Reverse shoulder arthroplasty in patients with rheumatoid arthritis

Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses

“…Among RA patients in our study, RTPs were used much more frequently than TPs, and RTPs performed very well in this patient group. Good functional results and pain relief have previously been demonstrated for RTPs and in patients with RA [21][22][23][24], although no comparison of RTPs to HPs has previously been published. The frequent incidence of damaged rotator cuff in RA patients suggests the use of RTPs rather than TPs; randomised studies are needed to further investigate this.…”

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

“…According to clinical diagnosis, radiographic preoperative data and intraoperative parameters that can lead to positive or negative results or facilitate the incidence of complications, we selected three groups of patients, dedicating each one a specific level of care, as follows 2,6,9,12,[15][16][17][18][19][20][21][22][23][24][25] 19 ) or/and intraoperative complications or/and tendon transfers associated procedures. Rehabilitation protocol adopted for each group is summarized in Table I.…”

“…Recently, indications became wider allowing the management of different shoulder diseases. RSA, firstly was indicated for pseudoparalitic shoulders with massive rotator cuff tears (MRCT); has been published that RSA may have good results even in acute fractures in aged patients, rotator cuff tears arthropathy (CTA), primary osteoarthritis (OA), gleno-humeral rheumatoid arthritis (RA), fractures sequelae and, in glenoid excessive retroversion and humeral head static subluxation in good cuff status shoulders [1][2][3][4][5][6][7][8][9] , resulting in significant and predictable pain relief and restoration of active elevation by the medialization of the center of rotation and lowering of the humerus, with durable efficiency 1 . Due to modified biomechanics and constraints of gleno-humeral joint, complications after RSA seem to be about 4-fold more than anatomic total shoulder arthroplasty and hemiarthroplasty at mid-term follow up [10][11][12] .…”

Outcomes of Reverse Total Shoulder Arthroplasty

“…They noted that while While literature remains sparse on this topic and the available studies are small, there is increasing interest in rTSA for this patient population as it provides a higher degree of constraint and is less reliant on soft tissue such as rotator cuff and capsule. Holcomb et al [66] prospectively evaluated 21 shoulders after rTSA in patients with RA. At a mean of 2.5 year follow-up, pain, function, and ROM improved significantly.…”