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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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components, modular stem or polyethylene disassociations, or glenoid screw problems. 19 Meanwhile, they defined a ‘problem’ as an intraoperative or postoperative event that was not likely to affect the patient’s final outcome. They considered these to
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Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
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Suture, Ethicon Inc., USA). SMR™ Reverse modular shoulder system (Lima Corporate, Italy). Glenoid component • Diameter: 36 or 40 mm • CoR lateral offset: None • Inferior tilt: 10° Humeral component • Neck-shaft angle (inclination): 155° • Stem
Royal Perth Hospital, Perth, Australia
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Royal Perth Hospital, Perth, Australia
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lateralization produces. Modifications to the humeral stem include onlay systems, curved short stems and changes to the neck-shaft angle. The most widely used neck-shaft angle for RTSA has been 155° (see Fig. 1 ) for more than 10 years. 4 , 54 , 62 – 66
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manufactured by Wright Medical Technology (Arlington, TN, USA), and formerly by Tornier (St Ismier, France). The general design concept is a modular spool and stem combination to re-create the articular surface and mechanical support of the distal humerus. The
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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that 22% are either < 130 degrees or > 140 degrees. 26 Thus, fixed NSA humeral stems rely on surgeons to adapt their surgical techniques to accommodate patient anatomy. Modern modular systems provide centred and eccentric humeral heads as well as
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intra-operative fractures when compared to primary arthroplasty. When the fracture is proximal to the tip of the stem, most may be treated successfully by circumferential cerclage. In this case a long stem was used in addition to bypass a cortical window
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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modularity. Over the last decades, many different types of RHP have been developed, with various combinations of these properties. For most types of RHP the results have only been reported in a few articles. Some prostheses have been taken off the market
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fracture long stem (Tornier, Blooming- ton, MN, USA); 4 fixation screws Nicolay 25 2014 1 Bilateral fracture Conservative treatment with active and passive physiotherapy 4 NF No pain, never regained complete shoulder function NF
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
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National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
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National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
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National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
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implant design. These iterations include innovations such as glenoid lateralization, a reduced neck-shaft angle, modular components, stemless designs, and the incorporation of onlay systems ( 1 ). rTSA has now emerged as a mature surgical procedure and can