Does fluoroscopy improve baseplate position compared to conventional technique in reverse shoulder arthroplasty? A preliminary study

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dc.contributor.authorGalán Olleros, María
dc.contributor.authorLópiz Morales, María Yaiza
dc.contributor.authorCiller, Gabriel
dc.contributor.authorAlcobía Díaz, Borja
dc.contributor.authorGarcía Fernández, Carlos
dc.contributor.authorMarco Martínez, Fernando
dc.date.accessioned2024-08-19T08:50:55Z
dc.date.available2024-08-19T08:50:55Z
dc.date.issued2021-06-13
dc.description.abstractBackground: Accurate placement of glenoid component in reverse shoulder arthroplasty remains a challenge for surgeons of all levels of expertise; however, no studies have evaluated the utility of fluoroscopy as a surgical assistance method. Methods: Prospective comparative study of 33 patients undergoing primary reverse shoulder arthroplasty during a 12-month period. Fifteen patients had a baseplate placed using the conventional "free hand" technique (control group), and 18 patients using intraoperative fluoroscopy assistance group, in a case-control design. Postoperative glenoid position was evaluated on postoperative Computed Tomography (CT) scan. Results: The mean deviation of version and inclination for fluoroscopy assistance vs. control group was 1.75° (0.675-3.125) vs. 4.2° (1.975-10.45) (p = .015), and 3.85° (0-7.225) vs. 10.35° (4.35-18.75) (p = .009). The distance from the central peg midpoint to the inferior glenoid rim (fluoroscopy assistance 14.61 mm/control 4.75 mm, p = .581) and the surgical time (fluoroscopy assistance 1.93 ± 0.57/control 2.18 ± 0.44 h, p = .400) showed no differences, with an average radiation dose of 0.45 mGy and fluoroscopy time of 14 s. Conclusions: Accurate axial and coronal scapular plane positioning of glenoid component is improved with intraoperative fluoroscopy at the cost of a greater radiation dose and without differences in surgical time. Comparative studies are needed to determine whether their use in relation to more expensive surgical assistance systems result in similar effectiveness.L evel of evidence : Level III, therapeutic study.
dc.description.departmentDepto. de Cirugía
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationGalán-Olleros M, Lopiz Y, Ciller G, Alcobía-Díaz B, García-Fernández C, Marco F. Does fluoroscopy improve baseplate position compared to conventional technique in reverse shoulder arthroplasty? A preliminary study. Shoulder Elbow. 2023 Feb;15(1):15-26. doi: 10.1177/17585732211020657. Epub 2021 Jun 13. PMID: 36895612; PMCID: PMC9990097.
dc.identifier.doi10.1177/17585732211020657
dc.identifier.essn1758-5732
dc.identifier.issn1758-5740
dc.identifier.officialurlhttps://doi.org/10.1177/17585732211020657
dc.identifier.pmid36895612
dc.identifier.relatedurlhttps://journals.sagepub.com/doi/10.1177/17585732211020657
dc.identifier.relatedurlhttps://pubmed.ncbi.nlm.nih.gov/36895612/
dc.identifier.urihttps://hdl.handle.net/20.500.14352/107477
dc.issue.number1
dc.journal.titleShoulder and Elbow
dc.language.isoeng
dc.page.final26
dc.page.initial15
dc.publisherwiley
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.cdu616.7-76-089
dc.subject.keywordShoulder replacement arthroplasty
dc.subject.keywordFluoroscopy
dc.subject.keywordGlenoid component;
dc.subject.keywordOrthopaedic procedures
dc.subject.keywordReverse shoulder arthroplasty
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleDoes fluoroscopy improve baseplate position compared to conventional technique in reverse shoulder arthroplasty? A preliminary study
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number15
dspace.entity.typePublication
relation.isAuthorOfPublicationac13f2b2-91f6-40be-8d94-1b716483e3b1
relation.isAuthorOfPublicatione160ced6-aec8-4bde-9f5f-5d5872dadf87
relation.isAuthorOfPublication.latestForDiscoveryac13f2b2-91f6-40be-8d94-1b716483e3b1
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