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Treatment Options for Irreparable Rotator Cuff Tears: Reverse Total Shoulder Arthroplasty

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Shoulder Arthroscopy

Abstract

Reverse shoulder arthroplasty (RSA) was a major step to the irreparable cuff tear patients since its introduction in 1985. Since then, biomechanical improvements and newer designs came to the market, and RSA became the most frequently used option for shoulder replacement with proven outcome for patients with rotator cuff deficiency. The present chapter gives an overview about pathoanatomy, indication, decision-making and latest know-how in surgical procedure and prosthetic advances and points out critical steps and latest options to get the best possible result with RSA.

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References

  1. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16:65–8.

    Article  CAS  PubMed  Google Scholar 

  2. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elb Surg. 2005;14(Suppl 1):147–61.

    Article  Google Scholar 

  3. Sirveaux F, Favard L, Oudet D, et al. 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. 2004;86:388–95.

    Article  CAS  PubMed  Google Scholar 

  4. Wall B, Nové-Josserand L, OʼConnor DP, et al. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Jt Surg. 2007;89:1476–85.

    Google Scholar 

  5. Walch G, Boileau P, Noël E. Shoulder arthroplasty: evolving techniques and indications. Joint Bone Spine. 2010;77(6):501–5. https://doi.org/10.1016/j.jbspin.2010.09.004.

    Article  PubMed  Google Scholar 

  6. Favard L, Lautmann S, Sirveaux F, Oudet D, Kerjean Y, Huguet D. Hemiarthroplasty versus reverse arthroplasty in the treatment of osteoarthritis with massive rotator cuff tear. In: Walch G, Boileau P, Mole D, editors. 2000 shoulder prostheses. Two to ten year follow-up. Montepellier, France: Sauramps Medical; 2001. p. 261–8.

    Google Scholar 

  7. Redfern TR, Wallace WA. History of shoulder replacement surgery. In: Wallace WA, editor. Joint replacement in the shoulder and elbow. Oxford, UK: Butterworth-Heinemann; 1998. p. 6–16.

    Google Scholar 

  8. Viswanath A, Bale S, Trail I. Reverse total shoulder arthroplasty for irreparable rotator cuff tears without arthritis: a systematic review. J Clin Orthop Trauma. 2021;17:267–72.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Farshad M, Gerber C. Reverse total shoulder arthroplasty-from the most to the least common complication. Int Orthop. 2010;34(8):1075–82.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Seebauer L. Total reverse shoulder arthroplasty: European lessons and future trends. Am J Orthop (Belle Mead NJ). 2007;36(Suppl 1):22–8.

    PubMed  Google Scholar 

  11. Flurin P-H, Hardy P, Valenti P, Meyer N, Collin P, Kempf J-F. 2017 Osteoarthritis after rotator cuff repair: A 10-year follow-up study. Orthop Traumatol Surg Res. 2017 Jun;103(4):477–81.

    Article  PubMed  Google Scholar 

  12. Laedermann A, Denard PJ, Collin P. Massive rotator cuff tears: definition and treatment. Int Orthop. 2015;39:2403–14.

    Article  Google Scholar 

  13. Kappe T, Cakir B, Reichel H, Elsharkawi M. Reliability of radiologic classification for cuff tear arthropathy. JSES. 2011 Jun;20(4):543–7.

    Google Scholar 

  14. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast. 1999;14:756–60.

    Article  CAS  Google Scholar 

  15. Guerra-Soriano F, Ruiz-Suárez M, Encalada-Díaz MI, Pérez-Domenech J, Moscona-Mishy L, Valero-González FS. The Seebauer classification for the staging of arthropathy due to rotator cuff massive tear: intra- and interobserver concordance analysis. Acta Ortop Mex. 2010 Nov–Dec;24(6):390–4.

    CAS  PubMed  Google Scholar 

  16. Brolin TJ, et al. Classification in brief. Hamada classification of massive rotator cuff tears. Clin Orthop Relat Res. 1990;475(11):2819–23.

    Article  Google Scholar 

  17. Young BL, Cantrell CK, Hamid N. Classifications in brief: the Nerot-Sirveaux classification for scapular notching. Clin Orthop Relat Res. 2018 Dec;476(12):2454–7.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Werner BS, Hudek R, Burkhart KJ, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elb Surg. 2017 Aug;26(8):1477–83.

