logo1_4.gif (4297 Byte)

button.gif (267 Byte) Einführung

button.gif (267 Byte) Konzepte

button.gif (267 Byte) Methoden

button.gif (267 Byte) Abteilungen

button.gif (267 Byte) Aktuelles

button.gif (267 Byte) Weiterbildung

button.gif (267 Byte) Publikationen

button.gif (267 Byte) Eigene
    Entwicklungen
    Handgelenk
    Schulter
    Hüfte
    Knie
    Spacer

button.gif (267 Byte) Zertifikate

button.gif (267 Byte) Nachsorge

button.gif (267 Byte) Links

button.gif (267 Byte) Forum

button.gif (267 Byte) Kontakt

 

titel.gif (6675 Byte)
leer.gif (43 Byte) Kontakt Sitemap Hilfe
 

 

Prosthetic replacement of the cuff-deficient shoulder joint

Conclusion, Literature

The midterm results of bipolar shoulder arthroplasty in rheumatoid patients with reconstructable rotator cuff habe been promising. Bipolar shoulder arthroplasty theoretically restors the glenohumeral fulcrum without the problems associated with the insertion of a glenoid component. Persisting birotational head motion theoretically increases stability and decreases glenoid wear. Our early results compare favourable with many reports of total shoulder arthroplasty in patients with functioning rotator cuff. Patients with irreparable rotator cuff tears and severe glenohumeral arthritis remain a difficult challange in shoulder surgery and the ideal procedure has not yet been found. Pain relief and modest increase in active motion are the main goals in operative treatment. Bipolar shoulder arthroplasty represents an adequate alterantive to currently favoured hemiarthroplasty in patients with cuff-deficient shoulders. The bipolar cup device helps to relocate the humerus and theortically increases the efficiency of deltoid by restoration of the lever arm. Persisting birotational head movement decreases wear against the glenoid and the overhanging coracoacromial arch. Longer follow-up is necessary to determin wether the initial pain relief and functional recovery is maintained over time.

