain relief and improvement of functional clinical outcomes. However, longevity of the device is currently unknown.
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title_short	Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases
url	https://dx.doi.org/10.1007/s00776-015-0734-4
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author2	Cotic, Matthias Kirchhoff, Chlodwig Feucht, Matthias J. Minzlaff, Philipp Glanzmann, Michael C. Schöttle, Philip Imhoff, Andreas B.
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Early results after modular non-cemented reverse total shoulder arthroplasty: a prospective single-centre study of 38 consecutive cases

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