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J Clin Orthop Trauma. 2018 Jan-Mar;9(1):87-93. doi: 10.1016/j.jcot.2017.10.002. Epub 2017 Oct 6.

Going forward with reverse shoulder arthroplasty.

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1
Trauma & Orthopaedics, Princess of Wales Hospital, Bridgend, CF311RQ, United Kingdom.

Abstract

Rotator cuff is a vital structure of glenohumeral joint, the dysfunction of which leads to debilitating pain and restricted movement. Arthroplasty using unconstrained anatomical prosthesis for treating these conditions have not been successful in the past. Reverse Shoulder Arthroplasty (RSA) is a novel technique specifically designed to address end stage glenohumeral arthritis in rotator cuff deficient joint. Short and mid-term studies have demonstrated a significant improvement in pain and range of motion of the shoulder joint. However there is a very high complication rate in comparison to total and hemiarthroplasty of shoulder joint. Over the years, there has been a steady increase in RSAs performed, both in volume and the indications for its use. This article discusses the biomechanical aspects, indications and critically reviews the clinical outcome following Reverse Shoulder Arthroplasty.

KEYWORDS:

Cuff tear arthropathy; Proximal humerus fracture; Reverse polarity arthroplasty; Reverse shoulder arthroplasty; Rotator cuff. glenohumeral arthritis; Shoulder arthroplasty; Survivorship

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