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Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review

International Orthopaedics volume 40, pages 965–973 (2016)Cite this article

Abstract

Purpose

To obtain detailed information on the outcomes of patients with rheumatoid arthritis (RA) undergoing reverse shoulder arthroplasty (RSA)

Methods

A literature search was conducted for studies reporting on the use of RSA in RA patients from 1990 to 2014. The inclusion criteria were a report of sufficient information on pre-operative status and surgical outcome allowing evaluation of the therapeutic potential of RSA in RA. The literature search resulted in 586 hits, but only five studies that met the inclusion criteria were assessed.

Results

There were 100 shoulders that had been operated on, of which 87 were followed for a mean of 55.4 months, the longest follow-up being 11.9 years Most patients had glenohumeral erosive lesions of Larsen Grade III or IV. The Delta III prosthesis was implanted in most cases and in three studies bone graft was used for severe glenoid lesions. The main outcome measures employed were the Constant score (Cs) and ASES questionnaire. The mean increase in Cs and ASES score after surgery was 42.4 and 54 points, respectively. The mean post-operative forward elevation was 120.6°, the average increment being 51° and the mean increase of abduction was 58.5°. The mean prevalence of scapular notching was 35.4 %. The rate of adverse events was 31 %, but the vast majority were of minor severity. Eight prostheses underwent revision, due to infection in four.

Conclusions

RSA implanted in RA patients would appear to give similar results to those obtained in massive cuff tears with or without arthropathy.

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Fig. 1

References

  1. Sperling JW, Cofield RH, Schleck CD, Harmsen WS (2007) Total shoulder arthroplasty versus hemiarthroplasty for rheumatoid arthritis of the shoulder: results of 303 consecutive cases. J Should Elbow Surg 16:683–690

    Article  Google Scholar 

  2. Field LD, Dines DM, Zabinski SJ, Warren RF (1997) Hemiarthroplasty of the shoulder for rotator cuff arthropathy. J Should Elbow Surg 6:18–23

    CAS  Article  Google Scholar 

  3. Lehtinen JT, Belt EA, Lybäck CO, Kauppi MJ et al (2000) Subacromial space in the rheumatoid shoulder: a radiographic 15-year follow-up study of 148 shoulders. J Should Elbow Surg 9:183–187

    CAS  Article  Google Scholar 

  4. Franklin JL, Barrett WP, Jackins SE, Matsen FA 3rd (1988) Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty 3:39–46

    CAS  Article  PubMed  Google Scholar 

  5. Baulot E, Garron E, Grammont PM (1999) Grammont prosthesis in humeral head osteonecrosis. Indications-results. Acta Orthop Belg 65(Suppl 1):109–115

    PubMed  Google Scholar 

  6. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535. doi:10.1136/bmj.b2535

    Article  PubMed  PubMed Central  Google Scholar 

  7. Abdel MP, Hattrup SJ, Sperling JW, Cofield RH et al (2013) Revision of an unstable hemiarthroplasty or anatomical total shoulder replacement using a reverse design prosthesis. Bone Joint J 95 Br:668–672. doi:10.1302/0301-620X.95B5.30964

    Article  Google Scholar 

  8. Baulot E, Chabernaud D, Grammont PM (1995) [Results of Grammont’s inverted prosthesis in omarthritis associated with major cuff destruction. Apropos of 16 cases]. Acta Orthop Belg 61(Suppl 1):112–119

    PubMed  Google Scholar 

  9. Boileau P, Watkinson D, Hatzidakis AM, Hovorka I (2006) Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequalae, and revision arthroplasty. J Should Elbow Surg 15:527–540. doi:10.1016/j.se.2006.01.003

    Article  Google Scholar 

  10. Boulahia A, Edwards TB, Walch G, Baratta RV et al (2002) Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics 25:129–133

    PubMed  Google Scholar 

  11. Castagna A, Delcogliano M, de Caro F, Ziveri G et al (2013) Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system. Int Orthop 37:1297–1305. doi:10.1007/s00264-013-1907-4