    Article  Google Scholar 

  19. Villatte G, Muller A-S, Pereira B, Mulliez A, Reilly P, Emery R. Use of patient-specific instrumentation (PSI) for glenoid component positioning in shoulder arthroplasty. A systematic review and meta-analysis. PLoS One. 2018 Aug;13(8):e0201759.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Lohre R, Warner JJP, Athwal GS, Goel DP. The evolution of virtual reality in shoulder and elbow surgery. JSES Int. 2020 May 7;4(2):215–23.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Smith CD, Guyver P, Bunker TD. Indications for reverse shoulder replacement: a systematic review. J Bone Joint Surg Br. 2012;94(5):577–83.

    Article  CAS  PubMed  Google Scholar 

  22. Gallinet D, Ohl X, Decroocq L, Dib C, Valenti P, Boileau P. Is reverse total shoulder arthroplasty more effective than hemiarthroplasty for treating displaced proximal humerus fractures in older adults? A systematic review and meta-analysis. Orthop Traumatol Surg Res. 2018 Oct;104(6):759–66.

    Article  PubMed  Google Scholar 

  23. De Wilde LF, Plasschaert FS, Audenaert EA, Verdonk RC. Functional recovery after a reverse prosthesis for reconstruction of the proximal humerus in tumor surgery. Clin Orthop Relat Res. 2005;430:156–62.

    Article  Google Scholar 

  24. Alta TD, Willems WJ. Once an arthrodesis, always an arthrodesis? J Shoulder Elb Surg. 2016;25:232–7.

    Article  Google Scholar 

  25. Dogger MN, van Bemmel AF, Alta TDW, van Noort A. Conversion to reverse shoulder arthroplasty fifty-one years after shoulder arthrodesis: a case report. World J Orthop. 2020 Oct 18;11(10):465–72.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Brian Toney C, Thompson MJ, Barnes BJ, Douglas Boardman N. Conversion of glenohumeral fusion to reverse total shoulder arthroplasty: a case report. BJS Case Connect. 2017 Jan–Mar;7(1):e20. https://doi.org/10.2106/JBJS.CC.16.00029.

    Article  Google Scholar 

  27. Chalmers PN, Van Thiel GS, Trenhaile SW. Surgical exposures of the shoulder. J Am Acad Orthop Surg. 2016;24:250–8.

    Article  PubMed  Google Scholar 

  28. Aibinder WR, Clark NJ, Schoch BS, Steinmann SP. Assessing glenosphere position: superior approach versus deltopectoral for reverse shoulder arthroplasty. J Shoulder Elb Surg. 2018;27:455–62. https://doi.org/10.1016/j.jse.2017.10.013.

    Article  Google Scholar 

  29. Willems JIP, Hoffmann J, Sierevelt IN, van den Bekerom MPJ, Alta TDW, van Noort A. Results of stemless shoulder arthroplasty: a systematic review and meta-analysis. EFORT Open Rev. 2021 Jan 4;6(1):35–49.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Churchill RS, Athwal GS. Stemless shoulder arthroplasty-current results and designs. Curr Rev Musculoskelet Med. 2016;9:10–6.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Moroder P, Ernstbrunner L, Zweiger C, Schatz M, Seitlinger G, Skursky R, Becker J, Resch H, Krifter RM. Short to mid-term results of stemless reverse shoulder arthroplasty in a selected patient population compared to a matched control group with stem. Int Orthop. 2016;40(10):2115-2120.

    Article  PubMed  Google Scholar 

  32. Jang YH, Lee JH, Kim SH. Effect of scapular notching on clinical outcomes after reverse total shoulder arthroplasty. Bone Joint J. 2020;102B(11):1438–45.

    Article  Google Scholar 

  33. Nicholson GP, Strauss EJ, Sherman SL. Scapular notching: recognition and strategies to minimize clinical impact. Clin Orthop Relat Res. 2011;469(9):2521–30.

    Article  PubMed  Google Scholar 

  34. Bohsali KI, Bois AJ, Wirth MA. Complications of shoulder arthroplasty. J Bone Jt Surg Am. 2017;99(3):256–69.

    Article  Google Scholar 

  35. Werner BS, Chaoui J, Walch G. The influence of humeral neck shaft angle and glenoid lateralization on range of motion in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2017;26(10):1726–31.

    Article  Google Scholar 

  36. Erickson BJ, Frank RM, Harris JD, Mall N, Romeo AA. The influence of humeral head inclination in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elb Surg. 2015;24(6):988–93.

    Article  Google Scholar 

  37. Holschen M, Kiriazis A, Bockmann B, Schulte TL, Witt KA, Steinbeck J. Treating cuff tear arthropathy by reverse total shoulder arthroplasty: do the inclination of the humeral component and the lateral offset of the glenosphere influence the clinical and the radiological outcome? Eur J Orthop Surg Traumatol. 2021 Apr 20;32:307. https://doi.org/10.1007/s00590-021-02976-4.

