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- Title
Resultados a mediano plazo de la prótesis invertida en la artropatía de manguito.
- Authors
J., López-Femández; M., Aburto-Bemardo; F., López-Mombiela; A., Pérez-Martín; J. C., Álvarez-González
- Abstract
Introduction: the final stage of rotator cuff tear arthropathy generates pain and disability, treatment with reverse shoulder arthroplasty shows in different published studies good rates of pain reduction and improvements in mobility, the objective of our study was to retrospectively evaluate the medium-term results of inverted shoulder replacement at our center. Material and methods: retrospectively, we analyzed 21 patients (23 prosthetics) undergoing reverse shoulder arthroplasty with the diagnosis of rotator cuff tear arthropathy. The average age of patients was 75.21 years The minimum follow-up was 60 months. We analyzed in all preoperative ASES, DASH and CONSTANT patients, and a new functional assessment was made using these same scales at the last follow-up visit. We analyzed pre and postoperative VAS as well as pre and postoperative mobility range. Results: we achieved a statistically significant improvement in all functional scale and pain values (p < 0.001). The ASES scale showed an improvement of 38.91 points (95% CI 30.97-46.84); the 40.89-point CONSTANT scale (95% 34.57-47.21) and the 52.65-point DASH scale (95% 46.31-59.0) p < 0.001. We found an improvement of 5.41 points (95% CI 4.31-6.50) on the VAS scale. We also achieved a statistically significant improvement in flexion values 66.52° to 113.91° degrees; abduction 63.69° to 105.85° degrees at the end of the follow-up. We did not get statistical significance in terms of external rotation but with a tendency to improve in the obtained values; instead in internal rotation we obtained results that showed a tendency to worsen. Complications occurred during follow-up in 14 patients; 11 in relation to notching glenoid, one patient with a chronic infection, one patient with a late infection and one intraoperative fracture of glenoid. Conclusions: reverse shoulder arthroplasty is an effective treatment of rotator cuff arthropathy. Pain relief and improvement in shoulder flexion and abduction can be expected especially; the gain in rotations is unpredictable.
- Subjects
TOTAL shoulder replacement; JOINT diseases; PAIN management; ANALGESIA; SHOULDER disorders
- Publication
Acta Ortopédica Mexicana, 2022, Vol 36, Issue 3, p159
- ISSN
2306-4102
- Publication type
Academic Journal
- DOI
10.35366/109691