Results of the Total Evolutive Shoulder System (TESSAA®): a single-centre study of 56 consecutive patients
Results of the Total Evolutive Shoulder System (TESSAA®): a single-centre study of 56 consecutive patients
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DOI：
10.1007/s00402-011-1368-4
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发表时间：
2011-12-01
影响因子：
2.3
通讯作者：
Sayed-Noor, Arkan S.
中科院分区：
文献类型：
--
作者：
Kadum, Bakir;Mafi, Nader;Sayed-Noor, Arkan S.
肩关节置换术已经取得了显著的进展。像反向和无柄肩关节假体这样的新概念已经被广泛使用。全演进肩关节系统（TESSA（R））是一种新的创新系统，为外科医生提供不同的假体版本。本研究的目的是评估我们的短期结果和并发症的TESS。56例连续的患者与两个版本的TESS（解剖或反向）在2007年10月和2009年12月之间进行了操作。术前和术后分别采用臂、肩、手快速残疾指数（DASH）和EQ-5D自评问卷对患者的功能和生活质量进行评估。通过前后位、腋位和侧位进行影像学随访。所有病例均采用前上入路。我们比较了骨折患者与其他类型患者的结局。49例患者接受了9-24个月（平均14个月）的临床和影像学术后随访。平均快速DASH从术前56改善至术后34（p < 0.001），EQ-5D从术前0.36改善至术后0.73（p < 0.001）。并发症很少，我们在研究期间没有射线可透性或肩胛骨切迹。骨折患者与其他类别相比表现更差，TESS假体显示出有希望的短期结果，并发症少。如果初始稳定性足够，则可以在不使用股骨柄的情况下植入反向版本。需要进行长期跟踪，以确认这一创新系统的长期成果。
Shoulder arthroplasty surgery has undergone remarkable progress. New concepts like reverse and stemless shoulder prostheses have been widely used. The Total Evolutive Shoulder System (TESSA (R)) is a new innovative system that provides the surgeon with different prosthetic versions. The purpose of the present study was to evaluate our short-term results and complications of the TESS.56 consecutive patients were operated with one of the two versions of TESS (anatomical or reverse) between October 2007 and December 2009. Preoperative and postoperative evaluation of the function and life quality was achieved by the Quick Disability of the Arm, Shoulder and Hand (DASH) index and EQ-5D self-report questionnaire, respectively. Radiographic follow-up by anteroposterior, axillary and lateral views was done. The anterosuperior approach was used in all cases. We compared the outcome in fracture patients with other categories.49 patients were available for 9-24 months (mean 14) clinical and radiographic postoperative follow-up. The mean of quick DASH improved from 56 preoperatively to 34 postoperatively (p < 0.001) and EQ-5D from 0.36 preoperatively to 0.73 postoperatively (p < 0.001). The complications were few and we had no radiolucencies or scapular notching during the study period. Fracture patients did worse compared to other categories.TESS prosthesis showed promising short-term results with few complications. The reverse version could be implanted without stem if initial stability was adequate. Long-term follow-up is required to confirm the results of this innovative system in the long run.