EXPERIENCIA CLINICA EN PROTESIS REVERSA DE HOMBRO EN CENTRO MEDICO NAVAL

Problem Statement: The total reverse arthroplasty of man is a suitable therapeutic option for shoulder osteoarthritis associated with cuff rotator tear, massive rotator cuff tear mainly, medializing the rotation center of the shoulder joint, thus replacing the supraspinatus, recovering degree of freedom of movement of the shoulder with the promising clinical results described in the literature, interest has arisen on the part of the traumatology and orthopedics service to evaluate the clinical evolution of the patients operated with this procedure, and generate the knowledge that can be integrated later in studies of May scientific validity. Objective: Objective: to describe the clinical outcome of patients undergoing surgery, with total reverse shoulder arthroplasty, after 6 months of surgery in a naval medical center. Methodology: Type of study: an observational, cross-sectional, retrospective study was carried out. Population: 8 patients que fueron intervenidos quirÃƒÂºrgicamente con artroplastia total reversa de hombro. The DASH, Constan and Simple Shoulder Test tests were applied, which were applied preoperatively and after 6 months of the surgical intervention, and the description and analysis of data was carried out with a statistical program. Results: there was clinical improvement in most patients on the DASH scale with average disability improvement of 59% to 36%, Constan scale from 25.7 to 49.6, Simple Shoulder Test from 3.1 to 5.6. Conclusion. The total reverse shoulder prosthesis is a suitable alternative with adequate clinical results for patients with rotator cuff tear, massive rotator cuff tear.

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Reverse shoulder arthroplasty for massive rotator cuff tear: risk factors for poor functional improvement

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2015.04.015 ◽

2015 ◽

Vol 24 (11) ◽

pp. 1698-1706 ◽

Cited By ~ 53

Author(s):

Robert U. Hartzler ◽

Brandon M. Steen ◽

Michael M. Hussey ◽

Michael C. Cusick ◽

Benjamin J. Cottrell ◽

...

Keyword(s):

Risk Factors ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Shoulder Arthroplasty ◽

Reverse Shoulder Arthroplasty ◽

Functional Improvement ◽

Massive Rotator Cuff Tear ◽

Cuff Tear

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OUTCOMES OF REVERSE ARTHROPLASTY IN PATIENTS WITH SHOULDER ARTHROPATHY AND MASSIVE ROTATOR CUFF TEAR

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2018-24-2-7-18 ◽

2018 ◽

Vol 24 (2) ◽

pp. 7-18 ◽

Cited By ~ 1

Author(s):

S. Yu. Dokolin ◽

A. P. Varfolomeev ◽

V. I. Kuz’mina ◽

V. A. Artyukh ◽

I. V. Marchenko

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Reverse Shoulder Arthroplasty ◽

Treatment Options ◽

Pain Syndrome ◽

X Rays ◽

Massive Rotator Cuff Tear ◽

Cuff Tear ◽

Functional Scores

Purpose— to evaluate mid-term outcomes of reverse joint replacement in patients with shoulder arthropathy and massive rotator cuff tear.Material and Methods. Reverse shoulder arthroplasty with delTa xTeNd (depuy) was performed in 38 patients in the period from december 2010 to december 2016 by the same surgical team. patients’ age ranged from 38 to 82 years. Indications for replacement were pain syndrome and pseudoparalysis of the upper limb in presence of a large or massive Rc tear as well as shoulder arthropathy of various severity degree. Outcomes were evaluated by standard aSeS, cS and ucla scales. Roentgenological examination included ap and axial x-rays during follow up from 1 to 6 years after the surgery with analysis of implants positioning. Mean follow up was 24,2±6,6 months.Results. good outcomes were reported in 6 (15,8%) patients. average functional scores were: aSeS 87,4±2,1, ucla 29,7±1,5 and cS 14,0±2,3. Satisfactory outcomes were observed in 27 (14,2%) patients: aSeS 76,2±2,3, ucla 26,8±1,3 and cS 22,0±1,4 scores. poor outcomes were reported in 5 (14,2%) patients with persisting pain syndrome.Conclusion.To avoid significant and multiple complications after reverse shoulder replacement a precise preoperative planning considering particular destructive changes of glenoid fossa is required. For young and physically active patients the authors recommend to use alternative treatment options aiming at restoration of normal shoulder biomechanics and prophylaxis of arthropathy.

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