Literature

  1. Amstutz, H.C., B.J. Thomas, J.M.Kabo, The DANA total shoulder arthroplasty. J. Bone Joint Surg. Vol. 70-A, No.8; 1988; pp. 1174-1182.
  2. Arntz, C.T., F.A. Matsen, S.Jackins, Surgical management of complex irreparable rotator cuff deficency. J. Arthroplatsy, 6; 1991; pp. 363-370.
  3. Arntz, C.T., S.Jackins, S.Matsen, Prosthetic replacement of the shoulder for the treatment of defects in the rotator cuff and the surface of the glenohumeral joint. J. Bone Joint Surg. Vol. 75-A, No.4; 1993; pp. 485-491.
  4. Arredono J., Worland R. Bipolar shoulder arthroplasty with osteoarthritis: Short term clinical results and evaluation of birotational head motion. J. Shoulder Elbow Surg. 1999 Sep-Oct; 8(5); pp.425-9
  5. Bade, H.A., R.F.Warren, C.S.Ranawat, Long term results of Neer total shoulder replacement. In: J.E. Bateman and R.P. Welsh, editor. Surgery of the Shoulder. St. Louis, C.V. Mosby; 1984; pp.294-302.
  6. Barrett, W.P., J.L.Franklin, S.E. Jackins, Total shoulder arthroplasty. J. Bone Joint Surg. Vol. 69-A, No.6; 1987; pp. 865-872.
  7. Barrett,W.P., T.S. Thornhill; Nonconstrained total shoulder arthroplasty in patients with polyarticular rheumatoid arthritis. J. Arthroplasty , Vol.4, No.1; 1989; pp. 91-96.
  8. Bell S.N., N. Gschwend, Clinical experience with total arthroplasty and hemiarthroplasty of the shoulder using the Neer prosthesis. Int. Orthopaedica (SICOT); 1986; 10: pp.217-222.
  9. Boyd, A.D., P.Aliabadi, T.S.Thornhill, Postoperative proximal migration in total shoulder arthroplasty. J. Arthroplasty , Vol.6, No.1; 1991;pp. 31-37.
  10. Boyd, A.D., W.H.Thomas, R.D.,Scott, Total shoulder arthroplasty versus hemiarthroplasty. J. Arthroplasty , Vol.5, No.4; 1990; pp. 329-336.
  11. Brantschen, R., C. Gerber, Möglichkeiten der Schulterendoprothetik bei Arthritis. Therapeutische Umschau, Band 84; 1991.
  12. Brenner, B.C., D.C. Ferlic, M.L.Clayton, Survivorship of unconstrained total shoulder arthroplasty. J. Bone J. Surg. Vol. 71-A, No.9; 1989; pp. 1289-1296.
  13. Brostöm L.-A., R. Wallensten, E. Olsson, The Kessel prosthesis in total shoulder arthroplasty. Clin. Orthop. No.277; 1992; pp.155-160.
  14. Broström L.-A., M. Kronberg, R. Wallenstein, Should the glenoid be replaced in shoulder arthroplasty with an unconstrained DANA or St. Georg prosthesis? Ann. Chir. Gyn.; 1992; 81: pp.54-57.
  15. Clayton M.L., D.C. Ferlic Prosthetic arthroplasties of the shoulder. Clin. Orthop. No.164; 1982; pp. 184-191.
  16. Cofield, R. H., B.C. Edgerton, Total shoulder arthroplasty: Complications and revision surgery. In: Green, W.B., editor. Instructional Course Lecture. American Academy of Orthopaedic Surgeons Vol .XXXIX; 1990.
  17. Cofield, R.H., Total shoulder arthroplasty with the Neer prosthesis. J. Bone Joint Surg. 66-A; 1984; pp. 899-906.
  18. Collins D., Harrymann T. Arthroplasty for arthritic and rotator cuff deficiency. Orthop. Clin. North Am. 1997 Apr; 28(2); pp. 225-239
  19. Collins DN., DT Harryman, Arthroplasty for arthritis and rotator cuff deficiency. Orthop. Clin. North. Am. Apr.; 28(2); 1997; pp. 225-39.
  20. Constant, C., A. Murley, A clinical method of functional assessment of the shoulder Clin. Orthop. Res. 214; 1987; p. 160.
  21. Coughlin M.J., J.M. Morris, W.F. West, The semiconstrained total shoulder arthroplasty. J. Bone J. Surg. Vol. 61-A, No.4; 1979; pp. 574-581.
  22. DiGiovanni J, Marra G., Park J.Y. Hemiarthroplasty for glenohumeral arthritis with massive rotator cuff tears. Orthop. Clin. North Am. 1998 July; 29(3); pp. 477-489
  23. Dinges H., H. Thabe, S.Schill; A new modular shoulder prosthesis for reconstructive treatment in rheumatoid arthritis. Rheumatology in Europe Supplement B, No.3, Vol.24; 1995; p. 293.
  24. Dinges, H., S.Schill, H. Thabe, Die präventive operative Versorgung der rheumatischen Schulter. Akt. Rheumatol. 19; 1994; pp. 142-147.
  25. Engelbrecht, E., K.Heineret, Mehr als 10jährige Wérfahrungen mit unverblockten Schulterprothesen. In: Köbel, Helbig, Blauth, editor. Schulterendoprothetik. Springerverlag, Heidelberg, Berlin, New York; 1987; pp.85-96
