{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:10:42Z","timestamp":1763017842158},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aim Arthrodesis of the shoulder joint is a radical event, so it is difficult to explain its significance to patients. It has been the last resort in hopeless cases. Knowledge of long-term results and evaluation of advantages and disadvantages seems to be helpful in this regard.<\/jats:p><jats:p>\n          Methods Eleven patients with mean age of 45 (31\u200a\u2013\u200a58) years were operated between 2000 and 2013. All patients could be included in the investigation (FU mean 8.5 [3\u200a\u2013\u200a16] years; 8 male and 3 female; right 9, left 2). Patients had the following indications: persistent instability 5 (2 with epilepsy), rotator cuff rupture 2 (1\u00d7 after combined latissimus dorsi and teres major transfer), brachial plexus injury\/defect 2, locked dislocation 1 and posttraumatic arthropathy 1. Fixation with DC plate (pre-bent to 110\u00b0) was used in all cases; with special focus on placing at least one screw in the scapular neck. The targeted arthrodesis position was abduction 30\u00b0, forward flexion 30\u00b0, and internal rotation 30\u00b0.<\/jats:p><jats:p>\n          Results Active abduction improved from 12 to 63\u00b0, forward flexion from 21 to 79\u00b0 and internal rotation from 10 to 47\u00b0 (mean values). In the resting position with hanging arm aside, mean abduction was 3\u00b0 and forward flexion 8\u00b0. Nine of 11 patients had considerable relief of pain, from 8.3 to 2.4 points VAS. Five patients rated the outcome as excellent, 3 as good and 1 as satisfactory. Nine patients would repeat the procedure. In summary, an Oxford Shoulder Score of 31.6 points was achieved, and SSV of 58%. Bony fusion was achieved in all cases, 3\u200a\u2013\u200a4 months p.\u200ao. in mean. There were no important neurological or angiological complications.<\/jats:p><jats:p>\n          Conclusions Plate arthrodesis in the technique used achieves high fusion and a low complication rate. Relief of pain and functional improvement are astonishing. Analysis of our results indicates that correction of the positions mentioned above is necessary: i.\u200ao. arthrodesis position for abduction 25\u00b0 (by means of pre-bending plate of 105\u00b0), forward flexion 20\u00b0 and internal rotation 30\u00b0 are suggested.<\/jats:p>","DOI":"10.1055\/s-0043-121699","type":"journal-article","created":{"date-parts":[[2018,2,22]],"date-time":"2018-02-22T23:30:54Z","timestamp":1519342254000},"page":"53-61","source":"Crossref","is-referenced-by-count":1,"title":["Indication, Technique and Long-term Results after Shoulder Arthrodesis Performed with Plate Fixation"],"prefix":"10.1055","volume":"156","author":[{"given":"Ulrich","family":"Irlenbusch","sequence":"additional","affiliation":[{"name":"Dept. shoulder surgery, sportklinik.ERFURT, Erfurt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"Rott","sequence":"additional","affiliation":[{"name":"Dept. shoulder surgery, sportklinik.ERFURT, Erfurt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Irlenbusch","sequence":"additional","affiliation":[{"name":"Dept. shoulder surgery, sportklinik.ERFURT, Erfurt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,2,22]]},"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-121699.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,2,22]],"date-time":"2018-02-22T23:30:59Z","timestamp":1519342259000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-121699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2018,2,22]]},"published-print":{"date-parts":[[2018,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-121699","relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"type":"print","value":"1864-6697"},{"type":"electronic","value":"1864-6743"}],"subject":[],"published":{"date-parts":[[2018,2]]}}}