Sunday, March 3, 2013

Reverse total shoulder, results by diagnosis

Short and midterm results of reverse shoulder arthroplasty according to the preoperative etiology

The authors retrospectively reviewed 71 reverse shoulder arthroplasties for cuff tear arthropathy (45 patients), fracture sequelae (10 patients) and revision arthroplasty (21 patients) with a mean follow-up of 23 months (±14 months). 

Patients with cuff tear arthropathy achieved the best results followed by those with fracture sequelae and those with failed shoulder arthroplasty. Among those with fracture sequelae, patients with surgical neck nonunion had a significantly worse outcome compared with those with tuberosity displacement. The complication rate was 27 % with 8 % infections and 9 % dislocations. Revision surgery was necessary in 12 % with removal or replacement of the implants in 8 %. Inferior scapular notching was detected in 43 % of the patients. Patients with scapular notching had poorer outcomes than those without. 

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