Reverse Shoulder Replacement | UW Orthopaedics and …

Professor Grammont revolutionised shoulder surgery with his reverse shoulder arthroplasty design. Patients who had poor results from a conventional shoulder replacement because of cuff deficiency can now be treated effectively. Although designed for cuff tear arthropathy, indications continue to evolve and broaden. The initial results look very promising and the implant has gained much popularity over the years. The article provides an extensive literature review of the indications, results and complications for reverse shoulder arthroplasty.

Reverse Shoulder Prosthesis (RSP) | DJO Global

Shoulder Joint Replacement - OrthoInfo - AAOS

Reverse Shoulder Replacement - Orthosports

What are the benefits to the patient?
With the Reverse® Shoulder Prosthesis, the patient has the potential for greater range of motion compared to conventional shoulder implants.

The reverse shoulder prosthesis for glenohumeral arthritis ..

What is involved in the recovery process?
Patients will work with a physical therapist to resume daily activities and strengthen shoulder muscles.

with the Delta III reverse-ball-and-socket total shoulder prosthesis

What is the Reverse Shoulder Prosthesis?

Mulieri [] reviewed 58 patients (60 shoulders) at a mean of fifty-two months following reverse shoulder arthroplasty for massive rotator cuff tears. 34 shoulders had no previous surgery and 26 patients had a failed previous rotator cuff repair. All patients had improved forward flexion and abduction. Although the external rotation was improved post-operatively this was not statistically significant in both groups (Table ). In addition a statistically significant improvement in the average American shoulder and Elbow Surgeons Score (ASES) from 33.3 to 75.4, visual analogues score for pain from 6.3 to 1.9 and the visual analogue score for function from 3.2 to 7.1 were noted. 95% of the patients were satisfied with the outcome, and the implant survival rate was 91%.

Reverse Shoulder Arthroplasty - Orthopedic Clinics

Reporting on the short term outcomes on the use of reverse shoulder arthroplasty for cuff tear arthropathy in 57 patients, Seebauer [] noted a 98% satisfaction rate of the patients. All patients reported almost complete freedom from pain and normal functional outcomes with only slight limitation of internal rotation. A good improvement in function and power can be expected if the deltoid has not been damaged.

Reverse Shoulder Replacement: ..

Reverse shoulder prosthesis is a double-edged sword and must be used with caution. High complication rates have been reported in the literature. Revision surgery is associated with a four times increase in risk of complications []. Common complications are outlined below.

Does the reverse shoulder prosthesis medialize the …

Gallinet [] compared hemiarthroplasty (17 patients, mean follow-up 16.5 months) with reverse shoulder arthroplasty (16 patients, mean follow-up 12.4 months) in the treatment of complex proximal humerus fractures. Abduction and forward flexion was significantly better in the reverse prosthesis group, while external rotation was significantly better in the hemiarthroplasty group. Patients in the reverse prosthesis group had significantly better Constant scores. They concluded that reverse prosthesis was better in the management of complex fractures in the elderly patients. Although the outcomes seem comparable to hemiarthroplasty, they are less dependent on tuberosity healing and furthermore no long term results are as yet available. Hence caution should be used. Another study [] showed superior 5 year functional results in the reverse shoulder prosthesis group when compared to hemiarthroplasty.

The Reverse Total Shoulder Prosthesis: Pearls and Pitfalls

We performed a literature search in the databases Pubmed, Medline, EMBASE and Cochrane Library for published articles between 1970 and 2016 using the terms: proximal humerus fractures and reverse shoulder arthroplasty.