Reverse total shoulder arthroplasty

Gerber, C; Pennington, SD; Nyffeler, RW (2009). Reverse total shoulder arthroplasty. Journal of the American Academy of Orthopaedic Surgeons, 17(5), pp. 284-95. Rosemont, Ill.: American Academy of Orthopaedic Surgeons

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The radical changes in prosthetic design made in the mid 1980s transformed the historically poorly performing reverse ball-and-socket total shoulder prosthesis into a highly successful salvage implant for pseudoparalytic, severely rotator cuff-deficient shoulders. Moving the center of rotation more medial and distal as well as implanting a large glenoid hemisphere that articulates with a humeral cup in 155 degrees of valgus are the biomechanical keys to sometimes spectacular short- to mid-term results. Use of the reverse total shoulder arthroplasty device allows salvage of injuries that previously were beyond surgical treatment. However, this technique has a complication rate approximately three times that of conventional arthroplasty. Radiographic and clinical results appear to deteriorate over time. Proper patient selection and attention to technical details are needed to reduce the currently high complication rate.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
UniBE Contributor:	Nyffeler, Richard Walter
ISSN:	1067-151X
ISBN:	19411640
Publisher:	American Academy of Orthopaedic Surgeons
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:09
Last Modified:	05 Dec 2022 14:21
PubMed ID:	19411640
Web of Science ID:	000265547200003
URI:	https://boris.unibe.ch/id/eprint/30360 (FactScience: 192924)