Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386208707> ?p ?o ?g. }
Showing items 1 to 54 of
54
with 100 items per page.
- W4386208707 abstract "The prevalence of failed reverse total shoulder arthroplasty (rTSA) is increasing. This can often present a challenging clinical situation with substantial bone loss and limited reconstruction options. This study reports a single tertiary referral center's experience with revision of failed rTSA managed with revision rTSA of bone-interfacing components.Following institutional review board approval, all revision shoulder arthroplasty cases performed at a single institution between 2012 and 2020 were reviewed. Cases in which rTSA was revised to a new rTSA construct with revision of at least one bone-interfacing implant (humeral stem and/or baseplate) with a minimum two-year follow-up were identified. Characteristics of revision cases-including indications, bony stock, revised components, and use of bone graft-were collected. All patients were contacted for patient-reported outcome measures at a minimum of two-years following surgery. In addition, the incidence and indication for any reoperation following revision were determined.Thirty-three patients with an average age of 66 years (range: 46-82) 19 (58%; 19/33) being female met inclusion criteria and had a mean follow-up of 4.2 years (range: 2-8). The most common indication for revision rTSA included humeral component loosening (33%; 11/33), baseplate loosening (27%; 9/33), and instability (21%; 7/33). Pre-revision infectious workup demonstrated no cases of periprosthetic shoulder infection. Thirteen cases had massive bone loss-five treated with humeral allograft prosthetic composite, five with glenoid bone grafting, and three with custom glenoid implant. In total, 10 cases (30%; 10/33) required re-operation at mean of 13 months (range: 1-44) for instability (4), humeral loosening (2), infection (1), baseplate loosening (1), or periprosthetic fracture (1). The re-operation rate for patients with revised baseplates only, humerus only, or combined was 23% (3/13), 28% (5/18), and 27% (3/11), respectively. Overall, VAS pain improved from 6.5 preoperatively to 2.0 (p<0.001) and the ASES score improved from 30.7 to 67.5 (p<0.001). However, postoperative SANE score averaged only 51.2% (range: 2-100).This study demonstrates that failed rTSA can be salvaged with a revision rTSA. However, patient expectations for functional improvements should be tempered and a high re-operation rate should be expected." @default.
- W4386208707 created "2023-08-29" @default.
- W4386208707 creator A5012707387 @default.
- W4386208707 creator A5016146499 @default.
- W4386208707 creator A5016847524 @default.
- W4386208707 creator A5017736157 @default.
- W4386208707 creator A5085509288 @default.
- W4386208707 creator A5088305334 @default.
- W4386208707 date "2023-08-01" @default.
- W4386208707 modified "2023-10-01" @default.
- W4386208707 title "Revision of Failed Reverse Total Shoulder Arthroplasty with Reverse: Short-term Clinical Outcomes" @default.
- W4386208707 doi "https://doi.org/10.1016/j.jse.2023.07.030" @default.
- W4386208707 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37648013" @default.
- W4386208707 hasPublicationYear "2023" @default.
- W4386208707 type Work @default.
- W4386208707 citedByCount "0" @default.
- W4386208707 crossrefType "journal-article" @default.
- W4386208707 hasAuthorship W4386208707A5012707387 @default.
- W4386208707 hasAuthorship W4386208707A5016146499 @default.
- W4386208707 hasAuthorship W4386208707A5016847524 @default.
- W4386208707 hasAuthorship W4386208707A5017736157 @default.
- W4386208707 hasAuthorship W4386208707A5085509288 @default.
- W4386208707 hasAuthorship W4386208707A5088305334 @default.
- W4386208707 hasConcept C141071460 @default.
- W4386208707 hasConcept C199343813 @default.
- W4386208707 hasConcept C2776337968 @default.
- W4386208707 hasConcept C2778120723 @default.
- W4386208707 hasConcept C2778336525 @default.
- W4386208707 hasConcept C2781411149 @default.
- W4386208707 hasConcept C71924100 @default.
- W4386208707 hasConceptScore W4386208707C141071460 @default.
- W4386208707 hasConceptScore W4386208707C199343813 @default.
- W4386208707 hasConceptScore W4386208707C2776337968 @default.
- W4386208707 hasConceptScore W4386208707C2778120723 @default.
- W4386208707 hasConceptScore W4386208707C2778336525 @default.
- W4386208707 hasConceptScore W4386208707C2781411149 @default.
- W4386208707 hasConceptScore W4386208707C71924100 @default.
- W4386208707 hasLocation W43862087071 @default.
- W4386208707 hasLocation W43862087072 @default.
- W4386208707 hasOpenAccess W4386208707 @default.
- W4386208707 hasPrimaryLocation W43862087071 @default.
- W4386208707 hasRelatedWork W2027765059 @default.
- W4386208707 hasRelatedWork W2345090510 @default.
- W4386208707 hasRelatedWork W2369162477 @default.
- W4386208707 hasRelatedWork W2412650345 @default.
- W4386208707 hasRelatedWork W2419285932 @default.
- W4386208707 hasRelatedWork W2761269780 @default.
- W4386208707 hasRelatedWork W2896616777 @default.
- W4386208707 hasRelatedWork W2913672316 @default.
- W4386208707 hasRelatedWork W3087122822 @default.
- W4386208707 hasRelatedWork W2119573293 @default.
- W4386208707 isParatext "false" @default.
- W4386208707 isRetracted "false" @default.
- W4386208707 workType "article" @default.