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Neer total shoulder replacement in rheumatoid arthritis.
I G Kelly1, R S Foster, W D Fisher
1University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, Scotland.
The Journal of Bone and Joint Surgery. British Volume
|November 1, 1987
Summary
Neer total shoulder arthroplasty provided good pain relief and function for polyarthritis patients. Range of motion was limited, potentially due to rotator cuff issues, but the procedure is considered valuable.
Area of Science:
- Orthopedic Surgery
- Rheumatology
Background:
- Polyarthritis significantly impacts shoulder function and quality of life.
- Total shoulder arthroplasty is a common treatment for shoulder joint destruction.
Purpose of the Study:
- To evaluate the outcomes of Neer total shoulder arthroplasty in patients with polyarthritis.
- To assess pain relief, functional improvement, range of motion, and complications.
Main Methods:
- Retrospective review of 42 Neer total shoulder replacements in 37 patients with polyarthritis.
- Follow-up duration ranged from 12 to 66 months.
- Assessment included pain, function, range of motion, and radiographic evaluation.
Main Results:
- Significant pain relief and functional improvement were observed.
- Range of motion was less than typically seen after osteoarthritis shoulder arthroplasty.
- Abnormal rotator cuff tendons were noted in 34 shoulders.
- Radiolucent lines around the glenoid component were common but not clinically associated with loosening.
- Complications were infrequent.
Conclusions:
- Neer total shoulder arthroplasty is a beneficial treatment option for managing polyarthritis of the shoulder.
- Rotator cuff integrity may influence postoperative range of motion outcomes.
- The procedure demonstrates a favorable risk-benefit profile in this patient cohort.