Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(05): 868-875
DOI: 10.1055/s-0041-1731674
Artigo Original
Ombro e Cotovelo

Reverse Shoulder Arthroplasty: Evaluation of the Clinical and Functional Outcomes per Etiology

Article in several languages: português | English
Thiago Medeiros Storti 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Hospital Ortopédico e Medicina Especializada (HOME), Instituto de Pesquisa e Ensino (IPE-HOME), Brasília, DF, Brasil
,
Thiago da Silva Ribeiro 
3   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Rafael Salomon Silva Faria 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
João Eduardo Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Carolina Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Alexandre Firmino Paniago 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Hospital Ortopédico e Medicina Especializada (HOME), Instituto de Pesquisa e Ensino (IPE-HOME), Brasília, DF, Brasil
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Objective The present study aimed to evaluate the clinical outcomes of reverse shoulder arthroplasty to treat several conditions.

Methods Retrospective, longitudinal study analyzing the Constant and University of California at Los Angeles (UCLA) scores and range of motion of patients undergoing reverse shoulder arthroplasty.

Results In total, 28 patients were analyzed, with a mean age of 75.6 years old. The mean duration of follow-up was 45 months. Overall, there was a significant variation (p < 0.0001) between the preoperative (10.2 points) and the postoperative UCLA scores (29.6 points), corresponding to a relative increase of approximately 200%. In addition, the mean Constant score was 67.8, and the complication rate was 17.8%. As for functional outcomes per etiology, fracture sequelae cases presented the best mean elevation (165°), Constant score (79 points), postoperative UCLA score (32.5 points), and absolute delta UCLA score increase (22 points), but with no statistical significance. However, cases operated for fracture sequelae showed significantly higher elevation (p = 0.027) and Constant score (p = 0.047) compared to rotator cuff arthropathy cases. In addition, the lowest mean postoperative Constant and UCLA scores were observed for the following etiologies: primary arthrosis, acute fracture, and arthroplasty revision.

Conclusion Reverse shoulder arthroplasty showed satisfactory functional outcomes and may be a treatment option not only for rotator cuff arthropathy but for several other conditions.

Keywords

arthropathy - rotator cuff - rupture - arthroplasty, replacement, shoulder - shoulder pain - shoulder injuries - shoulder prosthesis

Financial Support

There was no financial support from public, commercial, or non-profit sources.


* Study developed at Hospital Ortopédico e Medicina Especializada (HOME), Instituto de Pesquisa e Ensino (IPEHOME), Brasília, DF, Brazil.




Publication History

Received: 27 September 2020

Accepted: 11 February 2021

Article published online:
20 January 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Baulot E, Sirveaux F, Boileau P. Grammont's idea: The story of Paul Grammont's functional surgery concept and the development of the reverse principle. Clin Orthop Relat Res 2011; 469 (09) 2425-2431
    CrossrefPubMedGoogle Scholar
  • 2 Rugg CM, Coughlan MJ, Lansdown DA. Reverse Total Shoulder Arthroplasty: Biomechanics and Indications. Curr Rev Musculoskelet Med 2019; 12 (04) 542-553
    CrossrefPubMedGoogle Scholar
  • 3 Jazayeri R, Kwon YW. Evolution of the reverse total shoulder prosthesis. Bull NYU Hosp Jt Dis 2011; 69 (01) 50-55
    PubMedGoogle Scholar
  • 4 Ferreira Neto AA, Malavolta EA, Assunção JH, Trindade EM, Gracitelli MEC. Reverse shoulder arthroplasty: clinical results and quality of life evaluation. Rev Bras Ortop 2017; 52 (03) 298-302
    Google Scholar
  • 5 Samitier G, Alentorn-Geli E, Torrens C, Wright TW. Reverse shoulder arthroplasty. Part 1: Systematic review of clinical and functional outcomes. Int J Shoulder Surg 2015; 9 (01) 24-31
    CrossrefPubMedGoogle Scholar
  • 6 Amoo-Achampong K, Krill MK, Acheampong D, Nwachukwu BU, McCormick F. Evaluating strategies and outcomes following rotator cuff tears. Shoulder Elbow 2019; 11 (1, Suppl): 4-18
    CrossrefPubMedGoogle Scholar
  • 7 Pastor MF, Kieckbusch M, Kaufmann M, Ettinger M, Wellmann M, Smith T. Reverse shoulder arthroplasty for fracture sequelae: Clinical outcome and prognostic factors. J Orthop Sci 2019; 24 (02) 237-242
    CrossrefPubMedGoogle Scholar
  • 8 Fávaro RC, Abdulahad M, Filho SM, Valério R, Superti MJ. Rotator cuff arthropathy: what functional results can be expected from reverse arthroplasty?. Rev Bras Ortop 2015; 50 (05) 523-529
    Google Scholar
  • 9 Kempton LB, Ankerson E, Wiater JM. A complication-based learning curve from 200 reverse shoulder arthroplasties. Clin Orthop Relat Res 2011; 469 (09) 2496-2504
    CrossrefPubMedGoogle Scholar
  • 10 Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 2011; 20 (01) 146-157
    CrossrefPubMedGoogle Scholar
  • 11 Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981; (155) 7-20
    PubMedGoogle Scholar
  • 12 Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; (304) 78-83
    PubMedGoogle Scholar
  • 13 Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987; (214) 160-164
    PubMedGoogle Scholar
  • 14 Holton J, Yousri T, Arealis G, Levy O. The Role of Reverse Shoulder Arthroplasty in Management of Proximal Humerus Fractures with Fracture Sequelae: A Systematic Review of the Literature. Orthop Rev (Pavia) 2017; 9 (01) 27-31
    CrossrefPubMedGoogle Scholar
  • 15 Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 2006; 88 (08) 1742-1747
    CrossrefPubMedGoogle Scholar
  • 16 Wall B, Nové-Josserand L, O'Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 2007; 89 (07) 1476-1485
    CrossrefPubMedGoogle Scholar
  • 17 Wellmann M, Struck M, Pastor MF, Gettmann A, Windhagen H, Smith T. Short and midterm results of reverse shoulder arthroplasty according to the preoperative etiology. Arch Orthop Trauma Surg 2013; 133 (04) 463-471
    CrossrefPubMedGoogle Scholar
  • 18 Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 2006; 15 (05) 527-540
    CrossrefPubMedGoogle Scholar
  • 19 Atalar AC, Salduz A, Cil H, Sungur M, Celik D, Demirhan M. Reverse shoulder arthroplasty: radiological and clinical short-term results. Acta Orthop Traumatol Turc 2014; 48 (01) 25-31
    CrossrefPubMedGoogle Scholar
  • 20 Amaral MV, de Faria JL, Siqueira G. et al. Reverse arthroplasty of the shoulder for treating rotator cuff arthropathy. Rev Bras Ortop 2014; 49 (03) 279-285
    CrossrefPubMedGoogle Scholar