RESUMO
Objetivo. La artroplastia invertida se está convirtiendo en una herramienta útil para afecciones muy variadas en el hombro. Un defecto óseo importante de la glena puede afectar a la fijación del componente glenoideo. El propósito de nuestro estudio es evaluar a medio plazo los resultados de la artroplastia invertida de hombro asociados a una glenoplastia. Material y métodos. Se realizó un estudio retrospectivo de 5 pacientes de nuestro hospital con defectos glenoideos de distinta etiología que fueron tratados mediante artroplastia invertida de hombro asociada a glenoplastia. Resultados. El seguimiento mínimo de estos pacientes fue de un año (con una media de 30,4 meses). Todos los injertos estaban radiológicamente integrados, sin observarse signos de resorción o necrosis. A los 12 meses el test de Constant era de 66,75 de media y el EVA medio era de 1. Discusión. La glenoplastia es una intervención de alta demanda técnica que consigue restaurar el remanente óseo en pacientes con defectos estructurales, permitiendo así implantar una artroplastia invertida. De esa forma podemos mejorar la función y la clínica en pacientes con diversas afecciones glenohumerales, proporcionándoles una solución (AU)
Objective. Reverse shoulder arthroplasty is becoming a useful tool for many diseases of the shoulder. Any severe glenoid bone defect may affect the fixing of the glenoid component. The aim of this paper is to evaluate the medium-term outcomes of reverse shoulder arthroplasty associated with a glenoplasty. Materials and methods. A retrospective study was conducted on 5 patients from our hospital, selected due to glenoid defects of different etiology. All of them where treated with reverse shoulder arthroplasty associated with glenoplasty with bone graft. Results. The minimum follow-up was one year (mean 30.4 months). All grafts were radiologically integrated, with no signs of resorption or necrosis being observed. At 12 months, the Constant score was 66.75 and the mean EVA score was 1. Discussion. Glenoplasty surgery is technically demanding for restoring original bone size in patients with glenoid structural defects, enabling a reverse shoulder arthroplasty to be implanted. Thus improving both the function and clinical outcomes in selected patients with glenohumeral pathology and providing them with a solution (AU)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Ombro/anormalidades , Ombro/fisiopatologia , Ombro/cirurgia , Artroplastia/instrumentação , Artroplastia/métodos , Artroplastia de Substituição/métodos , Transplante Ósseo/instrumentação , Transplante Ósseo/métodos , Osseointegração/fisiologia , Transplante Ósseo/reabilitação , Transplante Ósseo , Cavidade Glenoide/anormalidades , Cavidade Glenoide/transplante , Articulação do Ombro/anormalidades , Articulação do Ombro/cirurgia , Estudos RetrospectivosRESUMO
OBJECTIVE: Reverse shoulder arthroplasty is becoming a useful tool for many diseases of the shoulder. Any severe glenoid bone defect may affect the fixing of the glenoid component. The aim of this paper is to evaluate the medium-term outcomes of reverse shoulder arthroplasty associated with a glenoplasty. MATERIALS AND METHODS: A retrospective study was conducted on 5 patients from our hospital, selected due to glenoid defects of different etiology. All of them where treated with reverse shoulder arthroplasty associated with glenoplasty with bone graft. RESULTS: The minimum follow-up was one year (mean 30.4 months). All grafts were radiologically integrated, with no signs of resorption or necrosis being observed. At 12 months, the Constant score was 66.75 and the mean EVA score was 1. DISCUSSION: Glenoplasty surgery is technically demanding for restoring original bone size in patients with glenoid structural defects, enabling a reverse shoulder arthroplasty to be implanted. Thus improving both the function and clinical outcomes in selected patients with glenohumeral pathology and providing them with a solution.
Assuntos
Artroplastia do Ombro/métodos , Cavidade Glenoide/patologia , Luxação do Ombro/cirurgia , Fraturas do Ombro/cirurgia , Articulação do Ombro/patologia , Idoso , Idoso de 80 Anos ou mais , Transplante Ósseo , Feminino , Seguimentos , Cavidade Glenoide/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos , Luxação do Ombro/patologia , Fraturas do Ombro/patologia , Articulação do Ombro/cirurgia , Resultado do TratamentoRESUMO
El objetivo de este artículo es mostrar una alternativa técnica en el tratamiento de la rotura aguda del tendón rotuliano mediante un injerto trifascicular de tendón de Aquiles. La técnica, indicada inicialmente en roturas crónicas, se presenta gráficamente desde el abordaje destacando los puntos clave de la cirugía. Los resultados a corto y medio plazo son satisfactorios con ausencia de síntomas y un buen balance articular, por lo que puede ser una técnica de elección para futuros pacientes seleccionados previamente
The aim of this paper is to show an alternative technique in the management of an acute rupture of the patellar tendon using a trifascicular achilles tendon allograft as augmentation. The technique, which was fi rstly indicated in chronic ruptures, is described accurately with pictures and highlighting pearls during the surgery. Results at short and medium term appear to be satisfactory due to almost total loss of pain and good balance of the knee, thus it may be considered as an elective technique for selected patients
