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Reverse versus anatomical shoulder arthroplasty in patients with intact rotator cuff

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Abstract

Purpose

The study objective was to compare the clinical results of reverse total shoulder arthroplasty (rTSA) and anatomical total shoulder arthroplasty (aTSA) in patients with osteoarthritis and intact rotator cuff. We hypothesised that the clinical results using rTSA would be comparable with those obtained with aTSA in this group of patients.

Methods

The study included 51 patients with shoulder osteoarthritis and intact rotator cuff who underwent rTSA or aTSA. The range of motion, Constant–Murley score and strength in external rotation were recorded pre-operatively and at the two year follow-up. Subjective post-operative results were measured using the subjective shoulder value (SSV) score and a satisfaction questionnaire.

Results

The post-operative improvement was significant in both groups, subjectively and concerning all parameters of the Constant–Murley score. Post-operatively, no significant difference was noted between the two groups for active anterior elevation (AAE), active external rotation (ER), internal rotation (IR) or Constant–Murley score (67 ± 12 in the rTSA group vs 71 ± 11 in the aTSA group). An exception was the Constant–Murley range of motion sub-score, which was better in the aTSA group (p = 0.028). No significant complications necessitating revision surgery were encountered.

Discussion

Our findings are consistent with previous studies showing good results of rTSA with shoulder osteoarthritis and intact rotator cuff with a good restoration of the IR, similar to that obtained with aTSA.

Conclusion

The rTSA is a valid option for shoulder osteoarthritis and intact rotator cuff in older adult patients.

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Authors and Affiliations

  1. Carol Davila University of Medicine and Pharmacy, Foișor Orthopaedic Hospital, 35–37 Ferdinand I, 021382, Bucharest, Romania

    Emil-George Haritinian

  2. Ramsay Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, 24 Avenue Paul Santy, 69008, Lyon, France

    Vincent Belgaid, Tiago Lino & Laurent Nové-Josserand

Authors
  1. Emil-George Haritinian
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  2. Vincent Belgaid
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  3. Tiago Lino
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  4. Laurent Nové-Josserand
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Correspondence to Emil-George Haritinian.

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Conflict of interest

Dr. Laurent Nové-Josserand receives royalties from 3S Ortho.

The other authors declare that they have no conflicts of interest.

Ethics approval

Approval was obtained from the ethics committee of the Scientific Committee of the GCS Ramsay Santé for Education and Research. Ethics approval number: COS-RGDS-2020-01-004-NOVE JOSSERAND-L.

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All study participants provided informed consent.

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Haritinian, EG., Belgaid, V., Lino, T. et al. Reverse versus anatomical shoulder arthroplasty in patients with intact rotator cuff. International Orthopaedics (SICOT) 44, 2395–2405 (2020). https://doi.org/10.1007/s00264-020-04754-z

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  • DOI: https://doi.org/10.1007/s00264-020-04754-z

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