  26. Field L.D., Dines D.M., Zabinski S.J. Hemiarthroplasty of the shoulder for rotator cuff arthropathy. J. Shoulder Elbow Surg. 1997; 6(1); pp.18-23
  27. Figgie H.E., A.E. Inglis, V.M: Goldberg, An analysis of factors affecting the long-term results of total shoulder arthroplasty in inflammatory arthritis. J.Arthroplasty , Vol.3, No.2; 1988; pp. 123-130.
  28. Franklin J.L., W.P. Barrett, Glenoid loosening in total shoulder arthroplasty: association with rotator cuff deficiency. J. Arthroplasty , Vol.3, No.1; 1988; pp. 39-46.
  29. Friedman R.J , Total shoulder arthroplasty in rheumatoid arthritis. In: Friedman R.J., editor. Arthroplasty of the shoulder. Thieme (1994); pp.158-169.
  30. Friedman R.J., T.S. Thornhill, Non-constrained total shoulder replacement in patients who have rheumatoid arthritis and class-IV function. J. Bone J. Surg. Vol. 71-A, No.4; 1989; pp. 494-498.
  31. Grammont P.M., E. Baulot, Delta shoulder prosthesis for rotator cuff ruptur. Orthopedics; Vol.16, No.1, Jan.; 1993; pp.65-68.
  32. Gristina A.G., R.L. Romano, G.C. Kammire, Total shoulder replacement. Orthop. Clin. Vol. 18, No.3, July; 1987; pp.445-453.
  33. Gschwend, N., H.K. Schwyzer, Komplikationen der Schulterarthroplastik und Behandlungsmöglichkeiten Akt. Rheumatol. 19; 1994; pp.161-170.
  34. Hawkins R.J., R.H. Bell, Total shoulder arthroplasty. Clin Orthop. No.242, May; 1989; pp.188-194.
  35. Hsu HC., Wu JJ., Chen TH. The influenece of abductor lever-arm changes after shoulder arthroplasty. J. Shoulder Elbow Surg. 1993; 2; pp. 134-136
  36. Johnson R.L., Total shoulder arthroplasty. Orthop. Nursing Vol.12, No.1; 1993; pp.14-22.
  37. Kelly I.G., R.S. Foster, Neer total shoulder replacement in rheumatoid arthritis. J. Bone J. Surg. Vol. 69-B, No.5; 1987; pp. 723-726
  38. Koorevaar, RC., ND. Merkies, Shoulder hemiarthroplasty in rheumatoid arthritis.19 cases reexamined after 1-17 years. Acta Orthop. Scand. ,Jun.; 68(3); 1997; pp. 243-5.
  39. Larson, A., K. Dahle, M.Eek, Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol. Diagnosis 18; ;1977; p.481.
  40. Laurence M., Replacement arthroplasty of the rotator cuff deficient shoulder. J. Bone J. Surg. Vol. 73-B, No.6; 1991; pp. 916-919.
  41. Lee D.H., K.M.W. Niemann, Bopolar shoulder arthroplasty. Clin. Orthop. 1994 Jul; (304); pp. 97-107
  42. Lettin A.W., S.A. Copeland, The Stanmore total shoulder replacement. J. Bone J. Surg. Vol.64-B, No.1; 1982; pp. 47-51.
  43. Marmor L., Hemiarthroplasty for the rheumatoid shoulder joint. Clin Orthop. No.122; 1977; pp.201-204.
  44. McCoy S.R., R.F. Warren, Total shoulder Arthroplasty in rheumatoid arthritis. J. Arthroplasty, Vol.4, No.2, Jun.; 1989; pp.105-113.
  45. Moeckel B.H., D.W. Altchek, D.W. Warren, Instabilitiy of the shoulder after arthroplasty. J. Bone J. Surg. Vol.75-A, No.4; 1993; pp. 492-497.
  46. Mstdagh H., E. Petroff, C. Mayou, Effekt of the rotator cuff condition on the results of shoulder arthroplasty. Rev. Chir. Orthop. Reparatrice Appar. Mot.; 1997; 83(6), pp. 522-30.
  47. Neer C.S., D.S. Morrison, Glenoid bone-grafting in total shoulder arthroplasty. J. Bone J. Surg. Vol.70-A, No.8; 1988; pp. 1154-1162.
  48. Neer C.S., K.C. Watson, Recent experience in total shoulder replacement. J. Bone J. Surg. Vol.64-A, No.3; 1982; pp. 319-337.
  49. Neer C.S., R.M. Kirby, Revision of humeral heads and total shoulder arthroplasties. Clin. Orthop. No.170; 1982; pp.189-195.
  50. Neer C.S., Replacement arthroplasty for glenohumeral osteoarthritis. J. Bone J. Surg. Vol.56-A, No.1; 1974; pp. 1-13.
  51. Neer, C.S., Unconstrained shoulder arthroplasty Instr. Course Lect. ; 1985; 34: pp.278-286 AAOS.
  52. Orr T.E., D.R. Carter, Stress analysis of glenoid component designs. Clin. Orthop. No.232; 1988; pp. 217-224.
  53. Petroff E, Mestdagh H., Mayou C. Arthroplasty with a mobile cup for shoulder arthrosis with irreparable rotator cuff rupture: preliminary results and cineradiographic study. Rev. Chir. Othop. Reparatrice Appar Mot 1999 Jun;85(3); pp.245-56
