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Clinical Orthopaedics and Related Research®

, Volume 469, Issue 9, pp 2469–2475 | Cite as

Reverse Prostheses in Arthropathies With Cuff Tear: Are Survivorship and Function Maintained Over Time?

  • Luc FavardEmail author
  • Christophe Levigne
  • Cécile Nerot
  • Christian Gerber
  • Lieven De Wilde
  • Daniel Mole
Symposium: Reverse Total Shoulder Arthroplasty

Abstract

Background

The use of reverse shoulder arthroplasty has considerably increased since first introduced in 1985. Despite demonstrating early improvement of function and pain, there is limited information regarding the durability and longer-term outcomes of this prosthesis.

Questions/purposes

We determined complication rates, functional scores over time, survivorship, and whether radiographs would develop signs of loosening.

Patients and Methods

We retrospectively reviewed 527 reverse shoulder arthroplasties performed in 506 patients between 1985 and 2003. Clinical and radiographic assessment was performed in 464 patients with a minimum followup of 2 years and 148 patients with a minimum followup of 5 years (mean, 7.5 years; range, 5–17 years). Cumulative survival curves were established with end points being prosthesis revision and Constant-Murley score of less than 30 points.

Results

Eighty-nine of 489 had at least one complication for a total of 107 complications. Survivorship free of revision was 89% at 10 years with a marked break occurring at 2 and 9 years. Survivorship to a Constant-Murley score of less than 30 was 72% at 10 years with a marked break observed at 8 years. We observed progressive radiographic changes after 5 years and an increasing frequency of large notches with long-term followup.

Conclusions

Although the need for revision of reverse shoulder arthroplasty was relatively low at 10 years, Constant-Murley score and radiographic changes deteriorated with time. These findings are concerning regarding the longevity of the reverse shoulder arthroplasty, and therefore caution must be exercised when recommending reverse shoulder arthroplasty, especially in younger patients.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Keywords

Rotator Cuff Minimum Followup Reverse Shoulder Arthroplasty Glenoid Component Reverse Prosthesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We thank Allan Young, Gilles Walch, Pascal Boileau, François Sirveaux, Carlos Maynou, Philippe Valenti, and the French Society of Orthopedic Surgery for their participation in this study.

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Copyright information

© The Association of Bone and Joint Surgeons® 2011

Authors and Affiliations

  • Luc Favard
    • 1
    Email author
  • Christophe Levigne
    • 2
  • Cécile Nerot
    • 3
  • Christian Gerber
    • 4
  • Lieven De Wilde
    • 5
  • Daniel Mole
    • 6
  1. 1.Service Orthopedie TraumatologieTours CedexFrance
  2. 2.Chirurgie OrthopédiqueLyonFrance
  3. 3.Hôpital Maison Blanche, OrthopédieReimsFrance
  4. 4.Orthopädische UniversitätsklinikZurichSwitzerland
  5. 5.Kliniek voor Orthopedie, Fysische Geneeskunde en RevalidatieUniversitair Ziekenhuis GentGhentBelgium
  6. 6.Clinique de Traumatologie et OrthopédieNancyFrance

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