{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:27:33Z","timestamp":1780396053513,"version":"3.54.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar os resultados funcionais e radiogr\u00e1ficos de longo prazo da artroplastia parcial do ombro para estosteonecrose da cabe\u00e7a do \u00famero.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Revis\u00e3o retrospectiva de 13 casos, com seguimento p\u00f3s-operat\u00f3rio m\u00e9dio de 17 anos (varia\u00e7\u00e3o de 10 a 26 anos). Os achados do \u00faltimo seguimento foram comparados \u00e0queles em que os pacientes tinham com 1 ano de acompanhamento p\u00f3s-operat\u00f3rio. A avalia\u00e7\u00e3o funcional consistiu em medidas do movimento do ombro e aplica\u00e7\u00e3o do escore do ombro da Universidade da Calif\u00f3rnia, Los Angeles (UCLA). Todos os pacientes foram submetidos a exame radiografico para medir a eros\u00e3o glenoidal, a migra\u00e7\u00e3o umeral proximal, e o deslocamento glenoumeral lateral.<\/jats:p><jats:p>\n          Resultados\u2003A eros\u00e3o da glenoide aumentou com o tempo significativamente (p\u2009&lt;\u20090,05). Paradoxalmente, todos os movimentos ativos do ombro tamb\u00e9m melhoraram (p\u2009&lt;\u20090,05), enquanto os escores da UCLA permaneceram os mesmos. A deteriora\u00e7\u00e3o radiogr\u00e1fica n\u00e3o teve correla\u00e7\u00e3o com a fun\u00e7\u00e3o cl\u00ednica. Tivemos uma taxa de sobrevida de 84,7% das artroplastias ap\u00f3s tempo m\u00e9dio de 16 anos.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Os resultados funcionais precoces mantiveram-se a longo prazo e n\u00e3o se correlacionem com a deteriora\u00e7\u00e3o radiogr\u00e1fica (aumento da eros\u00e3o glenoidal).<\/jats:p>","DOI":"10.1055\/s-0039-3402471","type":"journal-article","created":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:30Z","timestamp":1584403230000},"page":"091-097","source":"Crossref","is-referenced-by-count":6,"title":["Osteonecrose da cabe\u00e7a do \u00famero: Avalia\u00e7\u00e3o dos resultados da artroplastia parcial com seguimento m\u00ednimo de 10 anos"],"prefix":"10.1055","volume":"56","author":[{"given":"Alberto Naoki","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Grupo de Cirurgia de Ombro e Cotovelo, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme do Val","family":"Sella","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de Ombro e Cotovelo, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9385-1941","authenticated-orcid":false,"given":"Luciana Andrade","family":"da Silva","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de Ombro e Cotovelo, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caio Santos","family":"Checchia","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de Ombro e Cotovelo, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Cer\u00e1volo","family":"Lemos","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de Ombro e Cotovelo, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"key":"ref1","first-page":"349","article-title":"Osteonecrosis of the humeral head","volume":"48","author":"M I Loebenberg","year":"1999","journal-title":"Instr Course Lect"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jse.2008.03.009","article-title":"Hemiarthroplasty and total shoulder arthroplasty for avascular necrosis of the humeral head","volume":"17","author":"B T Feeley","year":"2008","journal-title":"J Shoulder Elbow Surg"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1007\/s11999-009-1094-1","article-title":"The natural progression of shoulder osteonecrosis related to corticosteroid treatment","volume":"468","author":"P Hernigou","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jse.2015.08.041","article-title":"Shoulder arthroplasty for post-traumatic osteonecrosis of the humeral head","volume":"25","author":"B S Schoch","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/S1058-2746(02)00040-X","article-title":"Shoulder arthroplasty in nontraumatic osteonecrosis of the humeral head","volume":"12","author":"D Parsch","year":"2003","journal-title":"J Shoulder Elbow Surg"},{"key":"ref6","first-page":"143","volume-title":"Glenohumeral arthroplasty. 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