    Article  PubMed  PubMed Central  Google Scholar 

  12. Cuff D, Pupello D, Virani N, Levy J et al (2008) Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am 90:1244–1251. doi:10.2106/JBJS.G.00775

    Article  PubMed  Google Scholar 

  13. Frankle M, Siegal S, Pupello D, Saleem A et al (2005) The Reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 87:1697–1705

    Article  PubMed  Google Scholar 

  14. Levy JC, Virani N, Pupello D, Frankle M (2007) Use of reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency. J Bone Joint Surg (Br) 89:189–195. doi:10.1302/0301-620X.89B2.18161

    CAS  Article  Google Scholar 

  15. Nowinski RJ, Gillespie RJ, Shishani Y, Cohen B et al (2012) Antibiotic-loaded bone cement reduces deep infection rates for primary reverse total shoulder arthroplasty: a retrospective, cohort study of 501 shoulders. J Should Elbow Surg 21:324–328. doi:10.1016/j.jse.2011.08.072

    Article  Google Scholar 

  16. Ortmaier R, Resch H, Matis N, Blocher M et al (2013) Reverse shoulder arthroplasty in revision of failed shoulder arthroplasty—outcome and follow-up. Int Orthop 37:67–75. doi:10.1007/s00264-012-1742-z

    Article  PubMed  PubMed Central  Google Scholar 

  17. Patel DN, Young B, Onyekwelu I, Zuckerman JD et al (2012) Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Should Elbow Surg 21:1478–1483. doi:10.1016/j.jse.2011.11.004

    Article  Google Scholar 

  18. Rahme H, Mattsson P, Wikblad L, Larsson S (2006) Cement and press-fit humeral stem fixation provides similar results in rheumatoid patients. Clin Orthop Relat Res 448:28–32

    Article  PubMed  Google Scholar 

  19. Richards J, Inacio MCS, Beckett M, Navarro RA et al (2014) Patient and procedure-specific risk factors for deep infection after primary shoulder arthroplasty. Clin Orthop Relat Res 472:2809–2815. doi:10.1007/s11999-014-3696-5

    Article  PubMed  PubMed Central  Google Scholar 

  20. Schairer WW, Zhang AL, Feeley BT (2014) Hospital readmissions after primary shoulder arthroplasty. J Should Elbow Surg 23:1349–1355. doi:10.1016/j.jse.2013.12.004

    Article  Google Scholar 

  21. Seebauer L, Walter W, Keyl W (2005) Reverse total shoulder arthroplasty for the treatment of defect arthropathy. Oper Orthop Traumatol 17:1–24

    Article  PubMed  Google Scholar 

  22. Vanhove B, Beugnies A, Grammont PM (2004) Reverse shoulder prosthesis for rotator cuff arthropathy. A retrospective study of 32 cases. Acta Orthop Belg 70:219–233

    PubMed  Google Scholar 

  23. Walch G, Boileau P, Noël E (2010) Shoulder arthroplasty: evolving techniques and indications. Joint Bone Spine 77:501–505. doi:10.1016/j.jbspin.2010.09.004

    Article  PubMed  Google Scholar 

  24. Walker M, Willis MP, Brooks JP, Pupello D et al (2012) The use of the reverse shoulder arthroplasty for treatment of failed total shoulder arthroplasty. J Should Elbow Surg 21:514–522. doi:10.1016/j.jse.2011.03.006

    Article  Google Scholar 

  25. Werner CM, Steinmann PA, Gilbart M, Gerber C (2005) Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am 87:1476–1486. doi:10.2106/JBJS.D.02342

    CAS  Article  PubMed  Google Scholar 

  26. Dillon MT, Inacio MC, Burke MF, Navarro RA et al (2013) Shoulder arthroplasty in patients 59 years of age and younger. J Should Elbow Surg 22:1338–1344. doi:10.1016/j.jse.2013.01.029

