AI Article Synopsis
- RSA (Reverse Shoulder Arthroplasty) is effectively used for various shoulder conditions, showing promising early results since the introduction of newer prostheses like the Delta Xtend.
- A study followed 60 patients over an average of 68 months, with 39 completing follow-up questionnaires to assess their shoulder function and pain.
- The results indicated significant improvements in shoulder scores and motion after 5 years, confirming favorable outcomes and low complication rates for patients with cuff tear arthropathy and omarthrosis.
Article Abstract
Background: Reverse shoulder arthroplasty (RSA) has become a frequently used and established treatment for patients with cuff tear arthropathy, increasingly also for patients with fracture sequelae (FS), failed rotator cuff reconstruction and omarthrosis with cuff insufficiency. Since 2007 new generation prostheses, for example Delta Xtend (Depuy, Warsaw, USA), have been used, but few mid-term results have been published.
Objectives: The aim of this study is to report on the outcome after RSA after a mean follow-up of 68 months (range 63-75), to verify the already published, encouraging early results and to learn about the function and pain situation after RSA in the mid-term period.
Methods: 60 patients underwent RSA with the Depuy Delta Xtend prosthesis in the years 2007 and 2008, performed by the senior author of this study. 39 of these patients were available for follow up and were asked to complete a questionnaire (msCS, modified subjective Constant Score). In addition, 28 patients agreed to a clinical examination. With these patients, in addition, the constant score, age and gender-adjusted constant score and range of motion were evaluated.
Results: The mean msCS of preoperative 39.15 points (range 12-69) improved to 71.74 points (range 44-100) after 5 years. The mean CS at 5 years was 65.79 points (range 21-93) and the mean age and gender-adjusted constant score was 92%. The mean active anterior elevation was 139° (range 70-180°), the mean abduction was 135° (range 50-170°) and the mean active external rotation was 17° (range -20-40°).
Conclusion: This study confirms good early results after RSA after more than 5 years. We see very good outcomes in patients with CTA and omarthrosis, whilst the rate of complication is low.
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| http://dx.doi.org/10.1007/s00132-016-3355-5 | DOI Listing |
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