ISAKOS Newsletter 2023 – Volume I . Reverse Total Shoulder Arthroplasty
Reverse total shoulder arthroplasty (RTSA) is known to be a functional rather than an anatomical surgical procedure. In fact, it overthrows the normal glenohumeral anatomy by transferring the convex component to the glenoid side and the concave component to the humeral side. The goal is to allow good shoulder function even in the absence of a functional rotator cuff.
RTSA is based on four cardinal principles: (1) the center of rotation must be fixed, distalized, and medialized at the glenoid surface; (2) the deltoid lever arm must be effective from the onset of movement; (3) the prosthesis must be inherently stable; and (4) the construct must create a semiconstrained joint.
RTSA current concept isakos newsletter
Reverse Shoulder Arthroplasty: State of the art– Journal of ISAKOS June 2023 – Journal of Isakos June 2023.
The reverse shoulder arthroplasty conceived by Paul Grammont in 1985 has gradually gained popularity as a treatment for multiple shoulder diseases. Unlike previous reverse shoulder prosthesis characterized by unsatisfactory results and a high glenoid implant failure rate, the Grammont design has immediately shown good clinical outcomes. This semi constrained prosthesis solved the issues of the very first designs by medializing and distalizing the center of rotation with an increased stability of the replacement of the component.The indication was initially limited to cuff tear arthropathy (CTA). It has then been expanded to irreparable massive cuff tears and displaced humeral head fractures. The most frequent problems of this design are a limited postoperative external rotation and scapular notching.Different modifications to the original Grammont design have been proposed with the aim of decreasing the risk of failure and complications and improving the clinical outcomes.Both the position and version/inclination of the glenosphere and the humeral configuration (e.g. neck shaft angle) influence the RSA outcomes.A lateralized glenoid (whether with bone or metal) and a 135 Inlay system configuration leads to a moment arm which is the closest to the native shoulder. Clinical research will focus on implant designs reducing bone adaptations and revision rate, strategies to prevent more effectively infections. Furthermore, there is still room for improvement in terms of better postoperative internal and external rotations and clinical outcomes after RSA implanted for humeral fracture and revision shoulder arthroplasty.
Arthroscopic Treatment of Hill-Sachs Lesion – Chapter of “Shoulder Arthroscopy” June 2023
The Hill-Sachs lesion is a compression fracture of the posterosuperolateral aspect of the humeral head that occurs in association with anteroinferior instability of the glenohumeral joint and might lead to recurrence. The glenoid track refers to the area of contact between the humeral head and glenoid and is defined as 83% of glenoid width. An Hill-Sachs lesion is considered “On-track” or “Off-track” respectively when is inside or outside the glenoid track. With a method based on CT scan the physician might assess whether a lesion is On-track or Off-track. The treatment algorithm frequently used which aims at reducing the risk of anteroinferior shoulder instability takes into consideration either the percentage of glenoid bone loss (greater or not than 25%) and the width and position of the Hills-Sachs lesion (Glenoid track).Those two cut-off values are useful in determining whether the glenoid, humeral or both sides has to be corrected.The remplissage is a safe procedure with a low postoperative recurrence rate, and it allows the surgeon to address large humeral defects. It seems to be safer than Latarjet procedure, due to the fewer overall postoperative complications.
Read more on https://link.springer.com/chapter/10.1007/978-3-662-66868-9_22
Lettera in risposta a Werthel per il mio articolo sulla spalla appena pubblicato sulla rivista internazionale scientifica Journal of Shoulder Elbow Surgery
#spalla #protesispalla #protesinversa #protesianatomica #francescofranceschi #ortropedicospallaroma #specialistaspallaroma #artroscopiaspalla #latarjet #instabilitàdispalla #shoulder #shouldersurgery #shoulderpain #shoulderprothesis
Potete leggerla di seguito e scaricarla gratuitamente fino al 7 maggio a questo link https://authors.elsevier.com/a/1alNK3mdx2qLio
Franceschi F, Franceschetti E, Paciotti M, Torre G, Samuelsson K, Papalia R, Karlsson J, Denaro V.
