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G D Harper1, S B Gunther1, D H Sonnabend2
1Consultant Orthopaedic Surgeon, QA Hospital, Cosham, PO6 3LY, Portsmouth, UK.
Operative Orthopadie Und Traumatologie
|August 14, 2016
Summary
Shoulder arthrodesis using pelvic reconstruction plates effectively stabilizes the glenohumeral joint for severe dysfunction. While generally successful, potential complications include plate loosening and nonunion, necessitating careful patient selection and surgical technique.
Area of Science:
- Orthopedic Surgery
- Biomechanical Engineering
Context:
- Shoulder arthrodesis is a surgical procedure to fuse the glenohumeral joint.
- Indications include muscle paralysis, joint destruction with bone loss, and irreparable cuff tears.
Purpose:
- To evaluate the efficacy and outcomes of shoulder arthrodesis using pelvic reconstruction plates.
- To assess complication rates and time to union in patients undergoing this procedure.
Summary:
- Sixty patients underwent shoulder arthrodesis with internal fixation using pelvic reconstruction plates.
- The average follow-up was 4 years, with a union rate of approximately 90% after an average of 7.9 months.
- Complications included plate loosening (5 instances), nonunion (2 instances), and malposition requiring revision (2 instances).
Impact:
- Shoulder arthrodesis provides a viable solution for pain relief and functional improvement in complex shoulder pathologies.
- Understanding potential complications aids in optimizing surgical planning and patient management.
