Shoulder Arthrodesis View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2014

AUTHORS

Jean-Luc Jouve , Gerard Bollini , R. Legre , C. Guardia , E. Choufani , J. Demakakos , B. Blondel

ABSTRACT

In recent years, surgical indications for performing a shoulder arthrodesis have continuously decreased. Nowadays, such a procedure is reserved to specific pathological conditions like severe sequelae from brachial plexus palsy by Chammas et al. (J Bone Joint Surg Br 86(5):692–695, 2004), repeated failures after shoulder arthroplasty by Scalise et al. (J Bone Joint Surg Am 91(Suppl 2 Pt 1):30–7, 2009), high energy trauma with complex fractures or more frequently, malignant tumor of the humeral upper extremity by Viehweger et al. (Rev Chir Orthop Reparatrice Appar Mot 91(6):523–9, 2005). The main difficulty in shoulder arthrodesis is to obtain the best position for fusion in order to achieve the best functional outcome. While surfaces for fusion between the upper humeral extremity and the scapula are limited, a rigorous arthrodesis technique is necessary, especially when using a free vascularized transplant. In most of the cases, internal osteosynthesis will be necessary and pre-bent custom-made plates can therefore be very useful. Such devices will use the supraspinous fossa as the upper fixation and will give adequate angulation for management of fusion position in the coronal and sagittal planes however, control of the rotation remains the trickiest aspect of the procedure [Rühmann et al. (Orthopade 33(9):1061–80, 2004); Safran et al. (J Am Acad Orthop Surg 14(3):145–53, 2006)]. When following a strict and appropriate technique, shoulder arthrodesis leads to satisfactory functional outcomes in complex reconstruction procedures. This is particularly useful in situations where the rotator cuff and deltoid are inefficient, resulting in unsatisfactory outcomes of shoulder arthroplasty in these cases [Clare et al. (J Bone Joint Surg Am A(4):593–600, 2001; Cofield et al. (J Bone Joint Surg Am 61(5):668–77, 1979]. More... »

PAGES

1201-1215

References to SciGraph publications

  • 2007-10. Schulterarthrodese in DER UNFALLCHIRURG
  • 2004-09. Schulterarthrodese in DER ORTHOPÄDE
  • Book

    TITLE

    European Surgical Orthopaedics and Traumatology

    ISBN

    978-3-642-34745-0
    978-3-642-34746-7

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-3-642-34746-7_234

    DOI

    http://dx.doi.org/10.1007/978-3-642-34746-7_234

    DIMENSIONS

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