“Surgical management of osteonecrosis of the humeral head: a systematic review.”
Knee Surg Sports TraumatolArthrosc. 2016 May
— ABSTRACT —
PURPOSE: Osteonecrosis of the humeral head is a rare diagnosis. The aim of this systematic review was to identify published studies and analyses the best clinical evidence available related to the surgical management of osteonecrosis of the humeral head.
METHODS: A systematic electronic search was performed using the PubMed (MEDLINE), EMBASE and Cochrane Library databases. Published studies that reported the outcomes for adult patients treated surgically for osteonecrosis of the humeral head were included. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement was followed.
RESULTS: Twelve studies were included: five prospective case series and seven retrospective case series. A total of 309 patients, comprising 382 shoulders, were included. Three main surgical procedures were evaluated: core decompression, hemi-arthroplasty and total shoulder arthroplasty.
CONCLUSION: Based on the current available data, core decompression is a safe and effective option for treating low-grade osteonecrosis of the humeral head, while hemi-arthroplasty and total shoulder arthroplasty should be considered for high-grade osteonecrosis. More studies and better-designed trials are needed in order to enrich the evidence and enable researchers to draw stronger conclusions. Since osteonecrosis is an uncommon, though challenging disease, a proper knowledge of its treatment is needed.
LEVEL OF EVIDENCE: IV.
Oliva F, Piccirilli E, Bossa M, Via AG, Colombo A, Chillemi C, Gasparre G, Pellicciari L, Franceschetti E, Rugiero C, Scialdoni A, Vittadini F, Brancaccio P, Creta D, Buono AD, Garofalo R, Franceschi F, Frizziero A, Mahmoud A, Merolla G, Nicoletti S, Spoliti M, Osti L, Padulo J, Portinaro N, Tajana G, Castagna A, Foti C, Masiero S, Porcellini G, Tarantino U, Maffulli N.
“I.S.Mu.L.T – Rotator Cuff Tears Guidelines.”
Muscles Ligaments Tendons J. 2016 Feb 13;5(4):227-63. doi: 10.11138/mltj/2015.5.4.227. eCollection 2015 Oct-Dec.
Franceschi F, Papalia R, Franceschetti E, Palumbo A, Del Buono A, Paciotti M, Maffulli N, Denaro V.
“Double-Row Repair Lowers the Retear Risk After Accelerated Rehabilitation.”
Am J Sports Med. 2016 Apr;44(4):948-56. doi: 10.1177/0363546515623031. Epub 2016 Jan 21.
Franceschi F, Franceschetti E, Torre G, Papalia R, Samuelsson K, Karlsson J, Denaro V.
“Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review.”
Knee Surg Sports TraumatolArthrosc. 2016 Apr;24(4):1316-25. doi: 10.1007/s00167-015-3548-1. Epub 2015 Feb 26. Review.
Franceschi F, Franceschetti E, Paciotti M, Cancilleri F, Maffulli N, Denaro V.
“Volar locking plates versus K-wire/pin fixation for the treatment of distal radial fractures: a systematic review and quantitative synthesis.”
Br Med Bull. 2015 Sep;115(1):91-110. doi: 10.1093/bmb/ldv015. Epub 2015 Apr 26.
Papalia R, Franceschi F, D’Adamio S, Diaz Balzani L, Maffulli N, Denaro V.
“Hamstring Tendon Regeneration After Harvest for Anterior Cruciate Ligament Reconstruction: A Systematic Review.”
Arthroscopy. 2015 Jun;31(6):1169-83. doi: 10.1016/j.arthro.2014.11.015. Epub 2014 Dec 31. Review.
Papalia R, Franceschi F, Tecame A, D’Adamio S, Maffulli N, Denaro V.
“Anterior cruciate ligament reconstruction and return to sport activity: postural control as the key to success.”
IntOrthop. 2015 Mar;39(3):527-34. doi: 10.1007/s00264-014-2513-9. Epub 2014 Sep 6.
Papalia R, Franceschi F, Zampogna B, D’Adamio S, Maffulli N, Denaro V.
