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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results
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Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results

机译：定制逆转肩部关节置换术，用于严重关节骨损失：文献综述和我们的初步结果

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摘要

The treatment of severe glenoid bone loss in shoulder arthroplasty represents a challenge, and the results of current prosthetic designs with only glenoid fixation still remain unsatisfactory. In the past decade, customized glenoid prostheses have been developed to address severe glenoid arthritis and in the revision setting. In this review, we analyzed the current surgical options, the classification limits, past literature evidence, and our preliminary results of 6 patients (3 male, 3 female) treated with a reverse implant and custom-made glenoid implant (ProMade; LimaCorporate, Italy). Computer analysis of the residual shape and the amount of glenoid bone stock in association with new classifications could help the surgeon to obtain good clinical and radiological outcomes. The development of navigation systems could improve the adequacy of the implant and, thus, the reliability and longevity of the implant itself.
机译：肩部关节成形术中严重关节骨损失的治疗代表着挑战，目前只有胶质盂固定的假体设计仍然不令人满意。 在过去的十年中，已经开发了定制的胶质盂假体来解决严重的关节盂关节炎和修订环境。 在这篇综述中，我们分析了目前的手术选择，分类限制，过去的文献证据，以及我们用逆向植入物和定制的胶质植入物（PROMADE）治疗的6名患者（3只男性，3名女性）的初步结果（PROMADE; Limacoreate，意大利 ）。 与新分类相关联的剩余形状的计算机分析和关节骨骨股的数量可以帮助外科医生获得良好的临床和放射性结果。 导航系统的发展可以提高植入物的充分性，从而提高植入物本身的可靠性和寿命。

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