Replacement arthroplasty in the weight-bearing shoulder of paraplegic patients

Journal of Shoulder and Elbow Surgery
C Garreau De LoubresseG Walch

Abstract

We review the early results of shoulder arthroplasty in the weight-bearing shoulder of long-term paraplegic patients. We have been unable to find previously published results of this subgroup of shoulder arthroplasty patients in the literature. Five paraplegic, female patients who had undergone shoulder arthroplasty were analyzed. All patients had been prospectively assessed with the American Shoulder and Elbow Surgeons (ASES) function score and the Constant score. The mean age at the time of surgery was 70 years. Three shoulders had full-thickness rotator cuff tears, and two were repaired at the time of shoulder arthroplasty. The mean preoperative Constant score was 30 out of 100, improving to 52 out of 100 at a mean follow-up of 30 months (range, 24-36 months). The mean preoperative ASES function score was 28 out of 55, improving to 37 out of 55. One patient was pain-free after surgery, and the mean postoperative pain score was 10 out of 15. There were no features of progressive radiolucency around the glenoid or the humeral components at last review apart from one case in which glenoid implant migration occurred. In view of the satisfactory improvement in terms of pain, mobility, and independence, we believe that it is reaso...Continue Reading

Citations

Jan 7, 2005·The Journal of Bone and Joint Surgery. American Volume·Gary M Gartsman, Samer S Hasan
May 20, 2005·Journal of the American Podiatric Medical Association·Amanda WillrichRonald A Sage
Jan 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Michael AkbarMarkus Loew
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Frederick A MatsenMichael L Richardson
Nov 8, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Eduard Alentorn-GeliJohn W Sperling
May 22, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Joseph J King, Thomas W Wright
Nov 28, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Ronak M PatelMark S Schickendantz
Apr 4, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Eduard Alentorn-GeliJohn W Sperling
Dec 11, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Bertrand CouletAnthony Gelis

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