Yong Girl Rhee - Reverse shoulder arthroplasty Korean experience_肩关节培训班.pptxVIP

Professor Shoulder Elbow Clinic Department of Orthopaedic Surgery Kyung Hee University Hospital Seoul, Korea REVERSE SHOULDER ARTHROPLASTY : MY EXPERIENCE KMC shoulder elbow KMC shoulder elbow “Massive rotator cuff tears often difficult traditional repair techniques.” KMC shoulder elbow FOUNDATIONS Japanese Shoulder Society (JSS) 1974 American Shoulder Elbow Society (ASES) 1982 Shoulder Elbow Congress of European Society (SECEC) 1987 Korean Shoulder Elbow Society (KSES) 1993 KMC shoulder elbow 22nd KSES Meeting March 28-29, 2014 140 podium : outside 27 18 e-poster : outside 7 3 lectures 3 symposia 348 participation : outside 50 KMC shoulder elbow Back to the Past .........! KMC shoulder elbow Back to the Past .........! KMC shoulder elbow Dynamic stabilization Counteracts superior pull of deltoid Initiation of arm elevation Responsible for external rotation KMC shoulder elbow Rotator cuff deficiency Dynamic imbalance Superior migration Loss of deltoid effective length Non functional joint : unstable center of rotation KMC shoulder elbow Rotator cuff deficiency : unstable center of rotation KMC shoulder elbow Less predictable result both in mobility and pain relief Glenoid and Acromial erosion Limited goal rehabilitation (Charles Neer) History : Hemiarthroplasty in Cuff Deficient Shoulder KMC shoulder elbow KMC shoulder elbow . History: Total Shoulder Arthroplasty in Cuff Deficient Anterosuperior Instability ( Los Rocking Horse Mechanism Glenoid radiolucent line Glenoid component failure s of Dynamic Stabilizer) KMC shoulder elbow Follow- up Persistent Postop. Pain Active Elevation Reoperation Prosthesis Y N (y) N(%) Pre./Post N(%) Stanmore (Coughin et al) 1979 16 3(2-4) 6 (38%) 57/104 3(19%) Michael-Reese (Post et al) 1980 43 (2-6) 3 (7%) NA