    Article  Google Scholar 

  27. Favard L, Katz D, Colmar M, Benkalfate T et al (2012) Total shoulder arthroplasty—arthroplasty for glenohumeral arthropathies: results and complications after a minimum follow-up of 8 years according to the type of arthroplasty and etiology. Orthop Traumatol Surg Res 98:541–547

    Article  Google Scholar 

  28. Guery J, Favard L, Sirveaux F, Oudet D et al (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 88:1742–1747

    Article  PubMed  Google Scholar 

  29. Jiang JJ, Toor AS, Shi LL, Koh JL (2014) Analysis of perioperative complications in patients after total shoulder arthroplasty and reverse total shoulder arthroplasty. J Should Elbow Surg 23:1852–1859. doi:10.1016/j.jse.2014.04.008

    Article  Google Scholar 

  30. Lévigne C, Boileau P, Favard L, Gaeaud P et al (2008) Scapular notching in reverse shoulder arthroplasty. J Should Elbow Surg 17:925–935. doi:10.1016/j.jse.2008.02.010

    Article  Google Scholar 

  31. Muh SJ, Streit JJ, Wanner JP, Lenarz CJ et al (2023) Early follow-up of reverse total shoulder arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am 95:1877–1883. doi:10.2106/JBJS.L.10005

    Article  Google Scholar 

  32. Sershon RA, Van Thiel GS, Lin EC, McGill KC et al (2014) Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years. J Should Elbow Surg 23:395–400. doi:10.1016/j.jse.2013.07.047

    Article  Google Scholar 

  33. Walch G, Bacle G, Lädermann A, Nové-Josserand L et al (2012) Do the indications, results, and complications of reverse shoulder arthroplasty change with surgeon’s experience? J Should Elbow Surg 21:1470–1477. doi:10.1016/j.jse.2011.11.010

    Article  Google Scholar 

  34. Wall B, Nové-Josserand L, O’Connor DP, Edwards TB et al (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89:1476–1485. doi:10.2106/JBJS.F.00666

    Article  PubMed  Google Scholar 

  35. Mahmood A, Malal JJ, Waseem M (2013) Reverse shoulder arthroplasty—a literature review. Open Orthop J 7:366–372. doi:10.2174/1874325001307010366

    Article  PubMed  PubMed Central  Google Scholar 

  36. Smith CD, Guyver P, Bunker TD (2012) Indications for reverse shoulder replacement: a systematic review. J Bone Joint Surg (Br) 94:577–583. doi:10.1302/0301-620X.94B5.27596

    CAS  Article  Google Scholar 

  37. Khan WS, Longo UG, Ahrens PM, Denaro V et al (2011) A systematic review of the reverse shoulder replacement in rotator cuff arthropathy, rotator cuff tears, and rheumatoid arthritis. Sports Med Arthros 19:366–379. doi:10.1097/JSA.0b013e318224e44e

    Article  Google Scholar 

  38. Hedtmann A, Werner A (2007) [Shoulder arthroplasty in rheumatoid arthritis]. Orthopade 11:1050–1061

    Article  Google Scholar 

  39. Wiater JM, Fabing MH (2009) Shoulder arthroplasty:prosthetic options and indications. J Am Acad Orthop Surg 17:415–425

    Article  PubMed  Google Scholar 

  40. Irlenbusch U, Forke L, Fuhrmann U, Gebhardt K et al (2010) Establishing the differential indication for anatomical and reversed shoulder endoprostheses in rheumatoid arthritis. Z Rheumatol 69:240–249. doi:10.1007/s00393-009-0441-7

    CAS  Article  PubMed  Google Scholar 

  41. John M, Pap G, Angst F, Flury MP et al (2010) Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear. Int Orthop 34:71–77. doi:10.1007/s00264-009-0733-1

    Article  PubMed  PubMed Central  Google Scholar 

  42. Rittmeister M, Kerschbaumer F, Grammont PM (2001) Reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Should Elbow Surg 10:17–22

