Résultats cliniques et taux de complications à moyen terme des prothèses inversées de l'épaule à tige non cimentée
DOI :
https://doi.org/10.62438/tunismed.v103i4.5705Mots-clés :
Épaule, Arthroplastie, Tige, Fixation, RésultatsRésumé
Introduction-Objectif: La prothèse inversée de l'épaule (RSA) est une option valable pour plusieurs pathologies dégénératives de l’épaule. Cette étude visait à analyser les résultats fonctionnels à moyen terme et le taux de complications de la tige non cimentée.
Méthodes : Il s’agit d’une revue rétrospective des prothèses inversées à tige non cimentées posées pour des affections dégénératives. Les résultats cliniques étaient évalués selon l’échelle visuelle analogique (EVA), score de l'Université de Californie à Los Angeles (UCLA), score de Constant et les amplitudes articulaires. Les résultats radiographiques étaient évalués au cours du suivi.
Résultats : Au recul moyen de 39 mois, 40 épaules ont été incluses. L'âge moyen était de 67,7 ans. Le score EVA était amélioré de 5,0 à 2,2 (p = 0,014). Le score UCLA est passé de 17,2 à 25,7 (p = 0,002) et le score de Constant s'est amélioré de 31,89 à 70,2 (p < 0,001). L'élévation antérieure active, l'abduction et la rotation externe présentaient une amélioration respectivement de 80° à 141,2°, 71° à 132,2° et 5,8° à 19,7° (valeurs p < < 0,0001). Le remplissage moyen du calcar était de 0,86 (0,32 – 1,17 +/- 0,22). Les remplissages canalaire moyens proximal et distal étaient respectivement de 0,62 (0,48 – 0,73 +/- 0,06) et 0,56 (0,36 – 0,71 +/- 0,09). Le taux de complications postopératoires était de 22,5 %.
Conclusion : Les tiges sans ciment améliorent les résultats fonctionnels à moyen terme avec un alignement satisfaisant et un remplissage canalaire ...(résumé tronqué à 250 mots).
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Al-Hadithy N, Domos P, Sewell MD, Pandit R. Reverse shoulder arthroplasty in 41 patients with cuff tear arthropathy with a mean follow-up period of 5 years. J Shoulder Elbow Surg 2014 ;23 :1662-8.
Boileau P. Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res 2016 ;102(1 Suppl): S33-43.
Morwood MP, Johnston PS, Garrigues GE. Proximal ingrowth coating decreases risk of loosening following uncemented shoulder arthroplasty using mini-stem humeral components and lesser tuberosity osteotomy. J Shoulder Elbow Surg 2017 ;26 :1246-52.
Habermeyer P., Lichtenberg S., Tauber M., Magosch P. Midterm results of stemless shoulder arthroplasty: a prospective study. J Shoulder Elbow Surg. 2015 ;24 :1463–1472.
Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 2004 ;86: 388-95.
Ladermann A, Chiu JC-H, Cunningham G, Herve A, Piotton S, Bothorel H, et al. Do short stems influence the cervico-diaphyseal angle and the medullary filling after reverse shoulder arthroplasties? Orthop Traumatol Surg Res 2020 ;106 :241-6.
Deutsch A., Abboud J.A., Kelly J., Mody M., Norris T., Ramsey M.L., et al. Clinical results of revision shoulder arthroplasty for glenoid component loosening. J Shoulder Elbow Surg. 2007 ;16 :706–716.
Inoue K, Suenaga N, Oizumi N, Yamaguchi H, Miyoshi N, Taniguchi N, et al. Humeral bone resorption after anatomic shoulder arthroplasty using an uncemented stem. J Shoulder Elbow Surg 2017; 26:1984-9.
Denard PJ, Haidamous G, Gobezie R, Romeo AA, Lederman E. Shortterm evaluation of humeral stress shielding following reverse shoulder arthroplasty using press-fit fixation compared with cemented fixation. J Shoulder Elbow Surg. 2020 ;29 :906-12.
Kim SC, Park JH, Bukhary H, Yoo JC. Humeral stem with low filling ratio reduces stress shielding in primary reverse shoulder arthroplasty. Int Orthop 2022 ;46 :1341-9.
Raiss P., Edwards T.B., Deutsch A., Shah A., Bruckner T., Loew M., et al. Radiographic changes around humeral components in shoulder arthroplasty. J Bone Joint Surg Am. 2014 ;96.
Synnott S., Langohr G.D.G., Reeves J.M., Johnson J.A., Athwal G.S. The effect of humeral implant thickness and canal fill on interface contact and bone stresses in the proximal humerus. JSES Int. 2021; 5:881–888.
Spormann C., Durchholz H., Audigé L., Flury M., Schwyzer H.K., Simmen B.R., et al. Patterns of proximal humeral bone resorption after total shoulder arthroplasty with an uncemented rectangular stem. J Shoulder Elbow Surg. 2014; 23:1028–1035.
Inoue K, Suenaga N, Oizumi N, Yamaguchi H, Miyoshi N, Taniguchi N, et al. Humeral bone resorption after reverse shoulder arthroplasty using uncemented stem. JSES Int. 2020; 4:138-43.
Erickson B.J., Denard P.J., Griffin J.W., Wittman T., Raiss P., Gobezie R., et al. A 135° short inlay humeral stem leads to comparable radiographic and clinical outcomes compared with a standard-length stem for reverse shoulder arthroplasty. JSES Int. 2022; 6:802–808.
