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Deutscher Kongress für Orthopädie und Unfallchirurgie
74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
51. Tagung des Berufsverbandes der Fachärzte für Orthopädie und Unfallchirurgie

26. - 29.10.2010, Berlin

Total Evolutive Shoulder System: Preliminary experience of a non-designer with a new concept of shoulder prosthesis

Meeting Abstract

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  • T. Gosens - St Elisabeth Hospital Tilburg, Orthopaedics and Traumatology, Tilburg, Netherlands

Deutscher Kongress für Orthopädie und Unfallchirurgie. 74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 51. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 26.-29.10.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. DocIN21-171

doi: 10.3205/10dkou130, urn:nbn:de:0183-10dkou1305

Published: October 21, 2010

© 2010 Gosens.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Objective: The Total Evolutive Shoulder System (Biomet) is a new shoulder arthroplasty system in which the metaphyseal fixation is obtained with a spider-like, hydroxyapatite coated implant in cases where stemless fixation of a standard or reversed shoulder prosthesis is possible (some cases of rotator cuff tear arthritis and almost all cases of osteoarthritis of the shoulder). In cases where a stem is needed (fractures) the system provides the possibility of using a stem, combined with the ealier mentioned metaphyseal implant.

Methods: A total of 75 patients was operated using this system and after a follow up of 6 months to 3 years patients were judged on pain relief and functional gain. Also radiological evaluation was performed with emphasis on osseointegration and stability.

Results and conclusions: Good results were obtained in terms of operation technique, fixation of the prosthesis, union of the tuberosities in fracture cases and function, pain relief and satisfaction of the patient. In one case the screw connection of the prosthesis broke, one infection ocurred.