“Augmentation techniques for rotator cuff repair.”
Br Med Bull. 2013;105:107-38. doi: 10.1093/bmb/lds029. Epub 2012 Oct 18. Review
Franceschi F, Papalia R, Vasta S, Leonardi F, Maffulli N, Denaro
“Surgical management of irreparable rotator cuff tears.”
KneeSurg Sports TraumatolArthrosc. 2015 Feb;23(2):494-501. doi: 10.1007/s00167-012-2317-7. Epub 2012 Dec 2.
Franceschi F, Papalia R, Franceschetti E, Paciotti M, Maffulli N, Denaro V.
“Platelet-rich plasma injections for chronic plantar fasciopathy: a systematic review.”
Br Med Bull. 2014 Dec;112(1):83-95. doi: 10.1093/bmb/ldu025. Epub 2014 Sep 19. Review.
Zini R, Panascì M, Papalia R, Franceschi F, Vasta S, Denaro V.
“Rectus Femoris Tendon Calcification: Arthroscopic Excision in 6 Top Amateur Athletes.”
Orthop J Sports Med. 2014 Dec 12;2(12):2325967114561585. doi: 10.1177/2325967114561585. eCollection 2014 Dec.
Franceschi F, Papalia R, Paciotti M, Franceschetti E, Di Martino A, Maffulli N, Denaro V.
“Obesity as a risk factor for tendinopathy: a systematic review.”
Int J Endocrinol. 2014;2014:670262. doi: 10.1155/2014/670262. Epub 2014 Aug 19. Review.
Papalia R, Franceschi F, Diaz Balzani L, D’Adamio S, Denaro V, Maffulli N.
“The arthroscopic treatment of shoulder instability: bioabsorbable and standard metallic anchors produce equivalent clinical results.”
Arthroscopy. 2014 Sep;30(9):1173-83. doi: 10.1016/j.arthro.2014.03.030. Epub 2014 Jun 3. Review.
Franceschi F, Papalia R, Vasta S, Leonardi F, Maffulli N, Denaro
“Surgical management of irreparable rotator cuff tears.”
KneeSurg Sports TraumatolArthrosc. 2015 Feb;23(2):494-501. doi: 10.1007/s00167-012-2317-7. Epub 2012 Dec 2.
Papalia R, Franceschi F, Zampogna B, Tecame A, Maffulli N, Denaro V.
“Surgical management of partial tears of the anterior cruciate ligament.”
Knee Surg Sports TraumatolArthrosc. 2014 Jan;22(1):154-65. doi: 10.1007/s00167-012-2339-1. Epub 2012 Dec 23. Review.
Papalia R, Moro L, Franceschi F, Albo E, D’Adamio S, Di Martino A, Vadalà G, Faldini C, Denaro V.
“Endothelial dysfunction and tendinopathy: how far have we come?”
Musculoskelet Surg. 2013 Dec;97(3):199-209. doi: 10.1007/s12306-013-0295-7. Epub 2013 Aug 2. Review.
Franceschi F, Papalia R, Rizzello G, Del Buono A, Maffulli N, Denaro V.
“Anteromedial portal versus transtibial drilling techniques in anterior cruciate ligament reconstruction: any clinical relevance? A retrospective comparative study.”
Arthroscopy. 2013 Aug;29(8):1330-7. doi: 10.1016/j.arthro.2013.05.020.
Franceschi F, Papalia R, Del Buono A, Zampogna B, Diaz Balzani L, Maffulli N, Denaro V.
“Two-stage procedure in anterior cruciate ligament revision surgery: a five-year follow-up prospective study.”
IntOrthop. 2013 Jul;37(7):1369-74. doi: 10.1007/s00264-013-1886-5. Epub 2013 Apr 27.
Papalia R, Franceschi F, Papalia R, Del Buono A, Vasta S, Costa V, Maffulli N, Denaro V.
“Articular-sided rotator cuff tears: which is the best repair? A three-year prospective randomised controlled trial.”
IntOrthop. 2013 Aug;37(8):1487-93. doi: 10.1007/s00264-013-1882-9. Epub 2013 Apr 12.
