Abstract
Between 1994 and 2001, a short-stemmed modular shoulder prosthesis was inserted in 62 shoulders in patients with rheumatoid arthritis (RA) or osteoarthrosis (OA). We reviewed 53 patients with 60 shoulders (45 RA/15 OA) with at least 24 months follow-up. In 22 shoulders, we used a total shoulder prosthesis including a glenoid polyethylene component, whereas 38 shoulders only had a humeral component. In six shoulders, the humeral component was cemented. The average follow-up was 47 (24–99) months. There were no intraoperative complications but one wound infection and one patient with proximal migration of the humeral component. Hospital for Special Surgery Score increased from 44 (19–72) to 63 (21–93) points and Shoulder Function Assessment score (SFA) from 24 (12–46) to 42 (11–66) points. The VAS score for pain at rest improved from 4.3 to 1.9. Nonprogressive radiolucent lines were seen adjacent to nine glenoid and one humeral components. Fifty-six patients were satisfied with the result.
Résumé
Entre 1994 et 2001 une prothèse modulaire avec tige court a été insérée dans 62 épaules dans les malades avec polyarthrite rhumatoïde (RA) ou ostéoarthrose (OA). Nous avons examiné 53 malades avec 60 épaules (45 RA/15 OA) avec au moins 24 mois suivez. Dans 22 épaules nous avons utilisé une prothèse de l’épaule totale y compris un composant glenoid du polyéthylène, alors que 38 épaules avaient un composant humérale seulement. Dans six épaules le composant huméral a été cimenté. La suite moyenne était 47 (24–99) mois. Il n’y avait pas de complications intraopérative mais une infection de plaie et un patient avec migration proximal du composant huméral. Le Score de HSS augmenté de 44 (19–72) à 63 (21–93) points et score de SFA de 24 (12–46) à 42 (11–66) points. Les Score VAS améliorer de 4,3 à 1,9 en paix. Les lignes radiotransparent non-progressives ont été vues adjacent à neuf composants glénoïdes et un composant huméral. Cinquante-six malades ont été satisfaits avec le résultat.
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Footnotes
Statement on conflict of interest: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
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