Document Detail

Revision reverse shoulder arthroplasty for glenoid baseplate failure after primary reverse shoulder arthroplasty.
MedLine Citation:
PMID:  19278872     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of this study is to document a single surgeon's experience performing revision reverse shoulder arthroplasty after baseplate failure. METHODS: Revision reverse shoulder arthroplasty (RSA) for mechanical failure of the glenoid baseplate after RSA was performed in 14 patients. Clinical and radiographic data were collected preoperatively, prior to baseplate failure, after baseplate failure, and at latest follow-up after revision (average, 33 months). RESULTS: When comparing the pre-operative values to post-revision, ASES, forward elevation, and abduction were significantly improved. There was no significant difference in any of the outcome measures when comparing the prefailure data to the post-revision data. The post-revision prosthesis-scapular neck angle (PSNA) showed a significant increase in inferior tilt of the baseplate when compared to pre-failure PSNA (P < .001). Two patients (14%) required a second revision RSA for glenoid baseplate failure (1) and dislocation (1); 1 additional patient developed a postoperative hematoma which resolved without surgery. CONCLUSION: Revision RSA for the treatment of glenoid baseplate mechanical failure can restore pain relief and function to the levels gained after the index RSA.
Jason O Holcomb; Derek Cuff; Steve A Petersen; Derek R Pupello; Mark A Frankle
Publication Detail:
Type:  Journal Article     Date:  2009-03-17
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  18     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  717-23     Citation Subset:  IM    
Shoulder & Elbow Division, Florida Orthopaedic Institute, Tampa, FL 33637, USA.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement / adverse effects*,  methods*
Bone Plates
Cohort Studies
Follow-Up Studies
Joint Prosthesis
Middle Aged
Pain Measurement
Patient Satisfaction
Prosthesis Design
Prosthesis Failure*
Quality of Life
Range of Motion, Articular / physiology*
Recovery of Function
Reoperation / methods
Retrospective Studies
Risk Assessment
Shoulder Joint / physiopathology,  radiography,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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