DePuy CTA Hemiarthroplasty versus Traditional Hemiarthroplasty
DePuy CTA Hemiarthroplasty versus Traditional Hemiarthroplasty DePuy CTA Hemiarthroplasty versus Traditional Hemiarthroplasty
Study Arntz et al.(1993) Williams and Rockwood (1996) Field et al. (1997) Zuckerman et al. (2000) Cofield et al (2001) Number of patients Duration of Follow-up (years) No or Mild Postoperative Pain (no. of shoulders) Preop Postop. Active Elevation (deg) 18 3 61% (11) 66 (44-90) 112 (70-160) 21 4 86% (18) 70 (0-155) 120 (15-160) 16 3 81% (13) 60 (40-80) 100 (80-130) 15 2 47% (7) 69 (20-140) 86 (45-140) 33 5 73% (24) 72 (30-150) 91 (40-165) Successful Results based on limited goals (no. of shoulders) Not reported 86% (18) 63% (10) Not reported 67% (22) Total/Average 103 3.4 69.2% 67.4 to 101.8 (+34.4 degrees) 72%
Bipolar Results Study Number of patients Duration of Follow-up (years) Preop./Postop. Active Elevation (deg) Worland et al 1997 22 28 38 - 67 Sotereanos et al. 2003 14 27.8 30 - 88 Duranthon et al 2002 13 28 78 - 69 Total/Mean 49 27.9 48.7 – 74.7
- Page 1 and 2: DePuy CTA Hemiarthroplasty versus T
- Page 3: Humeral head replacement for massiv
- Page 10 and 11: Surgical Technique
- Page 14 and 15: Case Example 62 y.o. Rhd male, pain
- Page 16 and 17: Attaching the CTA cutting jig
- Page 18 and 19: Before and After
- Page 20 and 21: Drill holes
- Page 22 and 23: Subscapularis Repair
- Page 24 and 25: Subscapularis Deficiency • Consid
- Page 26 and 27: 1 Year Postop
- Page 28 and 29: Postop Care • Majority of surgeri
- Page 30 and 31: Results • 132 primaries, w/ ≥ 2
- Page 32 and 33: To Date: • Complications: • Fiv
- Page 34 and 35: Increased anterior translation on a
- Page 36 and 37: Two years postop • 82 year old fe
- Page 38 and 39: Observations • Keys to a good CTA
- Page 41 and 42: Non-anatomic sizing
- Page 43 and 44: Who Gets What??? • If the patient
- Page 45 and 46: Defect type and recommended type of
- Page 47 and 48: CTA versus Reverse Arthroplasty •
- Page 49: CTA or Delta?
- Page 52: Thank you!
Bipolar Results<br />
Study Number of patients Duration of<br />
Follow-up (years)<br />
Preop./Postop.<br />
Active Elevation<br />
(deg)<br />
Worland et al 1997 22 28 38 - 67<br />
Sotereanos et al.<br />
2003<br />
14 27.8 30 - 88<br />
Duranthon et al<br />
2002<br />
13 28 78 - 69<br />
Total/Mean 49 27.9 48.7 – 74.7
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