    Article  PubMed  Google Scholar 

  38. Otto RJ, Virani NA, Levy JC, Nigro PT, Cuff DJ, Frankle MA. Scapular fractures after reverse shoulder arthroplasty: evaluation of risk factors and the reliability of a proposed classification. J Shoulder Elb Surg. 2013;22:1514–21. https://doi.org/10.1016/j.jse.2013.02.007.

    Article  Google Scholar 

  39. Shah SS, Gentile J, Chen X, Kontaxis A, Dines DM, Warren RF. Influence of implant design and parasagittal acromial morphology on acromial and scapular spine strain after reverse total shoulder arthroplasty: a cadaveric and computer based biomechanical analysis. J Shoulder Elb Surg. 2020;29:2395. https://doi.org/10.1016/j.jse.2020.04.004.

    Article  Google Scholar 

  40. Lucasti CJ, Namdari S. Acromial stress fractures: a systematic review. Arch Bone Jt Surg. 2019;7(5):397–401.

    PubMed  PubMed Central  Google Scholar 

  41. King JJ, Dalton SS, Gulotta LV, Wright TW, Schoch BS. How common are acromial and scapular spine fractures after reverse shoulder arthroplasty?: A systematic review. Bone Joint J. 2019;101-B(6):627–34.

    Article  CAS  PubMed  Google Scholar 

  42. Alexander JJ, Bell SN, Coghlan J, Lerf R, Dallmann F. The effect of vitamin E-enhanced cross-linked polyethylene on wear in shoulder arthroplasty: a wear simulator study. J Shoulder Elb Surg. 2019;28:1771–8.

    Article  Google Scholar 

  43. Haggart J, Newton MD, Hartner S, et al. Neer Award 2017: Wear rates of 32-mm and 40-mm glenospheres in a reverse total shoulder arthroplasty wear simulation model. J Shoulder Elb Surg. 2017;26:2029–37.

    Article  Google Scholar 

  44. Irlenbusch U, Kaab MJ, Kohut G, Proust J, Reuther F, Joudet T. Reversed shoulder arthroplasty with inversed bearing materials: 2-year clinical and radiographic results in 101 patients. Arch Orthop Trauma Surg. 2015;135:161–9.

    Article  PubMed  Google Scholar 

  45. Bloch H, Budassi P, Bischof A, Agneskirchner J, Domenghini C, Frattini M. Influence of glenosphere design and material on clinical outcomes of reverse total shoulder arthroplasty. Shoulder Elbow. 2014;6:156–64. https://doi.org/10.1177/1758573214535574.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Jones CW, Barrett M, Erickson J, Chatindiara PP. Larger polyethylene glenospheres in reverse shoulder arthroplasty: are they safe? JSES Int. 2020 Oct 8;4(4):944–51. https://doi.org/10.1016/j.jseint.2020.08.011.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Freislederer F, Toft F, Audige L, Marzel A, Endell D, Scheibel M. Lateralized vs classic Grammont style reverse shoulder arthroplasty for cuff deficiency Hamada stage 1-3: does the design make a difference? J Shoulder Elbow Surg. 2021 Aug 24;31:341–51. https://doi.org/10.1016/j.jse.2021.07.022.

    Article  PubMed  Google Scholar 

  48. Bedeir YH, Grawe BM, Eldakhakhny MM, Waly AH. Lateralized versus nonlateralized reverse total shoulder arthroplasty. Shoulder Elbow. 2021 Aug;13(4):358–70. https://doi.org/10.1177/1758573220937412.

    Article  PubMed  Google Scholar 

  49. Parry S, Stachler S, Mahylis J. Lateralization in reverse shoulder arthroplasty: A review. J Orthop. 2020 Mar 27;22:64–7. https://doi.org/10.1016/j.jor.2020.03.027.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Merolla G, Walch G, Ascione F, Paladini P, Fabbri E, Padolino A, Porcellini G. Grammont humeral design versus onlay curved-stem reverse shoulder arthroplasty: comparison of clinical and radiographic outcomes with minimum 2-year follow-up. J Shoulder Elbow Surg. 2018 Apr;27(4):701–10.

    Article  PubMed  Google Scholar 

  51. Werthel JD, Walch G, Vegehan E, Deransart P, Sanchez-Sotelo J, Valenti P. Lateralization in reverse shoulder arthroplasty: a descriptive analysis of different implants in current practice. Int Orthop. 2019 Oct;43(10):2349–60. https://doi.org/10.1007/s00264-019-04365-3.

