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Keywords = modular reverse prosthesis

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11 pages, 534 KB  
Review
Outcomes of Hip Reconstruction for Metastatic Acetabular Lesions: A Scoping Review of the Literature
by Sandeep Krishan Nayar, Thomas A. Kostakos, Olga Savvidou, Konstantinos Vlasis and Panayiotis J. Papagelopoulos
Curr. Oncol. 2022, 29(6), 3849-3859; https://doi.org/10.3390/curroncol29060307 - 26 May 2022
Cited by 8 | Viewed by 5536
Abstract
(1) Background: Management of metastatic periacetabular lesions remains a challenging area of orthopaedics. This study aims to evaluate and summarize the currently available reconstructive modalities, including their indications and outcomes. (2) Methods: A scoping review was carried out in accordance with PRISMA guidelines. [...] Read more.
(1) Background: Management of metastatic periacetabular lesions remains a challenging area of orthopaedics. This study aims to evaluate and summarize the currently available reconstructive modalities, including their indications and outcomes. (2) Methods: A scoping review was carried out in accordance with PRISMA guidelines. Medline, EMBASE, and Cochrane were searched for relevant articles. (3) Results: A total of 18 papers met inclusion criteria encompassing 875 patients. The most common primary malignancy was breast (n = 230, 26.3%). Reconstruction modalities used were total hip arthroplasty (n = 432, 49.1%), the Harrington procedure (n = 374, 42.5%), modular hemipelvic endoprotheses (n = 63, 7.2%) and a reverse ice-cream cone prosthesis (n = 11, 1.25%). (4) Conclusions: Advances in implant design including use of dual mobility or flanged cups, tantalum implants, and modular hemipelvic endoprostheses allow for larger acetabular defects to be addressed with improved patient outcomes. This armamentarium of reconstruction options allows for tailoring of the procedure performed depending on patient factors and extent of periacetabular disease. Full article
(This article belongs to the Special Issue Treatment of Bone Metastasis)
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9 pages, 2297 KB  
Article
Conversion of Hemiarthroplasty to Reverse Shoulder Arthroplasty with Humeral Stem Retention
by Falk Reuther, Ulrich Irlenbusch, Max J. Kääb and Georges Kohut
J. Clin. Med. 2022, 11(3), 834; https://doi.org/10.3390/jcm11030834 - 4 Feb 2022
Cited by 8 | Viewed by 3142
Abstract
The purpose of this study is to evaluate the mid-term clinical results of an ongoing case series on conversion reverse shoulder arthroplasty (RSA) with a modular prosthesis system. We included 17 elderly patients revised for failed hemiarthroplasty after proximal humeral fracture, of which [...] Read more.
The purpose of this study is to evaluate the mid-term clinical results of an ongoing case series on conversion reverse shoulder arthroplasty (RSA) with a modular prosthesis system. We included 17 elderly patients revised for failed hemiarthroplasty after proximal humeral fracture, of which 13 were converted using a modular reverse shoulder prosthesis. Four could not be converted due to overstuffing. For the conversion RSA, we determined the Constant score, American Shoulder and Elbow Surgeons Shoulder Score, visual analogue scale for pain and satisfaction, and range of motion preoperatively, at one year, and at the last follow-up. All measured clinical outcomes improved significantly at both follow-up time points (p < 0.05). The mean duration of surgery was 118.4 min (range: 80.0 to 140.0 min). We observed complications in three patients; these included one late infection and two aseptic stem loosenings. Modular shoulder arthroplasty is a suitable procedure for conversion RSA in elderly patients. All measured postoperative clinical outcomes improved significantly, the complication rate was acceptable, and no prosthesis-related complications occurred. Conversion RSA, although not feasible in every case, is a viable treatment option in the elderly, which can provide successful mid-term results. Full article
(This article belongs to the Special Issue Shoulder Arthroplasty: State of the Art and Future Perspectives)
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