Monday, February 11, 2019

How long after surgery does a reverse total shoulder function?

Long-term results of the Delta Xtend reverse shoulder prosthesis

These authors reviewed 126 primary Delta Xtend reverse total shoulder prostheses implanted in our center by an individual surgeon from October 2006 until December 2009. Of these, 38 patients died, 12 were lost to follow-up, and 2 needed early revision of the prosthesis. 

Follow-up of at least 8 years was available for 74 patients. The mean follow-up in our population was 113.1 months. 

The mean adjusted Constant Score was 44.6% preoperatively. It increased significantly to 75.8% after surgery and to 91.1% at 5 years. At the latest follow-up, the mean aCS had declined to 79.9%. 

An overall survival rate of more than 97% was seen at 8 years of follow-up. The rate of revision surgery was 2.6% due to major complications such as dislocation and infection.

Comment: This is an impressive study, both in terms of the high rate of followup and the clinical outcomes. It is of note that these results were achieved by an individual surgeon highly experienced in reverse total shoulder. 

We have a new set of shoulder youtubes about the shoulder, check them out at this link.

Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link

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