ABSTRACT
Objective: In this study, we aimed to review the short and mid-term radiological and clinical outcomes of our patients who underwent reverse shoulder prosthesis due to rotator cuff arthropathy.
Material and Methods: Between 2015 & 2018, a total of 22 patients (8 male & 14 female) with shoulder arthrosis due to cuff tears were treated with reverse shoulder prosthesis. The mean age of the patients was 69.4 years (60-93 year) and the mean follow-up period was 11 months (3-36 month). The patients were evaluated with Shoulder Constant, American Shoulder and Elbow Surgeons Shoulder Score (ASES), visual analog scale(VAS) scores preoperatively and in their final outpatient visits with radiological methods and range of motion, Constant, VAS and ASES scores.
Results: The mean shoulder flexion extension and abduction was measured as 101, 24 and 97.9 degrees respectively in the last polyclinic controls. Mean shoulder Constant score was 30.8 preoperatively and 62.1 at the last follow-up(p=0,001). The mean score of ASES was 31.6 preoperatively and increased to 65.9 at the last follow-up (p=0,001). The mean preoperative mean VAS was 7.42, and the mean postoperative mean was 2.8(p=0,001). Periprosthetic fracture developed intraoperatively in one patient who also had a dislocation occurred in the 2nd month postoperatively. In another patient, superficial infection occurred at the postoperative 3rd week. One patient died because of cardiac problems postoperatively and another one had a traumatic periprosthetic fracture 5 months postoperatively.
Conclusion: In patients with advanced rotator cuff tear arthropathy, reverse shoulder prosthesis application is a major surgical procedure, but with appropriate rehabilitation protocol, significant improvement in pain and function can be achieved.
Key words: reverse shoulder arthroplasty; rotator cuff tear arthropathy;adiological results
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