Can Reverse Shoulder Arthroplasty be Used with Few Complications in Rheumatoid Arthritis?

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Complications in reverse shoulder arthroplasty

The reported rate of complications of reverse shoulder arthroplasty (RSA) seems to be higher than the complication rate of anatomical total shoulder arthroplasty.The reported overall complication rate of primary RSA is approximately 15%; when RSA is used in the revision setting, the complication rate may approach 40%.The most common complications of RSA include instability, infection, notching,...

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Reverse Shoulder Arthroplasty in Rheumatoid Arthritis: A Systematic Review

BACKGROUND Anatomical shoulder replacement for rheumatoid arthritis (RA) is complicated by a high incidence of rotator cuff tears and glenoid erosion. This can lead to poor function and early failure. Reverse shoulder arthroplasty (RSA) has gained popularity as an alternative. This systematic review attempts to further define the role of RSA in RA. METHODS A systematic review identified seven...

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Reverse Shoulder Arthroplasty in the Treatment of End-Stage Rheumatoid Arthritis of the Shoulder

Rheumatoid arthritis (RA) of the shoulder affects both bony and soft-tissue structures around the glenohumeral joint and destroys the rotator cuff, and leads to loss of function, instability, and chronic incongruency of the joint. Lehtinen et al. [1] 2000 reported a natural history of 148 RA shoulders with a 15-year follow-up. The result was upward migration, medialization, and flattening of th...

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Reverse Shoulder Arthroplasty in Patients with Rheumatoid Arthritis: A Systematic Review

BACKGROUND The purpose of this study was to describe the pathoanatomy of patients diagnosed with rheumatoid arthritis and rotator cuff deficiency and report their outcomes following reverse shoulder arthroplasty. METHODS Twenty-one shoulders were evaluated prospectively. Nine had no prior surgery, 9 had a failed rotator cuff repair, and 3 had a failed arthroplasty. Patients were followed for ...

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The results of shoulder arthroplasty in patients with rheumatoid arthritis.

We have performed a clinical and radiological analysis of 105 shoulder arthroplasties in patients with rheumatoid arthritis. The clinical results showed improvements in the Constant-Murley and Association of Shoulder and Elbow Surgeons score of 21 and 35, respectively. Both were statistically significant (p < 0.001). This improvement was maintained over a period of 8.8 years. There was no stati...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2011

ISSN: 0009-921X

DOI: 10.1007/s11999-010-1654-4