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Your search keyword '"Matthias Flury"' showing total 3 results
Start Over Author "Matthias Flury" Journal international orthopaedics
3 results on '"Matthias Flury"'

1. Radiological and functional 24-month outcomes of resurfacing versus stemmed anatomic total shoulder arthroplasty

Author

Christoph Kolling, Michael C. Glanzmann, Matthias Flury, Laurent Audigé, and Hans-Kaspar Schwyzer

Subjects
Adult, Male, Reoperation, medicine.medical_specialty, medicine.medical_treatment, Radiography, Operative Time, 03 medical and health sciences, 0302 clinical medicine, Matched cohort, Osteoarthritis, Shoulder function, Medicine, Humans, Orthopedics and Sports Medicine, Postoperative Period, Aged, Retrospective Studies, 030222 orthopedics, Primary osteoarthritis, business.industry, Shoulder Joint, 030229 sport sciences, Middle Aged, Arthroplasty, Surgery, Treatment Outcome, Arthroplasty, Replacement, Shoulder, Radiological weapon, Orthopedic surgery, Humeral Head, Female, Implant, business
Abstract

This study compared clinical and radiographic outcomes of patients undergoing resurfacing total shoulder arthroplasty (TSA) with those treated with a stemmed TSA. Patients with primary osteoarthritis who underwent humeral resurfacing (RES) or stemmed (STA) TSA were identified in our shoulder arthroplasty register for retrospective analysis. Standard radiographs and clinical/patient-rated assessments were made up to 24 months post-surgery. Implant revisions were assessed. Patients were frequency-matched in a 1:1 (RES:STA) ratio based on gender and age, and compared with regard to operation time and shoulder function (Constant, SPADI and Quick DASH scores). Mixed models with statistical adjustments were applied. From 2006 to 2014, 44 RES and 137 STA operations were performed in 157 patients; one and two revisions were recorded in the RES and STA group, respectively. The final matched cohort included a total of 69 patients and 37 operations per treatment group. Resurfacing TSA was 17 min shorter (95%CI: 5–28) compared to the stemmed procedure (p = 0.005). RES and STA patients showed significant functional improvement six months post-implantation, yet all measured scores did not differ between the groups at 2 years (p ≥ 0.131). The status of static centering of the humeral head, acromiohumeral distance, and a lack of signs of implant loosening were also similar between treatments. Similar 24-month post-operative radiological and functional outcome is achieved by RES and STA patients, even with a shorter RES surgery time. Larger cohorts and longer follow-up are required to better assess implant survival.

Published
2016

2. Reverse shoulder arthroplasty as a salvage procedure for failed conventional shoulder replacement due to cuff failure—midterm results

Author

Matthias Flury, Joerg Goldhahn, Hans-Kaspar Schwyzer, Beat R. Simmen, and Philipp Frey

Subjects
Male, Reoperation, medicine.medical_specialty, Prosthesis-Related Infections, medicine.medical_treatment, Secondary infection, Prosthesis, Rotator Cuff Injuries, Rotator Cuff, Osteoarthritis, Humans, Medicine, Orthopedics and Sports Medicine, Treatment Failure, Arthroplasty, Replacement, Retrospective Studies, Salvage Therapy, Original Paper, Shoulder Joint, business.industry, Shoulder Fracture, Arthritis, Rotator cuff injury, Postoperative complication, medicine.disease, Arthroplasty, Surgery, Radiography, Treatment Outcome, medicine.anatomical_structure, Shoulder Fractures, Female, Shoulder joint, business, Shoulder replacement, Follow-Up Studies
Abstract

Our goal was to evaluate the objective and subjective midterm outcome after revision of a failed shoulder arthroplasty with a reverse design prosthesis. Twenty consecutive patients with 21 revisions of a primary shoulder arthroplasty using reverse shoulder prosthesis Delta III® were followed up postoperatively for a mean of 46 months including clinical and radiological examination. Complications were recorded and Constant score, DASH and SF36 were assessed. With the numbers given a significant reduction of pain was achieved from 8.7 to 3.0 (p

Published
2010
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3. Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear.

Author

Michael John, Géza Pap, Matthias Flury, Sebastian Lieske, Hans-Kaspar Schwyzer, and Beat Simmen

Subjects
ROTATOR cuff, ARTHROPLASTY, SHOULDER injuries, RHEUMATOID arthritis, HEALTH outcome assessment, MEDICAL radiography, PATIENTS
Abstract

Abstract  The purpose of this study was to describe the outcome after reversed Delta III shoulder prosthesis in patients with rheumatoid arthritis (RA) and irreparable rotator cuff tear. Fifteen patients (17 joints) were prospectively analysed using the Constant-Murley score (CS). Comprehensive outcome measure was carried out by means of four widely used questionnaires as well as clinical and radiographic examinations at an average of 24.3 months postoperatively. The CS improved significantly from 19 to 59.5 points. The mental (MSC) and physical (PCS) component summary score of the Short Form 36 (SF-36) reached 108% and 77%, respectively, while the DASH (Disabilities of the Arm, Shoulder, and Hand) was 58% of a comparative norm population. Remaining deficits were documented by SPADI (Shoulder Pain and Disability; 54.4 points) and ASES (clinical and patient-orientated American Shoulder and Elbow Surgeons; 84.3 and 61.3 points, respectively). No radiological signs of loosening were found, but scapular notching occurred in four cases. Reversed arthroplasty provides a substantial improvement of shoulder function in patients with RA. The high incidence of notching is of concern. [ABSTRACT FROM AUTHOR]

Published
2010
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