Reverse Shoulder Arthroplasty for the Treatment of Proximal Humeral Fractures

Wall, Bryan; Walch, Gilles

doi:10.1016/j.hcl.2007.08.002

Cited by 83 publications

(40 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…25,26 Also excluded were abstracts 24,31 case reports, 86,87 and articles and reviews without original patient data. * The studies by Baulot and Grammont,4,39,40 Middernacht et al, 65 Walch et al, 94 Boileau et al 7,8 Mottier et al, 66 Neyton et al, 67 and Wall and Walch, 96 were not included in the analysis because parts of them ) References 6,11,13,16,18,30,32,36,[42][43][44][45][46][48][49][50][52][53][54][59][60][61][62][63][68][69][70]74,75,78,85,90,91,93. were the same cohort as in other published studies. 3,…”

Section: Literature Searchmentioning

confidence: 99%

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Zumstein¹,

Pinedo²,

Old

et al. 2011

Journal of Shoulder and Elbow Surgery

793

526

View full text Add to dashboard Cite

Section: Literature Searchmentioning

confidence: 99%

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Zumstein¹,

Pinedo²,

Old

et al. 2011

Journal of Shoulder and Elbow Surgery

793

526

View full text Add to dashboard Cite

“…The indications for RTSA have expanded over the last few years and include CTA [15,18,26,50,57,61], inflammatory arthropathy with massive rotator cuff tear [26,45], proximal humeral nonunion or malunion [6,34,57], acute fractures [34,57,58], fixed glenohumeral dislocation [57], posttraumatic arthritis [26,57], tumor [4,13,35,57], revision arthroplasty [6,27,33,57], and chronic pseudoparalysis without arthritis [41,57,60,61]. We will limit our discussion to problems dealing with the rotator cuff.…”

Section: Indications For Reverse Total Shoulder Arthroplastymentioning

confidence: 99%

“…The RTSA was originally designed to treat a massive irreparable rotator cuff with superior migration of the humeral head combined with glenohumeral arthritis (cuff tear arthropathy [CTA]) [5,15,18,21,40]. The indications have expanded however, and currently it is being used for multiple diagnoses including fracture sequelae [6,31,32,34,58], revision arthroplasty [6,27,33,57], instability [57], and tumors [4,13,35,57]. As a result of its success with these problems, its indications are gradually increasing, and many are unsure about its role in the treatment of rotator cuff disease.…”

Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

220

129

View full text Add to dashboard Cite

Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

show abstract

“…Reverse shoulder arthroplasty may offer a more predictable result, without relying on tuberosity healing. Less intensive rehabilitation protocols allow earlier motion and return to function [40].…”

Section: Acute Proximal Humerus Fracturesmentioning

confidence: 99%

Reverse shoulder arthroplasty

Smithers¹,

Young²,

Walch

2011

Curr Rev Musculoskelet Med

Self Cite

View full text Add to dashboard Cite

The reverse shoulder arthroplasty emerged as a potential solution for those patients who could not be managed effectively with a conventional total shoulder arthroplasty. Grammont revolutionized the design by medializing and distalizing the center of rotation and utilizing a large convex glenoid surface and concave humeral component with a neck-shaft angle of 155°. This design has been highly successful in cuff deficient shoulders, and indications continue to broaden. Many mid-term studies have improved upon the early encouraging results. Long-term studies are starting to emerge, demonstrating good survivorship, but progressive functional and radiographic deterioration continue to be concerning. Careful patient selection and attention to appropriate technique are required to reduce the current high rate of complications. New prosthesis designs are continuing to develop to address some of these limitations.

show abstract

Reverse Shoulder Arthroplasty for the Treatment of Proximal Humeral Fractures

Cited by 83 publications

References 32 publications

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Reverse shoulder arthroplasty

Contact Info

Product

Resources

About