Revision reverse shoulder arthroplasty for glenoid baseplate failure after primary reverse shoulder arthroplasty

Holcomb, Jason O.; Cuff, Derek J.; Petersen, Steve A.; Pupello, Derek; Frankle, Mark A.

doi:10.1016/j.jse.2008.11.017

Cited by 110 publications

(63 citation statements)

References 27 publications

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“…The indications for RTSA have expanded over the last few years and include CTA [15,18,26,50,57,61], inflammatory arthropathy with massive rotator cuff tear [26,45], proximal humeral nonunion or malunion [6,34,57], acute fractures [34,57,58], fixed glenohumeral dislocation [57], posttraumatic arthritis [26,57], tumor [4,13,35,57], revision arthroplasty [6,27,33,57], and chronic pseudoparalysis without arthritis [41,57,60,61]. We will limit our discussion to problems dealing with the rotator cuff.…”

Section: Indications For Reverse Total Shoulder Arthroplastymentioning

confidence: 99%

“…The RTSA was originally designed to treat a massive irreparable rotator cuff with superior migration of the humeral head combined with glenohumeral arthritis (cuff tear arthropathy [CTA]) [5,15,18,21,40]. The indications have expanded however, and currently it is being used for multiple diagnoses including fracture sequelae [6,31,32,34,58], revision arthroplasty [6,27,33,57], instability [57], and tumors [4,13,35,57]. As a result of its success with these problems, its indications are gradually increasing, and many are unsure about its role in the treatment of rotator cuff disease.…”

Section: Introductionmentioning

confidence: 99%

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Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

215

129

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Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Indications For Reverse Total Shoulder Arthroplastymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

215

129

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“…Antuna et al found that three total shoulder arthroplasties that underwent two-stage reimplantation at an average of 20 months after bone graft insertion had satisfactory pain reduction and no evidence of component loosening at a mean of 2.6 years of follow-up [2]. For reverse arthroplasty, there is typically enough bone to place a baseplate in a revision setting, though bone graft may be needed in some cases [23,60,74,75].…”

Section: Glenoid Bone Lossmentioning

confidence: 99%

Management of complications after revision shoulder arthroplasty

Rahmi

Jawa

2015

Curr Rev Musculoskelet Med

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Complications after revision shoulder arthroplasty are similar to those in the primary setting which include instability, fracture, bone loss, infection, nerve injury, and loosening. Unlike in the primary setting, however, the rate of complications for revisions is significantly greater and the management is more complex because of overlapping complications and limited treatment options. Furthermore, there is a paucity of evidence-based literature to direct the management options in these patients. The purposes of this review are to broadly outline the major complications that are seen in revision shoulder arthroplasty and to provide general principles on how to recognize and approach these complex cases.

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“…5,17,22,[71][72][73][74][75][76] Revision was performed for failed treatment of proximal humeral fractures in patients with severe pain and loss of function. All patients treated in this way also had one or more of the following: tuberosity reabsorption, radiolucency around the humeral stem, osteoarthritis of the glenoid or a rotator cuff tear of > 2 cm.…”

Section: Revision Surgerymentioning

confidence: 99%

“…72 Further RSR was described after cuff failure following a total or hemiarthroplasty 5,22 and revision RSR after baseplate failure when 79% of patients (11 of 14) were managed by insertion of a larger glenosphere. 73 The gains in range of movement and pain relief were limited and there was minimal gain or even worsening of rotation. 5,17,22,71,73 The rate of complications was higher with revision surgery, with much higher rates of loosening and haematoma formation.…”

Section: Revision Surgerymentioning

confidence: 99%

Indications for reverse shoulder replacement

Smith

Guyver

Bunker

2012

The Journal of Bone and Joint Surgery. British volume

124

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The outcome of an anatomical shoulder replacement depends on an intact rotator cuff. In 1981 Grammont designed a novel large-head reverse shoulder replacement for patients with cuff deficiency. Such has been the success of this replacement that it has led to a rapid expansion of the indications. We performed a systematic review of the literature to evaluate the functional outcome of each indication for the reverse shoulder replacement. Secondary outcome measures of range of movement, pain scores and complication rates are also presented.The modern reverse shoulder replacement (RSR) can offer a surgical option for the management of arthritis of the shoulder that would be precluded by a conventional design. 1,2The success of the prosthesis has led to expansion of the indications from cuff tear arthropathy to any disease about the shoulder where cuff function is deficient. 3-5The prosthesis has also been a financial success, leading many companies to introduce their own version with small changes to the original design, such as the Aequalis Reversed Shoulder (Tornier, SaintIsmier, France) and the SMR Shoulder (Lima, Udine, Italy). As a result of the expansion of the indications for RSR, the procedure now accounts for over a large proportion of all shoulder replacements performed in mainland Europe.This article will look at the benefits and risks of RSR for each indication. The original indication for RSR was cuff tear arthropathy. The results obtained for new indications were compared with those for cuff tear arthropathy, with a primary outcome measure as a functional score. Secondary outcome measures were range of movement, rate of complications and pain scores. In order to allow for comparison between groups, the outcome scores, complication rates and pain scores have been converted to percentages.A systematic review of the English-language literature was undertaken; the keywords used were shoulder and reverse; arthroplasty; inverse or delta. Medline, were all searched. Inclusion criteria included studies presenting new data from more than one case and where functional outcome scores were reported. Exclusion criteria included studies that had a mixture of surgical techniques presented as a single group. Further exclusion criteria for the cuff tear arthropathy group were studies published more than five years ago; studies with less than 50 patients and those from more than one centre.We identified 22 papers, which were reviewed in full. The complications of RSR for any indication were discussed and specific issues for each pathology highlighted.All the abstracts were reviewed independently by two of the authors (CDS, PG) to identify studies for full review and the bibliographies of these articles were also reviewed for additional studies. Any disagreements with regards to inclusion and exclusion were resolved by discussion with the senior author (TDB). Cuff tear arthropathyThe modern concept of cuff tear arthropathy is the combination of arthritis and a massive cuff tear where the shoulder joint may remain concent...

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Revision reverse shoulder arthroplasty for glenoid baseplate failure after primary reverse shoulder arthroplasty

Cited by 110 publications

References 27 publications

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Management of complications after revision shoulder arthroplasty

Indications for reverse shoulder replacement

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