Campo-Aguirre R, San Román-Rodríguez E, Canales-Ibarra A, Campo-Aguirre V, Delgado-Gutiérrez P A, Garzón-Muvdi J
Acta Ortop Mex. 2013 Mar-Apr;27(2):128-32.
The total shoulder prosthesis in reverse was designed as a treatment for patients with arthropathy deficiency rotator cuff because the conservative treatment failed. The indications for its use have evolved; these include arthropathy deficient rotator cuff, reconstruction humeral head fractures, hemiarthroplasties revision and reconstruction after tumor resection. Successful placement depends on the patient having a function adequately and good quality deltoid in the glenoid bone and in the proximal humerus. Until a few years ago data was no clear on the success of this procedure, currently encouraging results have been reported, however, they have had a high cost due to the high rate of complications, which are divided into specific and common to the prosthesis shoulder surgeries. The primary objective of this review is to assess the most common complications of the prosthesis in reverse, how to treat them and how we can avoid them.
反置式全肩关节假体被设计用于治疗肩袖关节病缺陷患者，因为保守治疗失败。其使用指征已经演变；这些指征包括肩袖关节病缺陷、肱骨头骨折重建、半关节置换翻修以及肿瘤切除后的重建。成功植入取决于患者在肩胛盂骨和肱骨近端有功能良好且质量较好的三角肌。直到几年前，关于该手术成功率的数据还不明确，目前已有令人鼓舞的结果报道，然而，由于并发症发生率高，其成本高昂，这些并发症分为该假体肩关节手术特有的和常见的。本综述的主要目的是评估反置式假体最常见的并发症、如何治疗以及如何避免这些并发症。