  54. Pollock R.G., E.D. Delitz, Prosthetic replacement in rotator cuff deficient shoulders. J. Shoulder and Ellbow Surg. 1; 1992; pp.173-186.
  55. Poppen N.K., P.S. Walker, Forces at the glenohumeral joint in abduction. Clin. Orthop. (176); 1978; pp. 165-170.
  56. Post, M., M.Jablon, H. Miller, Constrained total shoulder joint replacement: a crtical review. Clin. Orthop.; 1979;144: pp.136-150.
  57. Rietvelt ABM, Doonen HAM, Rozing PM. The lever arm in glenohumeral abduction after hemiarthroplasty. J. Bone J. Surg. Vol. 70-B, 1988; pp.561
  58. Rockwood C.A., Williams G.R., Glenohumeral arthritis and severe cuff desease- management with hemiarthroplasty. Orthop.Trans.; 1992; 16: 743.
  59. Schill S., C. Biehl, H. Thabe, Die rekonstruktive Versorgung der rheumatischen Schulter mit der MVS-Schulterprothese. Z. Orthop. 135; 1997; A63:186.
  60. Schwyzer, H.K., N. Gschwend, B.R. Simmen, Zur Haüfigkeit der Rotatorenmanschettenruptur bei der cP-Schulter. Akt. Rheumatol. 19; 1994; pp. 134-135.
  61. Silliman J.F. , Hawkins R.J., Complications following shoulder arthroplasty. In: Friedman R.J., editor, Arthroplasty of the shoulder. Thieme Verlag (1994); pp.242-253.
  62. Sperling JW., RH. Cofield, CM Rowland, Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J. Bone J. Surg. Vol. 80-A, No.4, 1997; pp. 464-473.
  63. Stewart MP., IG Kelly, Total shoulder replacement in rheumatoid desease.: 7- to 13-year follow-up of 37 joints. J. Bone J. Surg. Vol. 79-B, No.1, 1997; pp. 68-72.
  64. Swanson, A.B., G. De-Groot-Swanson, Bopolar implant shoulder arthroplasty. Long term results. Clin. Orthop. 249;1989; pp. 227-247.
  65. Thabe H, Praktische Rheumaorthopädie. Chapman&Hall, 1997; pp.126-146.
  66. Thabe, H., S. Schill, H. Dinges, Die endoprothetische Versorgung des rheumatischen Schultergelenkes. Akt. Rheumatol. 19, 1994; pp.155-160.
  67. Thomas B.J., H.C. Amstutz, A. Cracciolo, Shoulder arthroplasty for rheumatoid arthritis. Clin. Orthop. No.265, 1991; pp.125-128.
  68. Thornhill T.S., M.J.Karr, R.M.Averill, Total shoulder arthroplasty. Orthop.Trans. 1994-1995; 18: 977.
  69. Torchia M.E., R.H.Cofield, Long-term results of Neer shoulder arthroplasty. Orthop.Trans., 1994-1995; 18: 977.
  70. Watson M., Bipolar salvage shoulder arthroplasty. Follow-up in 14 patients. J. Bone J. Surg. Vol. 78-B, No.1, 1996; pp. 124-127.
  71. Weiss A.P., M.A. Adams, J.R. Moore, Unconstrained total shoulder arthroplasty. A five yera average follow-up. Clin. Orthop., No.257, Aug.1990; pp.86-90.
  72. Williams G.R., C.A. Rockwood, Massive rotator cuff defects and glenohumeral arthritis. In: Friedman RJ., editor. Arthroplasty of the shoulder. New York, Thieme Medical; 1994; pp.204-214.
  73. Williams G.R., Rockwood C.A. Hemiarthroplasty in rotator cuff-deficient shoulders. J. Shoulder Elbow Surg. 1996, 5(5); pp.362-7.
  74. Wirth,M.A., C.A. Rockwood, Current concepts review. Complictions of total shoulder-replacement Arthroplasty J. Bone Joint Surg. Vol. 78-A, 1996; pp.603-616.
  75. Worland RL, Arredono J. Bipolar shoulder arthroplasty for painful conditions of the shoulder. J. Arhroplasty. 1998 Sept. Vol.13(6); pp.631-637
  76. Worland RL., DE Jessup, J. Arrendono Bipolar shoulder arthroplasty for rotator cuff arthropathy. J. Shoulder Elbow Surg. 1997 Nov.-Dec.; 6(6); pp. 512-515.
  77. Zeman C.A., Arcand M.A., Cantrell J.S. The rotator cuff-deficient shoulder: Diagnosis and surgical management. J Am Acad Orthop. Surg. 1998;6(6); pp.337-348
  78. Zuckerman J.D., H.Cofield, Proximal humeral head replacement in glenohumeral arthritis. Orthop. Trans. 1986; 10: p.231.

Zum Seitenanfang

 

Introduction, Materials and Methods

Results

Discussion

Originalartikel in einer pdf-Datei (lesbar mit Acrobat Reader) als Download

© Copyright 2001, 2002, 2003, 2004
Verein zur Förderung der Erforschung und Bekämpfung Rheumatischer Erkrankungen in der Orthopädie e. V. Bad Kreuznach