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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.2K
Revision shoulder arthroplasty from resurfacing to non-cemented short-stem reverse prosthesis
L Natera1, J Bruguera2, E Atoun3
1Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España; Hospital General de Catalunya, Sant Cugat del Vallés, Barcelona, España.
Revista Espanola De Cirugia Ortopedica Y Traumatologia
|March 8, 2016
Summary
Revising resurfacing shoulder arthroplasty to reverse total shoulder arthroplasty showed good clinical and radiological outcomes. This procedure had minimal intra-operative complexities, offering improved function and patient satisfaction.
Area of Science:
- Orthopedic surgery
- Arthroplasty revision
- Shoulder reconstruction
Background:
- Resurfacing shoulder arthroplasty can fail, necessitating revision surgery.
- Reverse total shoulder arthroplasty is an option for complex shoulder revision cases.
Purpose of the Study:
- To evaluate surgical parameters and outcomes of revising resurfacing shoulder arthroplasty to non-cemented short-stem reverse total shoulder arthroplasty.
- To assess clinical and radiological results following this revision procedure.
Main Methods:
- A case series of 23 patients undergoing revision from resurfacing to reverse total shoulder arthroplasty.
- Data collected included surgical parameters, clinical scores (Constant score), range of motion, patient satisfaction, and radiological findings.
- Minimum follow-up was 25 months.
Main Results:
- No humeral osteotomy or structural allograft was needed; 8.69% required glenoid allograft.
- Mean operation time was 113.35 minutes with moderate blood loss (374 ml).
- Significant improvements were observed in Constant score (17.32 to 59.78), satisfaction (1.37 to 8.04), and range of motion. No radiolucency or subsidence was noted.
Conclusions:
- Revision to non-cemented short-stem reverse total shoulder arthroplasty yields favorable clinical and radiological outcomes.
- The procedure demonstrates minimal intra-operative complexities, making it a viable option for failed resurfacing arthroplasty.
