Reverse Shoulder Arthroplasty for the Treatment of Rotator Cuff Deficiency: A Concise Follow-up, at a Minimum of 10 Years, of Previous Reports

• Published in: Journal of bone and joint surgery. American volume 2017-11, Vol.99 (22), p.1895-1899
• Main Authors: Cuff, Derek J., Pupello, Derek R., Santoni, Brandon G., Clark, Rachel E., Frankle, Mark A.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Arthroplasty, Replacement - instrumentation; Arthroplasty, Replacement - methods; Bone Plates; Bone Screws; Female; Follow-Up Studies; Humans; Male; Middle Aged; Periprosthetic Fractures - epidemiology; Periprosthetic Fractures - surgery; Postoperative Complications - epidemiology; Postoperative Complications - surgery; Reoperation; Rotator Cuff Injuries - surgery; Shoulder Prosthesis; Treatment Outcome
• ISSN: 0021-9355; 1535-1386
• DOI: 10.2106/JBJS.17.00175

We previously evaluated 94 patients (96 shoulders) who underwent reverse shoulder arthroplasty using a central compressive screw with 5.0-mm peripheral locking screws for baseplate fixation and a center of rotation lateral to the glenoid as treatment for end-stage rotator cuff deficiency. The purpose of this study was to report updated results at a minimum follow-up of 10 years. Forty patients (42 shoulders) were available for clinical follow-up. In the patients available for study, implant survivorship, with the end point being revision for any reason, was 90.7%. Since our 5-year report, 2 patients underwent revision surgery; 1 patient sustained a periprosthetic fracture 7 years postoperatively and 1 patient had a dislocation because of chronic shoulder instability at 8 years postoperatively. At a minimum follow-up of 10 years, the patients continued to maintain their improved outcome scores and range of motion, which were comparable with earlier follow-up evaluations. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.