Denard P.J., Noyes M.P., Walker J.B., Shishani Y., Gobezie R., Romeo A.A., et al. Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty. J Shoulder Elbow Surg. 2018; 27:217–223.
Tavakoli A., Spangenberg G., Reeves J.M., Faber K.J., Langohr G.D.G. Humeral short stem varus-valgus alignment affects bone stress. J Orthop Res. 2022; 40:2169–2178.
Razfar N., Reeves J.M., Langohr D.G., Willing R., Athwal G.S., Johnson J.A. Comparison of proximal humeral bone stresses between stemless, short stem, and standard stem length: a finite element analysis. J Shoulder Elbow Surg. 2016; 25:1076–1083.
Giuseffi SA, Streubel P, Sperling J, Sanchez-Sotelo J. Short-stem uncemented primary reverse shoulder arthroplasty: clinical and radiological outcomes. Bone Joint J 2014;96-B:526-9.
Bogle A, Budge M, Richman A, Miller RJ, Wiater JM, Voloshin I. Radiographic results of fully uncemented trabecular metal reverse shoulder system at 1- and 2-years’ follow-up. J Shoulder Elb Surg. 2013;22: e20 –5.
Zilber S, Camana E, Lapner P, Haritinian E, Nove Josserand L. Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty-five patients with minimum two-year follow-up. Int Orthop 2018;42: 2159-64.
de Wilde LF, Poncet D, Middernacht B, Ekelund A. Prosthetic overhang is the most effective way to prevent scapular conflict in a reverse total shoulder prosthesis. Acta Orthop.2010; 81:719-26.
Tang H., Huang X., Cheng X., Yang D., Huang Y., Zhou Y. Evaluation of peri-prosthetic radiolucent lines surrounding the cementless femoral stem using digital tomosynthesis with metal artifact reduction: a cadaveric study in comparison with radiography and computed tomography. Quant Imaging Med Surg. 2020; 10:1786–1800.
Mollon B, Mahure SA, Roche CP, Zuckerman JD. Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders. J Shoulder Elb Surg. 2017; 26:1253–61.
Roche CP, Stroud NJ, Martin BL, Steiler CA, Flurin P-H, Wright TW, DiPaola MJ, Zuckerman JD. The impact of scapular notching on reverse shoulder glenoid fixation. J Shoulder Elb Surg. 2013; 22:963–70.
Werner BS, Chaoui J, Walch G. The influence of humeral neck shaft angle and glenoid lateralization on range of motion in reverse shoulder arthroplasty. J Shoulder Elbow Surg 2017; 26:1726-31.
Tavakoli A., Spangenberg G., Reeves J.M., Faber K.J., Langohr G.D.G. Humeral short stem varus-valgus alignment affects bone stress. J Orthop Res. 2022 ;40 :2169–2178.
Boileau P, Morin-Salvo N, Bessiere C, Chelli M, Gauci M-O, Lemmex DB. Bony increased-offset-reverse shoulder arthroplasty: 5 to 10 years’ follow-up. J Shoulder Elbow Surg 2020; 29:2111-22.
Abdic S, Athwal GS, Wittmann T, Walch G, Raiss P. Short stem humeral components in reverse shoulder arthroplasty: stem alignment influences the neck-shaft angle. Arch Orthop Trauma Surg 2021;141: 183-8.
Takayama K., Ito H. Both angled bony-increased offset and metal-augmented baseplates provide satisfactory bone incorporation to the glenoid in reverse total shoulder arthroplasty: a radiographic evaluation using tomosynthesis. J Shoulder Elbow Surg. 2023; S1058-2746:00736–X.
Ferreira L.M., Knowles N.K., Richmond D.N., Athwal G.S. Effectiveness of CT for the detection of glenoid bone graft resorption following reverse shoulder arthroplasty. Orthop Traumatol Surg Res. 2015; 101:427–430.
Gerber C, Pennington SD, Lingenfelter EJ, Sukthankar A. Reverse Delta-III total shoulder replacement combined with latissimus dorsi transfer. A preliminary report. J Bone Joint Surg Am 2007; 89:940-7.
North D, Hones KM, Jenkins P, Sipavicius E, Zermeño Salinas JL, Hao KA, Schoch BS, Wright TW, Gulotta LV, King JJ. How common is nerve injury after reverse shoulder arthroplasty? A systematic review.J Shoulder Elbow Surg. 2023 Apr ;32(4) :872-884.
Gilot G, Alvarez-Pinzon AM, Wright TW, Flurin P-H, Krill M, Routman HD, Zuckerman JD. The incidence of radiographic aseptic loosening of the humeral component in reverse total shoulder arthroplasty. J Shoulder Elb Surg. 2015; 24:1555 –9.
Sershon RA, Van Thiel GS, Lin EC, McGill KC, Cole BJ, Verma NN, Romeo AA, Nicholson GP. Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years. J Shoulder Elb Surg. 2014; 23:395 –400.
Schnetzke M, Coda S, Raiss P, Walch G, Loew M. Radiologic bone adaptations on a cementless short-stem shoulder prosthesis. J Shoulder Elbow Surg 2016; 25:650-7.
Peduzzi L, Goetzmann T, Wein F, Roche O, Sirveaux F, Mole D, et al. Proximal humeral bony adaptations with a short uncemented stem for shoulder arthroplasty: a quantitative analysis. JSES Open Access 2019; 3:278-86.
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