Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Zumstein, Matthias A.; Pinedo, Miguel; Old, Jason; Boileau, Pascal

doi:10.1016/j.jse.2010.08.001

Cited by 738 publications

(551 citation statements)

References 80 publications

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“…In another series, scapular notching was detected in 62 % of 337 shoulders at an average follow-up of 47 months [6]. In a recent systematic review of the literature, in which 782 cases were analysed, the incidence of the complication was 35.4 % [14]. It has been reported that mild or moderate scapular notching may have few or no clinical implications in the short-or medium-term following implantation.…”

Section: Discussionmentioning

confidence: 97%

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The use of an eccentric glenosphere compared with a concentric glenosphere in reverse total shoulder arthroplasty: two-year minimum follow-up results

Biase

Ziveri

Delcogliano

et al. 2013

International Orthopaedics (SICOT)

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Purpose The current models of reverse shoulder arthroplasty (RSA) expose the procedure to the risk of scapular notching, possibly leading to loosening of the glenoid. We compared the clinical and radiographic results obtained with a concentric or eccentric glenosphere to assess whether the eccentric design might give better clinical results and avoid or decrease the risk of scapular notching Methods Of our patients, 31 underwent RSA using a concentric glenosphere (group A), while 29 had an eccentric glenosphere (group B). Postoperatively, patients were followed-up at one to 12 months and annually thereafter, with the mean being 33 months in group A and 27.5 in group B. In both groups the minimum follow up (F-U) was 24 months. Preoperatively and at each F-U starting from six months, patients were assessed using the Constant score. On radiographs, prosthesis scapular neck angle (PSNA), distance between scapular neck and glenosphere (DBSNG) and peg-glenoid rim distance (PGRD) were calculated. The severity of notching was classified in four grades. ResultsIn group A the mean Constant score increased by 30 points compared to the preoperative score and the active ROM increased considerably. At latest F-U, the mean PSNA, DBSNG and PGRD were, respectively, 87°, 3.4 mm and 19.8 mm.Glenoid notching was present in 42 % of cases. In group A, the mean Constant score increased by 34 points and the mean ROM was better than in group A. The average PSNA, PGRD and DBSNG were, respectively, 92°, 21.2 mm and 4.3 mm. Radiographs showed no inferior scapular notching. Conclusions The eccentric glenosphere yielded better clinical results than the concentric glenosphere and was associated with no scapular notching.

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Section: Discussionmentioning

confidence: 97%

“…Inferior scapular notching is a frequent complication associated with reverse shoulder arthroplasty [4,6,8,[11][12][13][14][15][16]. Sirveaux et al [4] found scapular notching in 49 of 77 patients (63.6 %) at a mean follow-up of 44.5 months.…”

Section: Discussionmentioning

confidence: 99%

The use of an eccentric glenosphere compared with a concentric glenosphere in reverse total shoulder arthroplasty: two-year minimum follow-up results

Biase

Ziveri

Delcogliano

et al. 2013

International Orthopaedics (SICOT)

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“…An inflammatory reaction to wear debris may not be the most important reason, in comparison with malalignment of the anatomical glenoid [24,25]. The revision rate for inverse prostheses with aseptic glenoid loosening is thus about 3.5 % [10]. Wear on the reversed shoulder prosthesis is probably associated with loosening of the stem [26], but to date there have been no large studies or studies examining retrieved glenoid components from reversed shoulder prostheses.…”

Section: Discussionmentioning

confidence: 99%

“…The medialised and semi-constrained artificial joint restores stability and mobility [9]. In the past, this procedure was only used in older patients, due to its high complication rates [10] and declining function after eight to ten years [11]. Complications observed during the long-term follow-up included periprosthetic infection, instability and dislocation, infraglenoid notching, and also abrasive wear [10,12,13].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a reconstruction reverse shoulder for tumour surgery and tribological comparision with an anatomical shoulder arthroplasty

Dieckmann

Liem

Gosheger

et al. 2013

International Orthopaedics (SICOT)

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Purpose The functional results after reconstruction of the proximal humerus in tumour surgery are poor. Therefore, a reversed proximal humerus replacement was developed in our institution (MUTARS humerus inverse). A low degree of wear on the polyethylene is required because of the patients' youth and demands on shoulder function. A special type of polyethylene with shock-absorbing properties has been developed to minimise polyethylene wear in the MUTARS inverse proximal humerus replacement. We compared the tribological properties of an anatomical shoulder prosthesis (CAPICA) with the new reversed proximal humerus replacement (MUTARS humerus inverse). Methods Both prostheses were tested up to 5×10 6 cycles. Every millionth cycle the surface was inspected and a gravimetric measurement was performed. A measurement of surface roughness was done before testing and after 5×10 6 cycles. Results In both prostheses after 5×10 6 cycles there were no major defects, such as delamination, observed. In the reversed proximal humerus replacement abrasion of 28 mg/ 10 6 cycles was detected. The mean abrasion of the anatomical prosthesis was 9.28 mg/ 10 6 cycles. Conclusion The glenoid component of the first reversed humerus replacement (MUTARS humerus inverse) has wear properties comparable to those of normal reversed shoulder prostheses. This is important, as this type of prosthesis is used in young patients after resection of bone tumours, with a good functional outcome. It can, therefore, be expected that the revision rate due to wear will be as high as in patients with normal reversed shoulder prostheses.

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“…Selbst an einem Zentrum ist die Komplikationsrate der inversen Endoprothetik mit bis zu 36% (10-36%; [33,70] The supplement containing this article is not sponsored by industry.…”

Section: Inverse Protheseunclassified

Frakturen des Humeruskopfs

Imrecke

Katthagen

Voigt

et al. 2014

Trauma Berufskrankh

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Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Cited by 738 publications

References 80 publications

The use of an eccentric glenosphere compared with a concentric glenosphere in reverse total shoulder arthroplasty: two-year minimum follow-up results

The use of an eccentric glenosphere compared with a concentric glenosphere in reverse total shoulder arthroplasty: two-year minimum follow-up results

Evaluation of a reconstruction reverse shoulder for tumour surgery and tribological comparision with an anatomical shoulder arthroplasty

Frakturen des Humeruskopfs

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