Clinical results of revision shoulder arthroplasty using the reverse prosthesis

Journal of Shoulder and Elbow Surgery
James D KellyTom Norris

Abstract

Success of revision shoulder arthroplasty using an unconstrained prosthesis depends on an intact rotator cuff and satisfactory bone quantity. However, the reverse shoulder arthroplasty can stabilize a glenohumeral joint even in patients with rotator cuff deficiency and bone deficits, resulting in improved outcomes. Thirty shoulders in 28 patients with a failed arthroplasty were investigated consecutively between 2005 and 2008. All shoulders had significant rotator cuff deficiency without glenoid bone loss. Revision arthroplasty using the reverse prosthesis was performed with a minimum of 2 years of follow-up. Concomitant glenoid reconstructions with tricortical iliac crest bone grafting were necessary in 12 shoulders. The average adjusted Constant score improved from 24% to 65% and the American Shoulder and Elbow Surgeons (ASES) score improved from 55 to 72 (P < .0001). Average active forward flexion increased from 42° to 106° (P < .0001). The average ASES pain score improved from 6.6 to 1.6 (P < .0001). The overall complication rate was 50%, and 7 patients (23%) required reoperation. Overall, 24 of 30 shoulders (80%) were very satisfied or satisfied. Reverse shoulder arthroplasty can be an efficacious salvage procedure in the ...Continue Reading

References

Mar 7, 2006·Journal of Shoulder and Elbow Surgery·Lionel NeytonT Bradley Edwards
Jul 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Joshua S DinesDavid M Dines
Sep 23, 2006·Journal of Shoulder and Elbow Surgery·Lionel NeytonGilles Walch
Feb 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Jonathan LevyDerek Pupello
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Bryan WallGilles Walch
Oct 13, 2007·Journal of Shoulder and Elbow Surgery·Allen DeutschGerald R Williams
Dec 19, 2008·The Journal of Bone and Joint Surgery. British Volume·A CilR H Cofield
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Ariel ChaconMark Frankle
Sep 8, 2009·Journal of Shoulder and Elbow Surgery·Kaveh R SajadiJoseph D Zuckerman
Jun 18, 2010·Journal of Shoulder and Elbow Surgery·Judd S DaySteven M Kurtz

❮ Previous
Next ❯

Citations

Dec 15, 2012·International Orthopaedics·Reinhold OrtmaierMark Tauber
Feb 7, 2013·Archives of Orthopaedic and Trauma Surgery·Mathias WellmannTomas Smith
Jan 10, 2014·International Journal of Shoulder Surgery·Xinning LiLaurence D Higgins
Apr 1, 2014·Archives of Orthopaedic and Trauma Surgery·Stefan GreinerMarkus Scheibel
Jun 16, 2014·Journal of Shoulder and Elbow Surgery·Eric M BlackJon J P Warner
Sep 16, 2014·Journal of Shoulder and Elbow Surgery·Lior Laver, Grant E Garrigues
May 20, 2014·Journal of Shoulder and Elbow Surgery·Birgit S WernerFrank Gohlke
Feb 9, 2016·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Lucas S McDonaldDavid M Dines
Jan 29, 2016·Orthopedics·Adam J SeidlPascal Boileau
Jul 6, 2013·The Orthopedic Clinics of North America·Claudius D JarrettChristopher C Schmidt
Sep 17, 2015·Orthopedics·Matthew F DilisioLaurence D Higgins
Mar 13, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·M AntoniP Clavert
Jul 15, 2015·Journal of Shoulder and Elbow Surgery·Eric M BlackJon J P Warner
Apr 12, 2015·Journal of Shoulder and Elbow Surgery·Scott P StephensMichael A Wirth
Apr 14, 2016·Journal of Shoulder and Elbow Surgery·Brian C WernerLawrence V Gulotta
Sep 17, 2013·Acta Orthopaedica·Birgit S WernerFrank Gohlke
May 6, 2015·International Journal of Shoulder Surgery·Eduard Alentorn-GeliThomas W Wright
Feb 25, 2015·International Journal of Shoulder Surgery·Gonzalo SamitierThomas W Wright
Aug 16, 2016·Journal of Shoulder and Elbow Surgery·Birgit S WernerFrank Gohlke
Oct 27, 2015·AJR. American Journal of Roentgenology·Alireza EajaziAkira M Murakami
Feb 2, 2017·The Journal of Bone and Joint Surgery. American Volume·Kamal I BohsaliMichael A Wirth
Feb 7, 2019·Operative Orthopädie und Traumatologie·M FriedrichJ Schmolders
Mar 16, 2019·Operative Orthopädie und Traumatologie·F GohlkeI Wiese
Oct 9, 2015·The Open Orthopaedics Journal·Edward C A GeeAdnan Saithna
Jan 23, 2018·Current Reviews in Musculoskeletal Medicine·Thomas R SellersMark A Frankle
Jun 7, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Peter N ChalmersRobert Z Tashjian
Jun 17, 2019·International Orthopaedics·Jorge RojasEdward G McFarland
Jul 14, 2017·Revista Brasileira De Ortopedia·Arnaldo Amado Ferreira NetoMauro Emilio Conforto Gracitelli
Jun 9, 2020·Current Reviews in Musculoskeletal Medicine·Alicia K HarrisonJonathan P Braman
Jun 2, 2017·Clinics in Orthopedic Surgery·Seong Hwan JoYong Girl Rhee
Apr 1, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Mark T DillonAnshuman Singh
Oct 23, 2015·The Journal of Bone and Joint Surgery. American Volume·Eric WagnerRobert H Cofield

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.