Reverse Prostheses in Arthropathies With Cuff Tear: Are Survivorship and Function Maintained Over Time?

Abstract

Background The use of reverse shoulder arthroplasty has considerably increased since first introduced in 1985. Despite demonstrating early improvement of function and pain, there is limited information regarding the durability and longer-term outcomes of this prosthesis. Questions/purposes We determined complication rates, functional scores over time, survivorship, and whether radiographs would develop signs of loosening. Patients and MethodsWe retrospectively reviewed 527 reverse shoulder arthroplasties performed in 506 patients between 1985 and 2003. Clinical and radiographic assessment was performed in 464 patients with a minimum followup of 2 years and 148 patients with a minimum followup of 5 years (mean, 7.5 years; range, 5-17 years). Cumulative survival curves were established with end points being prosthesis revision and Constant-Murley score of less than 30 points.

Review: Complications of Rotator Cuff Surgery

“…Özellikle masif rotator manşet onarımı sonrası rerüptür gelişen olgularda anterosuperior instabilite gelişmesi durumunda ters omuz artroplastisi ve tendon transferleri seçenekler arasındadır (38) (Şekil 3).…”

CORR Insights®: Implant Design Variations in Reverse Total Shoulder Arthroplasty Influence the Required Deltoid Force and Resultant Joint Load

“…Finally, longterm functional outcomes are required on the lateralized humeral component design. The purpose of long-term followup would be to determine if the same functional decline occurring approximately 10 years after a medialized humeral component with a traditional Grammont design is avoided with a lateralized humeral design [1].…”

Frakturen des Humeruskopfs

“…Für inverse Prothesen bei Cuffarthropathie fand sich eine 10-Jahres-Überlebensrate von bis zu 89% [23]. Allerdings wurde berichtet, dass nach 10 Jahren bei 28% aller Patienten ein massiver Funktionsverlust der operierten Schulter zu beobachten war.…”

“…Allerdings wurde berichtet, dass nach 10 Jahren bei 28% aller Patienten ein massiver Funktionsverlust der operierten Schulter zu beobachten war. Der Constant-Score wies nur noch 30/100 Punkten oder weniger auf und wurde durch eine sekundäre Insuffizienz des Deltamuskels erklärt [23]. Somit sollte die inverse Schulterprothese erst bei Patienten über 70 Jahre erwogen werden.…”