Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Shoulder
Abstract number: 25728
SHOULDER REPLACEMENT: MID-TERM RESULTS
Encho YANKOV, Kevork KAYKCHIYAN, Plamen KINOV
University Hospital Queen Giovanna - ISUL, Sofia (BULGARIA)
Shoulder replacement is performed more and more frequently. The technique is
demanding and results are good when proper indications and contraindications are
used in every single case. Our aim was to evaluate the mid-term clinical outcomes
after shoulder replacement. Material and methods: Eight shoulder hemiarthroplasties
in seven patients with comminuted proximal humeral fracture-dislocations and in one
patient with a pathological fracture of the proximal humerus, as well as four total
shoulder replacements in three patients with rheumatoid arthritis were performed.
Specially developed rehabilitation program was started after the 10-th postoperative
day. Results: Patients were followed-up clinically and radiographically for 6 to 60
months (mean 30 months). The clinical outcome was assessed using the Constant-
Murley scoring system and DASH questionnaire. Ten patients had good or excellent
clinical result. Two patients had satisfactory functional outcome because of
inadequate rehabilitation due to lack of compliance from the patients. Discussion and
conclusions: Restoring the anatomy of the shoulder with humeral arthroplasty yielded
favourable clinical outcome. The technique is beneficial for carefully selected
patients.
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