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The Roper-Day total shoulder replacement.

B A Roper1, J M Paterson, W H Day

  • 1London Hospital, Whitechapel, England.

The Journal of Bone and Joint Surgery. British Volume
|July 1, 1990
PubMed
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A simple unconstrained shoulder prosthesis effectively relieved pain in patients with severe joint damage and limited functional needs. Despite modest range of motion improvements, functional outcomes were significantly enhanced, even with rotator cuff damage.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Rheumatology

Background:

  • Severe joint damage and incapacitating pain often limit patient function.
  • Rheumatoid disease and age can lead to joint deterioration and restricted functional requirements.
  • Rotator cuff damage is a common comorbidity in patients with severe shoulder joint issues.

Purpose of the Study:

  • To evaluate the efficacy of a simple unconstrained shoulder prosthesis in patients with limited functional requirements.
  • To assess pain relief, range of motion, and functional improvement following prosthesis implantation.
  • To determine if rotator cuff damage impacts the outcomes of shoulder arthroplasty in this patient group.

Main Methods:

  • A cohort of 22 patients (25 shoulders) with severe joint damage and limited functional needs received a simple unconstrained shoulder prosthesis.

Related Experiment Videos

  • Patient-reported outcomes including pain, range of motion, and functional status were assessed.
  • The presence of rotator cuff damage was noted and its effect on outcomes considered.

    • Main Results:

    • All patients reported good and lasting pain relief after prosthesis implantation.
    • A modest improvement in the range of motion was observed.
    • Marked improvement in overall function was achieved, irrespective of rotator cuff damage.

    Conclusions:

    • A simple unconstrained shoulder prosthesis provides significant pain relief and functional improvement in patients with severe joint damage and limited functional demands.
    • The presence of rotator cuff damage does not preclude a satisfactory outcome with this type of prosthesis in the studied population.
    • This prosthesis is a viable option for elderly patients or those with rheumatoid disease requiring joint reconstruction.