Papalia R, Franceschi F, Diaz Balzani L, D’Adamio S, Maffulli N, Denaro V.
“Scaffolds for partial meniscal replacement: an updated systematic review.”
Br Med Bull. 2013;107:19-40. doi: 10.1093/bmb/ldt007. Epub 2013 Mar 1. Review.
Papalia R, Franceschi F, Zampogna B, Tecame A, Maffulli N, Denaro V.
“Surgical management of partial tears of the anterior cruciate ligament.”
Knee Surg Sports TraumatolArthrosc. 2014 Jan;22(1):154-65. doi: 10.1007/s00167-012-2339-1. Epub 2012 Dec 23. Review.
Papalia R, Franceschi F, Zampogna B, Tecame A, Maffulli N, Denaro V.
“Surgical management of partial tears of the anterior cruciate ligament.”
Knee Surg Sports Traumatol Arthrosc. 2012 Dec 23
Franceschi F, Papalia R, Vasta S, Leonardi F, Maffulli N, Denaro V.
“Surgical management of irreparable rotator cuff tears.”
Knee Surg Sports Traumatol Arthrosc. 2012 Dec 2
Papalia R, Franceschi F, Zampogna B, D’Adamio S, Maffulli N, Denaro V.
“Augmentation techniques for rotator cuff repair.”
Br Med Bull. 2012 Oct 18
Franceschi F, Papalia R, Rizzello G, Franceschetti E, Del Buono A, Panascì M, Maffulli N, Denaro V.
“Remplissage repair–new frontiers in the prevention of recurrent shoulder instability: a 2-year follow-up comparative study.”
Am J Sports Med. 2012 Nov
Del Buono A, Franceschi F, Palumbo A, Denaro V, Maffulli N.
“Diagnosis and management of olecranon bursitis.”
Surgeon. 2012 Oct 10
Papalia R, Franceschi F, Vasta S, Gallo A, Maffulli N, Denaro V.
“Shoulder stiffness and rotator cuff repair.”
Br Med Bull. 2012
Papalia R, Franceschi F, Di Martino A, Gallo A, Maffulli N, Denaro V.
“Sparing the anterior cruciate ligament remnant: is it worth the hassle?”
Br Med Bull. 2012
Di Martino A, Franceschi F, Papalia R, Marini M, Prossomariti G, Maffulli N, Denaro V.
“Increased bone mineral density in the non-resurfaced patella after total knee arthroplasty: a clinical and densitometric study.”
Surgeon. 2012 Feb 10
Papalia R, Del Buono A, Franceschi F, Marinozzi A, Maffulli N, Denaro V.
“Femoroacetabular impingement syndrome management: arthroscopy or open surgery?”
Int Orthop. 2012 May
Longo UG, Franceschi F, Berton A, Maffulli N, Denaro V.
“Arthroscopic transosseous rotator cuff repair.”
Med Sport Sci. 2012
Papalia R, Franceschi F, Vasta S, Zampogna B, Maffulli N, Denaro V.
“Single- and double-row repair for rotator cuff tears – biology and mechanics.”
Med Sport Sci. 2012
Franceschi F, Papalia R, Palumbo A, Del Buono A, Maffulli N, Denaro V.
“Operative management of partial- and full-thickness rotator cuff tears.”
Med Sport Sci. 2012
Franceschi F, Papalia R, Palumbo A, Vasta S, Maffulli N, Denaro V.
“Management of postoperative shoulder stiffness.”
Sports Med Arthrosc. 2011 Dec 19
Franceschi F, Papalia R, Del Buono A, Maffulli N, Denaro V
“Repair of partial tears of the rotator cuff.”
Sports Med Arthrosc. 2011 Dec 19
Papalia R, Franceschi F, Del Buono A, Zampogna B, Maffulli N, Denaro V.
“Double row repair: is it worth the hassle?”
Sports Med Arthrosc. 2011 Dec 19
Franceschi F, Papalia R, Del Buono A, Vasta S, Maffulli N, Denaro V.
“Glenohumeral osteoarthritis after arthroscopic Bankart repair for anterior instability.”
