Short-term results of shoulder reversal prosthesis according to pathology.
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Tabla 1 Prótesis Reversas (Español (España))
Tabla 2 Prótesis Reversas (Español (España))
Tabla 4 Prótesis Reversa (Español (España))
Tabla 5 Prótesis Reversa (Español (España))
Fig 2 A-E (Español (España))
Published:
Nov 13, 2017
Keywords:
Reverse shoulder prosthesis, short term results, complications
Main Article Content
Abstract
PurposeThe purpose of this study is to analyze the short term functional results and complications of the reverse shoulder prosthesis according to different etiologies.MethodsBetween 2009 and 2013 we performed 85 reverse shoulder arthroplasties. Surgical indications included: Rotator cuff tear artropathy, glenohumeral osteoarthritis, proximal humeral fractures and revision arthroplasty. The patients were clinically and radiologically evaluated and analyzed in different groups.ResultsThe mean follow-up was 42 months (26-60) and the mean age 74.5 years (56-90). The Constant improved from 16.7 to 62.1 on average (P <.001) and the ASES, from 12.7 to 68.8 on average (P <.001). The elevation increased from 80.5 ° to 111.5 ° (P <.001). There was no significant improvement in internal and external rotation. Sixty patients (78.9%) reported being very satisfied / satisfied. In 22 patients (27.8%) they were found notches in the inferior rim of the glenoid. The complication rate was 20%, being more frequent in the group of fractures and revision arthroplasties.ConclusionThe reverse shoulder arthroplasty significantly improved functional scores, anterior flexion and abduction, regardless of surgical indication. It has limitations with respect to the external and internal rotation postoperatively. It is valid alternative in multiple shoulder pathologies, however has a high rate of complications, so the indication should be accurate, especially in patients treated for fractures or revision surgeries.
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How to Cite
Bertona Altieri, B. A., Rossi, L., Oñativia, J. I., Tanoira, I., Bongiovanni, S., Maignon, G., & Ranalletta, M. (2017). Short-term results of shoulder reversal prosthesis according to pathology. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(4), 278-286. https://doi.org/10.15417/683
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Clinical Research
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References
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2. Grammont PM, Trouilloud P, Laffay JP, Deries X. Etude et réalisation d’une nouvelle prothèse d’épaule. Rhumatologie. 1987;10:407-18.
3. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16:65-8.
4. Jobin CM, y col. Protesis reversa de hombre para el manejo de fracturas de humero proximal. Am Acad Orthop Surg 2015.
5. Gallinet D, Adam A, Gasse N, et al. Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty. J Shoulder Elbow Surg 2013;22:38–44.
6. Katz D, Kilinc A, et al. Mid-term outcome of reverse shoulder prostheses in complex proximal humeral fractures. Acta Orthop Belg 2012;78:442–9.
7. Young AA, Smith MM, Bacle G, et al. Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 2011; 93:1915–23.
8. Ekelund A, Nyberg R. Can reverse shoulder arthroplasty be used with few complications in rheumatoid arthritis? Clin Orthop Relat Res 2011;469: 2483–8.
9. Hattrup SJ, Sanchez-Sotelo J, Sperling JW, et al. Reverse shoulder replacement for patients with inflammatory arthritis. J Hand Surg Am 2012;37: 1888–94.
10. Holcomb JO, Hebert DJ, Mighell MA, et al. Reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Shoulder Elbow Surg 2010;19:1076–84.
11. Kelly JD 2nd, Zhao JX, Hobgood ER, et al. Clinical results of revision shoulder arthroplasty using the reverse prosthesis. J Shoulder Elbow Surg 2012; 21:1516–25.
12. Patel DN, Young B, Onyekwelu I, et al. Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Shoulder Elbow Surg 2012;21:1478–83.
13. Boileau P, Watkinson D, Hatzidakis AM, et al. Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 2006;15:527–40.
14. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop Relat Res. 1990;254:92-6.
15. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160-4.
16. Richards R, An KN, Bigliani L, et al: A standardized method of shoulder function. J Shoulder Elbow Surg 1994;3: 347-352.
17. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86:388-95.
18. Boulahia A, Edwards TB, Walch G, Baratta RV. Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics. 2002;25:129-33.
19. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am. 2005;87:1697-705.
20. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudo-paresis due to irreparable rotator cuff dysfunction with the Delta III reverse-balland- socket total shoulder prosthesis. J Bone Joint Surg Am. 2005;87:1476-86.
21.Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1 Suppl S):147S-61S.
22.Valenti PH, Boutens D, Nérot C. Delta 3 reversed prosthesis for osteoarthritis with massive rotator cuff tear: long term results. In: Walch G, Boileau P, Molé D, editors. 2000 Prothèses d'épaule recul de 2 à 10 ans. Paris: Sauramps Médical; 2001. p 253-9.
23. Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total der arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am. 2006;88:1742-7.
24. Favard L, Levigne C, Nerot C, et al. Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res 2011;469:2469–2475.
25. Williams GR Jr, Rockwood CA Jr. Hemiarthroplasty in rotator cuff-deficient shoulders. J Shoulder Elbow Surg. 1996;5:362-7.
26. Sanchez-Sotelo J, Cofield RH, Rowland CM. Shoulder hemiarthroplasty for glenohumeral arthritis associated with severe rotator cuff deficiency. J Bone Joint Surg Am. 2001;83:1814-22.
27. Zuckerman JD, Scott AJ, Gallagher MA. Hemiarthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2000;9:169-72.
28. Sarris IK, Papadimitriou NG, Sotereanos DG. Bipolar hemiarthroplasty for chronic rotator cuff tear arthropathy. J Arthroplasty. 2003;18:169-73.
29. Wall B, Nov
2. Grammont PM, Trouilloud P, Laffay JP, Deries X. Etude et réalisation d’une nouvelle prothèse d’épaule. Rhumatologie. 1987;10:407-18.
3. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16:65-8.
4. Jobin CM, y col. Protesis reversa de hombre para el manejo de fracturas de humero proximal. Am Acad Orthop Surg 2015.
5. Gallinet D, Adam A, Gasse N, et al. Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty. J Shoulder Elbow Surg 2013;22:38–44.
6. Katz D, Kilinc A, et al. Mid-term outcome of reverse shoulder prostheses in complex proximal humeral fractures. Acta Orthop Belg 2012;78:442–9.
7. Young AA, Smith MM, Bacle G, et al. Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 2011; 93:1915–23.
8. Ekelund A, Nyberg R. Can reverse shoulder arthroplasty be used with few complications in rheumatoid arthritis? Clin Orthop Relat Res 2011;469: 2483–8.
9. Hattrup SJ, Sanchez-Sotelo J, Sperling JW, et al. Reverse shoulder replacement for patients with inflammatory arthritis. J Hand Surg Am 2012;37: 1888–94.
10. Holcomb JO, Hebert DJ, Mighell MA, et al. Reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Shoulder Elbow Surg 2010;19:1076–84.
11. Kelly JD 2nd, Zhao JX, Hobgood ER, et al. Clinical results of revision shoulder arthroplasty using the reverse prosthesis. J Shoulder Elbow Surg 2012; 21:1516–25.
12. Patel DN, Young B, Onyekwelu I, et al. Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Shoulder Elbow Surg 2012;21:1478–83.
13. Boileau P, Watkinson D, Hatzidakis AM, et al. Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 2006;15:527–40.
14. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop Relat Res. 1990;254:92-6.
15. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160-4.
16. Richards R, An KN, Bigliani L, et al: A standardized method of shoulder function. J Shoulder Elbow Surg 1994;3: 347-352.
17. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86:388-95.
18. Boulahia A, Edwards TB, Walch G, Baratta RV. Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics. 2002;25:129-33.
19. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am. 2005;87:1697-705.
20. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudo-paresis due to irreparable rotator cuff dysfunction with the Delta III reverse-balland- socket total shoulder prosthesis. J Bone Joint Surg Am. 2005;87:1476-86.
21.Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1 Suppl S):147S-61S.
22.Valenti PH, Boutens D, Nérot C. Delta 3 reversed prosthesis for osteoarthritis with massive rotator cuff tear: long term results. In: Walch G, Boileau P, Molé D, editors. 2000 Prothèses d'épaule recul de 2 à 10 ans. Paris: Sauramps Médical; 2001. p 253-9.
23. Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total der arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am. 2006;88:1742-7.
24. Favard L, Levigne C, Nerot C, et al. Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res 2011;469:2469–2475.
25. Williams GR Jr, Rockwood CA Jr. Hemiarthroplasty in rotator cuff-deficient shoulders. J Shoulder Elbow Surg. 1996;5:362-7.
26. Sanchez-Sotelo J, Cofield RH, Rowland CM. Shoulder hemiarthroplasty for glenohumeral arthritis associated with severe rotator cuff deficiency. J Bone Joint Surg Am. 2001;83:1814-22.
27. Zuckerman JD, Scott AJ, Gallagher MA. Hemiarthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2000;9:169-72.
28. Sarris IK, Papadimitriou NG, Sotereanos DG. Bipolar hemiarthroplasty for chronic rotator cuff tear arthropathy. J Arthroplasty. 2003;18:169-73.
29. Wall B, Nov