Clinical Experiences of Neer Total Shoulder Replacement in Rheumatoid Arthritis.
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概要
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The results of 5 Neer total shoulder replacements were reviewed in 5 patients with rheumatoid arthritis. All of them had nocturnal pain, limitation in range of motion, and low activity of daily living. Postoperatively the pain was reduced in all cases, which was related to there being an improvement in the activity of daily living, whereas the range of motion was only slightly improved.<BR>Short-stem prosthesis with bone cement should be used in some patients with rheumatoid arthritis, as elbow replacement may be done in the near future. In 4 shoulders, short-stem prosthesis was used and roentogenologically all of them showed neither mechanical loosening nor breakage of the components after an average of 14 months of follow-up.
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