    CAS  Article  Google Scholar 

  43. Woodruff MJ, Cohen AP, Bradley JG (2003) Arthroplasty of the shoulder in rheumatoid arthritis with rotator cuff dysfunction. Int Orthop 27:7–10

    CAS  PubMed  PubMed Central  Google Scholar 

  44. Holcomb JO, Hebert DJ, Mighell MA, Dunning PE et al (2010) Reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Should Elbow Surg 19:1076–1084. doi:10.1016/j.jse.2009.11.049

    Article  Google Scholar 

  45. Ekelund A, Nyberg R (2011) Can reverse shoulder arthroplasty be used with few complications in rheumatoid arthritis? Clin Orthop Relat Res 469:2483–2488. doi:10.1007/s11999-010-1654-4

    Article  PubMed  PubMed Central  Google Scholar 

  46. Young AA, Smith MM, Bacle G, Moraga C et al (2011) Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 93:1915–1923. doi:10.2106/JBJS.J.00300

    PubMed  Google Scholar 

  47. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164

    PubMed  Google Scholar 

  48. Larsen A, Dale K, Eek M (1997) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn (Stockh) 18:481–491

    Google Scholar 

  49. Lévigne C (2002) Classifications et évolutions radiographiques de l’épaule rhumatoïde. Rev Rhum [Ed Fr] 69(Suppl 3):108–112

    Article  Google Scholar 

  50. Valenti P, Boutens D, Nerot C (2001) Delta 3 reversed prosthesis for osteoarthritis with massive rotator cuff tear: long term results (>5 years). In: Walch G, Boileau P, Molé D (eds) 2000 shoulder prostheses two to ten year follow-up. Sauramps Medical, Montpellier, pp 253–259

    Google Scholar 

  51. Sirveaux F, Favard L, Oudet D, Huquet D et al (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg (Br) 86:388–395

    CAS  Article  Google Scholar 

  52. Nolan BM, Ankerson E, Wiater JM (2011) Reverse total shoulder arthroplasty improves function in cuff tear arthropathy. Clin Orthop Relat Res 469:2476–2482. doi:10.1007/s11999-010-1683-z

    Article  PubMed  PubMed Central  Google Scholar 

  53. Zumstein MA, Pinedo M, Old J, Boileau P (2011) Problems, complications, reoperations, and revisions in reverse shoulder arthroplasty: a systematic review. J Should Elbow Surg 20:146–157. doi:10.1016/jse.2010.08.001

    Article  Google Scholar 

  54. Scarlat MM (2013) Complications with reverse total shoulder arthroplasty and recent evolutions. Int Orthop 37:843–851. doi:10.1007/s00264-013-1832-6

    Article  PubMed  PubMed Central  Google Scholar 

  55. De Biase CF, Ziveri G, Delcogliano M, De Caro F et al (2013) The use of an eccentric glenosphere compared with a concentric glenosphere in reverse total shoulder arthroplasty: two-year minimum follow-up results. Int Orthop 37:1949–1955. doi:10.1007/s00264-013-1947-9

    Article  PubMed  PubMed Central  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Italian University of Sports and Movement, Roma, Italy

    Roberto Postacchini & Maurizio Ripani

  2. Department of Molecular Medicine, University of Rome, Roma, Italy

    Stefano Carbone

  3. Orthopaedic Surgery, Clinica San Feliciano, Roma, Italy

    Gianfranco Canero

  4. Sapienza University of Rome, Roma, Italy

    Franco Postacchini

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  1. Roberto Postacchini
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  2. Stefano Carbone
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  3. Gianfranco Canero
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  4. Maurizio Ripani
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Correspondence to Stefano Carbone.

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Postacchini, R., Carbone, S., Canero, G. et al. Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review. International Orthopaedics (SICOT) 40, 965–973 (2016). https://doi.org/10.1007/s00264-015-2916-2

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Keywords

  • Reverse shoulder athroplasty
  • Reverse shoulder prosthesis
  • Rheumatoid arthritis
  • Outcomes
  • Revisions