Am J Sports Med. 2011 Aug
Papalia R, Franceschi F, Del Buono A, Maffulli N, Denaro V.
“Results of surgical management of symptomatic shoulders with partial thickness tears of the rotator cuff.”
Br Med Bull. 2011
Longo UG, Franceschi F, Spiezia F, Marinozzi A, Maffulli N, Denaro V.
“The low-profile Roman bridge technique for knotless double-row repair of the rotator cuff.”
Arch Orthop Trauma Surg. 2011 Mar
Maffulli N, Franceschi F, Longo UG, Ruzzini L, Denaro V.
“Clinical evidence for suture anchor repair of rotator cuff tears does add up: some just do not want to see it.”
Arthroscopy. 2010 Dec
Longo UG, Fazio V, Poeta ML, Rabitti C, Franceschi F, Maffulli N, Denaro V.
“Bilateral consecutive rupture of the quadriceps tendon in a man with BstUI polymorphism of the COL5A1 gene.”
Knee Surg Sports Traumatol Arthrosc. 2010 Apr
Denaro V, Ruzzini L, Longo UG, Franceschi F, De Paola B, Cittadini A, Maffulli N, Sgambato A.
“Effect of dihydrotestosterone on cultured human tenocytes from intact supraspinatus tendon.”
Knee Surg Sports Traumatol Arthrosc. 2010 Jul
Longo UG, Franceschi F, Spiezia F, Forriol F, Maffulli N, Denaro V.
“Triglycerides and total serum cholesterol in rotator cuff tears: do they matter?”
Br J Sports Med. 2010 Oct
izzello G, Franceschi F, Longo UG, Ruzzini L, Meloni MC, Spiezia F, Papalia R, Denaro V.
“Arthroscopic management of calcific tendinopathy of the shoulder–do we need to remove all the deposit?”
Bull NYU Hosp Jt Dis. 2009
Longo UG, Franceschi F, Ruzzini L, Rabitti C, Maffulli N, Denaro V.
“Foreign-body giant-cell reaction at the donor site after autologous osteochondral transplant for cartilaginous lesion. A case report.”
J Bone Joint Surg Am. 2009 Apr
Longo UG, Franceschi F, Ruzzini L, Spiezia F, Maffulli N, Denaro V.
“Higher fasting plasma glucose levels within the normoglycaemic range and rotator cuff tears.”
Br J Sports Med. 2009 Apr
Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V.
“Characteristics at haematoxylin and eosin staining of ruptures of the long head of the biceps tendon.”
Br J Sports Med. 2009 Aug
Franceschi F, Longo UG, Ruzzini L, Marinozzi A, Maffulli N, Denaro V.
“Simultaneous arthroscopic implantation of autologous chondrocytes and high tibial osteotomy for tibial chondral defects in the varus knee.”
Knee. 2008 Aug
Longo UG, Franceschi F, Loppini M, Maffulli N, Denaro V.
“Rating systems for evaluation of the elbow.”
Br Med Bull. 2008
Franceschi F, Longo UG, Ruzzini L, Papalia R, Maffulli N, Denaro V.
“Quadriceps tendon-patellar bone autograft for anterior cruciate ligament reconstruction: a technical note.”
Bull NYU Hosp Jt Dis. 2008
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V.
“Soft tissue tenodesis of the long head of the biceps tendon associated to the Roman Bridge repair.”
BMC Musculoskelet Disord. 2008 Jun 4
Franceschi F, Longo UG, Ruzzini L, Marinozzi A, Rizzello G, Papalia R, Denaro V.
“En-bloc retrograde resection of an osteoid osteoma of the patella using computed tomography under arthroscopic control.”
J Knee Surg. 2008 Apr
Maffulli N, Longo UG, Franceschi F, Rabitti C, Denaro V.
“Movin and Bonar scores assess the same characteristics of tendon histology.”
Clin Orthop Relat Res. 2008 Jul
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V.
“Arthroscopic salvage of failed arthroscopic Bankart repair: a prospective study with a minimum follow-up of 4 years.”
