Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2006 August;57(4) > Minerva Ortopedica e Traumatologica 2006 August;57(4):329-36

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index


eTOC

 

PROSTHESIS,A COMPARISON OF CLINICAL EXPERIENCES AND TECHNOLOGICAL INNOVATIONS  GLENOHUMERAL FRACTURES.SYNTHESIS, PROSTHESIS,ARTHROSCOPY: A COMPARISON OF DIFFERENT TECHNIQUES


Minerva Ortopedica e Traumatologica 2006 August;57(4):329-36

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

Latissimus dorsi transfer associated to Grammont reversed shoulder prosthesis: results at 22 months of follow up

Ivaldo N. 1, Rossoni M. 1, Caione G. 2, Franzi P. 2

1 Casa di cura “Villa Igea” Dipartimento di Ortopedia, Acqui Terme 2 Clinica Ortopedica Università degli Studi di Genova, Genova


PDF  


successfully used in glenohumeral arthropathies associated with rotator cuff lesions, enabling restoration of active shoulder motion. A limitation to this system, however, is the lack of recovery of external rotation when the teres minor muscle is also injured. In such cases the use of combined inverse prosthesis and transfer of the latissimus dorsi via the pectoral deltoid approach is recommended. The results of a series of 5 patients treated with this technique and followed up for 22 months are presented. Methods. From March to November 2004, 5 patients (mean age, 76.2 years) with arthropathy caused by rotator cuff injury (and confirmed teres minor lesion) received a Grammont inverse prosthesis combined with transfer of the latissimus dorsi via the deltoid-pectoral approach.
Results. The Constant Score (maximum 100) increased an average of 36.4 points (from 26.8 to 63.2). The significant improvement in extrarotation at 22 months of follow-up permitted all patients to resume tasks of daily living such as grooming and lifting objects over the head.
Conclusions. Combined transfer of the latissimus dorsi and the Grammon inverse prosthesis provides partial restoration of external rotation in abduction in patients with arthopathy due to rotator cuff injury and positive clarinet sign. The advantages of the technique are: single deltoid-pectoral approach, reproducibility, complication rate comparable with isolated prosthesis implantation with the same system

top of page

Publication History

Cite this article as

Corresponding author e-mail