Faut-il synthéser les fractures de l’épine de l’omoplate après prothèse d’épaule inversée chez le patient âgé ? - 05/12/19
Does ORIF of rare scapular spine fractures sustained after reverse shoulder arthroplasty benefit elderly patients? A case-series appraisal
, Fabrizio Moro aAbstract |
Purpose |
Scapular spine fractures sustained after reverse shoulder arthroplasty (RSA) are debilitating for elderly patients with osteoporosis. We examined the 1-year postoperative outcomes of open reduction and internal fixation (ORIF) in a small case-series, and hypothesised that patients undergoing surgical treatment for post-RSA scapular spine fractures would improve in function and pain.
Methods |
Five consecutive RSA patients within our shoulder arthroplasty register who sustained a scapular spine fracture underwent ORIF using a double-plating technique. Standard radiographs and clinical/patient-rated assessments of Constant-Murley (CS), Shoulder Pain And Disability Index (SPADI), Subjective Shoulder Value (SSV) and visual analogue scale (VAS) pain were made up to 12 months post-ORIF. Patients were also asked to rate their satisfaction since the surgery. Post-ORIF complications were documented. All post-RSA data were used as a baseline measure for comparison with post-fracture outcomes.
Results |
Mean CS, SPADI and SSV scores as well as pain were similar to pre-fracture scores. All patients improved in function and pain, and would undergo the same procedure again. Individual cases of iatrogenic pneumothorax and screw loosening were reported.
Conclusions |
ORIF is a viable option with adequate improvements in function and pain for elderly patients with debilitating scapular spine fractures after RSA.
Le texte complet de cet article est disponible en PDF.Keywords : Reverse shoulder arthroplasty, Scapula spine fracture, Complication, ORIF, Classification, Osteosynthesis
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 105 - N° 8
P. 994 - décembre 2019 Retour au numéro
Article précédent
- Analyse des facteurs influençant la rotation interne de l’épaule après mise en place d’une prothèse inversée
- Morgane Rol, Luc Favard, Julien Berhouet, Société d’Orthopédie de l’Ouest (SOO)
- L’échec de la réparation de la coiffe augmente le risque de développer une arthrose gléno-humérale secondaire : suivi à long terme après réparation ouverte des lésions sévères du tendon du sous-scapulaire
- Fabian Plachel, Gundobert Korn, Reinhold Ortmaier, Thomas Hoffelner, Herbert Resch, Philipp Moroder
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?