Am J Sports Med. 2008 Jul
Franceschi F, Longo UG, Ruzzini L, Morini S, Battistoni F, Dicuonzo G, Maffulli N, Denaro V.
“Circulating substance P levels and shoulder joint contracture after arthroscopic repair of the rotator cuff.”
Br J Sports Med. 2008 Sep
Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V.
“Histopathology of the supraspinatus tendon in rotator cuff tears.”
Am J Sports Med. 2008 Mar
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V.
“No advantages in repairing a type II superior labrum anterior and posterior (SLAP) lesion when associated with rotator cuff repair in patients over age 50: a randomized controlled trial.”
Am J Sports Med. 2008 Feb
Franceschi F, Longo UG, Ruzzini L, Marinozzi A, Maffulli N, Denaro V.
“Simultaneous arthroscopic implantation of autologous chondrocytes and high tibial osteotomy for tibial chondral defects in the varus knee.”
Knee. 2008 Aug
Longo UG, Franceschi F, Loppini M, Maffulli N, Denaro V.
“Rating systems for evaluation of the elbow.”
Br Med Bull. 2008
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V.
“The Roman Bridge: a “double pulley – suture bridges” technique for rotator cuff repair.”
BMC Musculoskelet Disord. 2007 Dec
Franceschi F, Longo UG, Ruzzini L, Denaro V.
“Isolated tuberculosis of the patellar tendon.”
J Bone Joint Surg Br. 2007 Nov
Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Forriol F, Denaro V.
“Light microscopic histology of supraspinatus tendon ruptures.”
Knee Surg Sports Traumatol Arthrosc. 2007 Nov
Rizzello G, Franceschi F, Meloni MC, Cristi E, Barnaba SA, Rabitti C, Denaro V.
“Para-articular osteochondroma of the knee.”
Arthroscopy. 2007 Aug
Franceschi F, Ruzzini L, Longo UG, Martina FM, Zobel BB, Maffulli N, Denaro V.
“Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial.”
Am J Sports Med. 2007 Aug
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Denaro V.
“Arthroscopic management of calcific tendinitis of the subscapularis tendon.”
Knee Surg Sports Traumatol Arthrosc. 2007 Dec
Franceschi F, Longo UG, Ruzzini L, Leonardi F, Rojas M, Gualdi G, Denaro V.
“Dislocation of an enlarged fabella as uncommon cause of knee pain: a case report.”
Knee. 2007 Aug
Franceschi F, Papalia R, Di Martino A, Rizzello G, Allaire R, Denaro V.
“A new harvest site for bone graft in anterior cruciate ligament revision surgery.”
Arthroscopy. 2007 May
Franceschi F, Barnaba SA, Rojas M, Gualdi G, Rizzello G, Papalia R, Denaro V.
“Multiple osteochondroses of bilateral knee joints: a case report.”
Knee Surg Sports Traumatol Arthrosc. 2007 Apr
Franceschi F, Longo UG, Ruzzini L, Papalia R, Rizzello G, Denaro V.
“To detach the long head of the biceps tendon after tenodesis or not: outcome analysis at the 4-year follow-up of two different techniques.”
Int Orthop. 2007 Aug
Franceschi F, Longo UG, Ruzzini L, Simoni P, Zobel BB, Denaro V.
“Bilateral complete discoid medial meniscus combined with posterior cyst formation.”
Knee Surg Sports Traumatol Arthrosc. 2007 Mar
Franceschi F, Marinozzi A, Rizzello G, Papalia R, Rojas M, Denaro V.
“Computed tomography-guided and arthroscopically controlled en bloc retrograde resection of a juxta-articular osteoid osteoma of the tibial plateau.”
Arthroscopy. 2005 Mar
Franceschi F, Rizzello G, Maffei MV, Papalia R, Denaro V.
“Arthroscopic ganglion cyst excision in the anterolateral aspect of the knee.”
Arthroscopy. 2003 Apr
Franceschi F, Rizzello G, Cataldo R, Denaro V.
“Comparison of morphine and ropivacaine following knee arthroscopy.”
Arthroscopy. 2001 May