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Related Experiment Video

Updated: Mar 11, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

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[The reverse shoulder arthroplasty Delta Xtend : Mid-term results].

S Gruber1,2, C Schoch3, M Geyer3

  • 1Orthopädie und Unfallchirurgie, St. Vinzenz Klinik Allgäu, Kirchenweg 15, 87459, Pfronten, Deutschland. gruber-stephanie@brennercom.net.

Der Orthopade
|December 2, 2016
PubMed
Summary

Reverse shoulder arthroplasty (RSA) provides good mid-term outcomes for cuff tear arthropathy and omarthrosis, with low complication rates. This study confirms encouraging early results, demonstrating significant functional improvement and pain reduction after 5 years.

Keywords:
Arthroplasties, replacementCuff, rotatorFollowup studiesGlenohumeral jointQuestionnaires

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rehabilitative Medicine

Background:

  • Reverse shoulder arthroplasty (RSA) is a common treatment for cuff tear arthropathy, fracture sequelae, and omarthrosis with cuff insufficiency.
  • Newer generation prostheses like the Delta Xtend have been used since 2007, but mid-term outcome data is limited.

Purpose of the Study:

  • To report on the mid-term outcomes of RSA at a mean follow-up of 68 months.
  • To verify previously published encouraging early results of RSA.
  • To assess functional status and pain levels after RSA in the mid-term period.

Main Methods:

  • 60 patients underwent RSA with the Depuy Delta Xtend prosthesis between 2007-2008.
  • 39 patients completed the modified subjective Constant Score (msCS) questionnaire.
  • 28 patients underwent clinical examination, including Constant Score, age/gender-adjusted Constant Score, and range of motion evaluation.

Main Results:

  • Mean msCS improved from 39.15 preoperatively to 71.74 at 5 years.
  • Mean Constant Score was 65.79, and the age/gender-adjusted Constant Score was 92% at 5 years.
  • Mean active anterior elevation was 139°, abduction 135°, and external rotation 17°.

Conclusions:

  • This study confirms good mid-term results for RSA, with outcomes extending beyond 5 years.
  • Very good outcomes were observed in patients with cuff tear arthropathy and omarthrosis.
  • The complication rate associated with RSA in this cohort was low.