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Medium term results of reverse total shoulder replacement in patients with rotator cuff arthropathy

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Abstract

Background

The Delta III total shoulder replacement is a reversed, semi-constrained prosthesis and is recommended for the management of rotator cuff arthropathy.

Methods

We performed a retrospective mid-term review of the Delta shoulder replacements performed during 2000–2005 with a minimum 18-month follow-up. We recorded the pre-operative and post-operative constant scores.

Results

The Constant’s score improved from a pre-operative mean of 14.8 (95% CI +8.8 to +19.8) to a post-operative mean of 60.9 (95% CI +50 to +66.2) with a P valve of <0.0001.

Conclusion

Delta III prosthesis restores the function in shoulder affected by severe pain and dysfunction due to rotator cuff arthropathy. Inferior scapular notching in the post-operative radiographs was better visualised in abduction views compared with standard anteroposterior radiographs. Long-term follow-up is required to predict the effect of scapular notching.

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Correspondence to M. K. Sayana.

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Sayana, M.K., Kakarala, G., Bandi, S. et al. Medium term results of reverse total shoulder replacement in patients with rotator cuff arthropathy. Ir J Med Sci 178, 147–150 (2009). https://doi.org/10.1007/s11845-008-0262-8

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  • DOI: https://doi.org/10.1007/s11845-008-0262-8

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