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AIM:To report the results of fixed-fulcrum fully constrained reverse shoulder arthroplasty for the treatment of recurrent shoulder instability in patients with epilepsy.METHODS:A retrospective review was conducted at a single facility.Cases were identified using a computerized database and all clinic notes and operative reports were reviewed.All patients with epilepsy and recurrent shoulder instability were included for study.Between July 2003 and August 2011 five shoulders in five consecutive patients with epilepsy underwent fixedfulcrum fully constrained reverse shoulder arthroplasty for recurrent anterior shoulder instability.The mean duration of epilepsy in the cohort was 21 years(range,5-51)and all patients suffered from grand mal seizures.RESULTS:Mean age at the time of surgery was 47 years(range,32-64).The cohort consisted of four males and one female.Mean follow-up was 4.7 years(range,4.3-5 years).There were no further episodes of instability,and no further stabilisation or revision procedures were performed.The mean Oxford shoulder instability score improved from 8 preoperatively(range,5-15)to 30 postoperatively(range,16-37)(P=0.015)and the mean subjective shoulder value improved from 20(range,0-50)preoperatively to 60(range,50-70)postoperatively(P=0.016).Mean active forward elevation improved from 71°preoperatively(range,45°-130°)to 100°postoperatively(range,80°-90°)and mean active external rotation improved from 15°preoperatively(range,0°-30°)to 40°(20°-70°)postoperatively.No cases of scapular notching or loosening were noted.CONCLUSION:Fixed-fulcrum fully constrained reverse shoulder arthroplasty should be considered for the treatment of recurrent shoulder instability in patients with epilepsy.
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篇名 Constrained fixed-fulcrum reverse shoulder arthroplasty improves functional outcome in epileptic patients with recurrent shoulder instability
来源期刊 世界骨科杂志 学科 医学
关键词 ARTHROPLASTY DISLOCATION EPILEPSY INSTABILITY SHOULDER
年,卷(期) 2016,(7) 所属期刊栏目
研究方向 页码范围 434-441
页数 8页 分类号 R
字数 语种
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研究主题发展历程
节点文献
ARTHROPLASTY
DISLOCATION
EPILEPSY
INSTABILITY
SHOULDER
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研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界骨科杂志:英文版
月刊
2218-5836
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
404
总下载数(次)
1
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0
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