Shoulder Surface Arthroplasty and Complications - Paul Jairaj 4/10/2001
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Author
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O.Levy,
S.Copeland. (
Reading
)
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Title
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Cementless Surface Replacement Arthroplasty of the Shoulder
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Reference
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JBJS 83B(2) 213-221.March 2001
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Summary
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103 cases /mark II prosthesis/For OA,RA,AVN,Cuff/Instab/traumatic
Arthropathy./ Outcome via Constant score/ TSR>Hemi/ 6.7 yr FU
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Critique
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Prospective/longtitudinal/same surgeon. All Indic /Diff approach/TSR vs Hemi/some had rc tears,acj exc,subac decomp,/Assessor colleague/
Surgeon financial gain.
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Author
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U.Rydholm, J.Sjogren. (
Lund
)
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Title
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Surface Replacement of Humeral head in the Rheumatoid shoulder
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Reference
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JSES 2(6) 286-295 Nov/Dec 1993
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Summary
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72 cases/ Scan Shoulder/ RA only/ Outcome questionaire/ 94% pain relief,82% inc mobility/ Hemis only/ 25% loose on Xray/4.2 yr FU
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Critique
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Retrospective/ longtitudinal/ sameapproach/ all hemis/ no rc repairs Questionnaire FU/only 1 comp/ Xray interpret error/ no revisions done
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Author
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A.Boyd, T.Thornhill. (Harvard)
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Title
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Fractures adjacent to Humeral Prosthesis
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Reference
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JBJS 74A(10) 1498-1504. Dec 1992
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Summary
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7/436 Fractures/5 had surg=healed,2 non-op=did poorly/2 late Rad N palsy hence explored+fixed/post op mobility poorer in all.
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Critique
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Retrospective/small nos/different fixations/TSR and Hemis/some Bone Grafted/no ROM figures/Fracture pattern irrelevant/Neers
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Author
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T.Wright, R.Cofield. (Mayo)
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Title
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Humeral Fractures after Shoulder Arthroplasty
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Reference
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JBJS 77A(9) 1340-6 Sept 1995.
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Summary
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9/499 Fractures/5 had surg of which 2 Rad neuropraxia/Outcome depends on Fracture Type A-C and config /6/8 had same mobility post-op/ Bone Graft reqd
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Critique
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Retrospective/small nos/different fixations and orthoses/TSR and Hemis/no loosening noted/ Diff surgeons/ 2 had TER who fractured/ Diff prosthesis.
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