Title of article :
Impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty
Author/Authors :
Sadoghi، نويسنده , , Patrick and Vavken، نويسنده , , Patrick and Leithner، نويسنده , , Andreas and Hochreiter، نويسنده , , Josef and Weber، نويسنده , , Georg and Pietschmann، نويسنده , , Matthias F. and Müller، نويسنده , , Peter E.، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2011
Abstract :
Background
rpose was to evaluate the outcome of the Delta reverse shoulder prosthesis (DePuy France, Saint Priest, France) in a consecutive series of 68 shoulders and perform a comparison of patients with and without previous shoulder arthroscopy for cuff tear reconstruction.
ts and methods
essed 68 shoulders in 66 patients (36 women and 30 men) with a mean age of 66 years (range, 53-84 years), first preoperatively and then at a minimum of 2 years’ follow-up, using the Constant score for pain; Constant Shoulder Score; Oxford Shoulder Score; University of California, Los Angeles shoulder rating scale; and Disabilities of the Arm, Shoulder and Hand score. Any complications were assessed according to Goslings and Gouma.
s
ort statistically significant improvements of all obtained scores at a mean follow-up of 42 months (range, 24-96 months) in both groups. Significant outcome differences between 29 patients with previous shoulder arthroscopy for cuff tear reconstruction and 39 patients without previous shoulder arthroscopy were not observed. In total, 8 complications occurred: 1 nerve lesion, 3 cases of loosening of the humeral stem, and 4 cases of luxation of the glenoid component.
sion
clude that reverse total shoulder arthroplasty with the Delta prosthesis is significantly beneficial in terms of less shoulder pain, greater stability, and gain in range of motion without this beneficial effect being significantly weakened by previous insufficient shoulder arthroscopy for cuff tear reconstruction. We believe that previous arthroscopic cuff tear reconstruction should therefore be included in the treatment algorithm.
Keywords :
Arthroplasty , Arthroscopy , Notching , Rotator Cuff Repair , Instability , Clinical Outcome , Inverse shoulder prosthesis
Journal title :
Journal of Shoulder and Elbow Surgery
Journal title :
Journal of Shoulder and Elbow Surgery