    Article  PubMed  Google Scholar 

  52. Theelen LMA, Mory B, Venkatesan S, Spekenbrink-Spooren A, Janssen L, Lambers Heerspink FO. Stem retention and survival in revision of anatomic convertible shoulder arthroplasty to reverse arthroplasty: a Dutch registry study. BMC Musculoskelet Disord. 2021 Apr 28;22(1):396. https://doi.org/10.1186/s12891-021-04247-z.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Crosby LA, Wright TW, Yu S, Zuckerman JD. Conversion to Reverse total shoulder arthroplasty with and without humeral stem retention: the role of a convertible-platform stem. J Bone Joint Surg Am. 2017 May 3;99(9):736–42. https://doi.org/10.2106/JBJS.16.00683.

    Article  PubMed  Google Scholar 

  54. Kirsch JM, Khan M, Thornley P, Gichuru M, Freehill MT, Neviaser A, Moravek J, Miller BS, Bedi A. Platform shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2018;27(4):756–63. https://doi.org/10.1016/j.jse.2017.08.020.

    Article  PubMed  Google Scholar 

  55. Kirsch JM, Khan M, Thornley P, Gichuru M, Freehill MT, Neviaser A, Moravek J, Miller BS, Bedi A. Platform shoulder arthroplasty: a systematic review. J Shoulder Elb Surg. 2018;27(4):756–63.

    Article  Google Scholar 

  56. Comenda M, Quental C, Folgado J, Sarmento M, Monteiro J. Bone adaptation impact of stemless shoulder implants: a computational analysis. J Shoulder Elb Surg. 2019;28(10):1886–96.

    Article  Google Scholar 

  57. Teissier P, Teissier J, Kouyoumdjian P, Asencio G. The TESS reverse shoulder arthroplasty without a stem in the treatment of cuff-deficient shoulder conditions: clinical and radiographic results. J Shoulder Elb Surg. 2015;24(1):45–51.

    Article  Google Scholar 

  58. Razfar N, Reeves JM, Langohr DG, Willing R, Athwal GS, Johnson JA. Comparison of proximal humeral bone stresses between stemless, short stem, and standard stem length: a finite element analysis. J Shoulder Elb Surg. 2016;25(7):1076–83.

    Article  Google Scholar 

  59. Holschen M, Franetzki B, Witt KA, Liem D, Steinbeck J. Is RSA a feasible treatment optio for failed shoulder arthroplasty? A retrospective study of 44 cases with special regards to stemless and stemmed primary implants. Musculoskelet Surg. 2017 Aug;101(2):173–80. https://doi.org/10.1007/s12306-017-0467-y.

    Article  CAS  PubMed  Google Scholar 

  60. Kirsch JM, Namdari S. Rehabilitation after anatomic and reverse total shoulder arthroplasty: a critical analysis review. JBJS Rev. 2020 Feb;8(2):e0129. https://doi.org/10.2106/JBJS.RVW.19.00129.

    Article  PubMed  Google Scholar 

  61. Uschok S, Herrmann S, Pauly S, Perka C, Greiner S. Reverse shoulder arthroplasty: the role of physical therapy on the clinical outcome in the mid-term to long-term follow-up. Arch Orthop Trauma Surg. 2018;138(12):1647–52.

    Article  PubMed  Google Scholar 

  62. Kiet TK, Feeley BT, Naimark M, Gajiu T, Hall SL, Chung TT. Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty. J Shoulder Elb Surg. 2015;24:179–85. https://doi.org/10.1016/j.jse.2014.06.039.

    Article  Google Scholar 

  63. Levy JC, Everding NG, Gil CC Jr, Stephens S, Giveans MR. Speed of recovery after shoulder arthroplasty: a comparison of reverse and anatomic total shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1872–81. https://doi.org/10.1016/j.jse.2014.04.014.

    Article  Google Scholar 

  64. Bacle G, Nové-Josserand L, Garaud P, Walch G. Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Joint Surg Am. 2017 Mar 15;99(6):454–61.

    Article  PubMed  Google Scholar 

  65. Liu JN, Garcia GH, Mahony G, Wu HH, Dines DM, Warren RF, Gulotta LV. Sports after shoulder arthroplasty: a comparative analysis of hemiarthroplasty and reverse total shoulder replacement. J Shoulder Elb Surg. 2016;25(6):920–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Orthomedicum, Joint Surgery Center Graz, PK Leech, Graz, Austria

    Rolf Michael Krifter

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  1. Rolf Michael Krifter
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Correspondence to Rolf Michael Krifter .

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Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Krifter, R.M. (2023). Treatment Options for Irreparable Rotator Cuff Tears: Reverse Total Shoulder Arthroplasty. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_48

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_48

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