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Reverse Total Shoulder Arthroplasty
10:10

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Complex shoulder arthroplasty in patients with skeletal dysplasia can decrease pain and improve function.

Mathew D Sewell1, Nawfal Al-Hadithy1, Deborah Higgs1

  • 1Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.

Journal of Shoulder and Elbow Surgery
|April 15, 2014
PubMed
Summary
This summary is machine-generated.

Shoulder arthroplasty effectively relieves pain and improves function in patients with skeletal dysplasia. However, these patients face higher complication rates and less functional restoration compared to the general population.

Keywords:
Quality of lifedysplasiashoulder arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Skeletal Dysplasia Research
  • Arthroplasty Outcomes

Background:

  • Patients with skeletal dysplasia experience premature degenerative shoulder disease.
  • Shoulder arthroplasty is often required at a younger age in this population.
  • Limited data exists on shoulder arthroplasty outcomes in skeletal dysplasia.

Purpose of the Study:

  • To evaluate the complexities and outcomes of shoulder arthroplasty in patients with skeletal dysplasia.
  • To compare results with the general population undergoing similar procedures.

Main Methods:

  • Retrospective review of 13 shoulder arthroplasties in 10 patients with skeletal dysplasia.
  • Mean follow-up of 7 years.
  • Data collected on patient demographics, functional scores (Oxford Shoulder Score), and quality of life (Short Form 36).

Main Results:

  • Significant improvement in Oxford Shoulder Score and quality of life (physical function, bodily pain).
  • Nonconstrained total shoulder arthroplasty showed better functional outcomes than hemiarthroplasty.
  • A 31% reoperation rate was observed for complications including heterotopic ossification, instability, periprosthetic fracture, and glenoid erosion.

Conclusions:

  • Shoulder arthroplasty provides pain relief and functional improvement for skeletal dysplasia patients.
  • Higher complication rates and suboptimal functional outcomes are noted compared to the general population.
  • Custom implants may be necessary due to short stature and specific deficiencies.