Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Clinical and Radiological Results of Reverse Total Shoulder Arthroplasty Using a 25-mm Glenoid Baseplate

  • Lee, Ji Min (Department of Orthopedic Surgery, Bumin Busan Hospital) ;
  • Kim, In Bo (Department of Orthopedic Surgery, Bumin Busan Hospital) ;
  • Jung, Dong Wook (Department of Orthopedic Surgery, Bumin Busan Hospital)
  • Received : 2015.10.04
  • Accepted : 2015.12.12
  • Published : 2015.12.31
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Abstract

Background: The size of the baseplate used in reverse total shoulder arthroplasty (RTSA) tends to be larger than the average size of the glenoid in the Korean population. The mismatch between the sizes of the baseplate and the patient's glenoid may result in improper fixation of the glenoid baseplate. This in turn may lead to the premature loosening of the glenoid component. Thus, we evaluated the short-term results of using a 25-mm baseplate in RTSA. Methods: Seventeen patients with cuff tear arthropathy underwent RTSA with a 25-mm baseplate. The mean age of the patients was 70.1 years, and the mean follow-up period was 14.0 months. We evaluated clinical outcomes preoperatively and postoperatively: the range of shoulder motion, the American Shoulder and Elbow Surgeons (ASES) score, and the Korean Shoulder Society (KSS) score. Results: We found that the mean ASES score and KSS improved from 35.0 to 74.4 (p<0.001) and from 46.9 to 71.8 (p<0.001) with RTSA. The mean forward elevation and abduction, external rotation also improved from $78.6^{\circ}$ to $134.3^{\circ}$ (p<0.05) and from $66.6^{\circ}$ to $125.0^{\circ}$ (p<0.05), from $20.2^{\circ}$ to $28.4^{\circ}$ (p=0.43). Postoperative complications were seen in 12% of patients, but neither the loosening of the glenoid baseplate nor inferior scapular notching were observed. Conclusions: In sum, the results of using a 25-mm baseplate in RTSA were similar to those of previous reports. Even though the outcomes are those of a short-term follow-up, neither the loosening of the glenoid baseplate nor the scapular notching were observed.

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References

  1. Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res. 1991;(267):45-56.
  2. Gartsman GM. Massive, irreparable tears of the rotator cuff. Results of operative debridement and subacromial decompression. J Bone Joint Surg Am. 1997;79(5):715-21. https://doi.org/10.2106/00004623-199705000-00011
  3. Gerber C, Vinh TS, Hertel R, Hess CW. Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop Relat Res. 1988;(232):51-61.
  4. Kempf JF, Gleyze P, Bonnomet F, et al. A multicenter study of 210 rotator cuff tears treated by arthroscopic acromioplasty. Arthroscopy. 1999;15(1):56-66. https://doi.org/10.1053/ar.1999.v15.015005
  5. Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr. Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am. 1995;77(6):857-66. https://doi.org/10.2106/00004623-199506000-00006
  6. Neer CS 2nd, Watson KC, Stanton FJ. Recent experience in total shoulder replacement. J Bone Joint Surg Am. 1982;64(3):319-37. https://doi.org/10.2106/00004623-198264030-00001
  7. Zuckerman JD, Scott AJ, Gallagher MA. Hemiarthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2000;9(3):169-72. https://doi.org/10.1067/mse.2000.105138
  8. Sarris IK, Papadimitriou NG, Sotereanos DG. Bipolar hemiarthroplasty for chronic rotator cuff tear arthropathy. J Arthroplasty. 2003;18(2):169-73. https://doi.org/10.1054/arth.2003.50041
  9. Matsen FA 3rd, Boileau P, Walch G, Gerber C, Bicknell RT. The reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2007;89(3):660-7.
  10. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16(1):65-8.
  11. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. 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(3):388-95. https://doi.org/10.1302/0301-620X.86B3.14024
  12. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum twoyear follow-up study of sixty patients. J Bone Joint Surg Am. 2005;87(8):1697-705. https://doi.org/10.2106/JBJS.D.02813
  13. Werner CM, Steinmann PA, Gilbart M, Gerber C. 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. 2005;87(7):1476-86. https://doi.org/10.2106/JBJS.D.02342
  14. Frankle MA, Teramoto A, Luo ZP, Levy JC, Pupello D. Glenoid morphology in reverse shoulder arthroplasty: classification and surgical implications. J Shoulder Elbow Surg. 2009;18(6):874-85. https://doi.org/10.1016/j.jse.2009.02.013
  15. Wierks C, Skolasky RL, Ji JH, McFarland EG. Reverse total shoulder replacement: intraoperative and early postoperative complications. Clin Orthop Relat Res. 2009;467(1):225-34. https://doi.org/10.1007/s11999-008-0406-1
  16. Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg. 2006;15(5):527-40. https://doi.org/10.1016/j.jse.2006.01.003
  17. Macaulay AA, Greiwe RM, Bigliani LU. Rotator cuff deficient arthritis of the glenohumeral joint. Clin Orthop Surg. 2010; 2(4):196-202. https://doi.org/10.4055/cios.2010.2.4.196
  18. Chae SW, Kim SY, Lee H, Yon JR, Lee J, Han SH. Effect of baseplate size on primary glenoid stability and impingementfree range of motion in reverse shoulder arthroplasty. BMC Musculoskelet Disord. 2014;15:417. https://doi.org/10.1186/1471-2474-15-417
  19. Nyffeler RW, Werner CM, Simmen BR, Gerber C. Analysis of a retrieved delta III total shoulder prosthesis. J Bone Joint Surg Br. 2004;86(8):1187-91. https://doi.org/10.1302/0301-620X.86B8.15228
  20. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1 Suppl S):147S-61S. https://doi.org/10.1016/j.jse.2004.10.006
  21. Levigne C, Boileau P, Favard L, et al. Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2008; 17(6):925-35. https://doi.org/10.1016/j.jse.2008.02.010
  22. Harman M, Frankle M, Vasey M, Banks S. Initial glenoid component fixation in "reverse"total shoulder arthroplasty: a biomechanical evaluation. J Shoulder Elbow Surg. 2005;14(1 Suppl S): 162S-7S. https://doi.org/10.1016/j.jse.2004.09.030
  23. Virani NA, Harman M, Li K, Levy J, Pupello DR, Frankle MA. In vitro and finite element analysis of glenoid bone/baseplate interaction in the reverse shoulder design. J Shoulder Elbow Surg. 2008;17(3):509-21. https://doi.org/10.1016/j.jse.2007.11.003
  24. Gutierrez S, Greiwe RM, Frankle MA, Siegal S, Lee WE 3rd. Biomechanical comparison of component position and hardware failure in the reverse shoulder prosthesis. J Shoulder Elbow Surg. 2007;16(3 Suppl):S9-S12. https://doi.org/10.1016/j.jse.2005.11.008
  25. DiStefano JG, Park AY, Nguyen TQ, Diederichs G, Buckley JM, Montgomery WH 3rd. Optimal screw placement for base plate fixation in reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2011;20(3):467-76. https://doi.org/10.1016/j.jse.2010.06.001
  26. Frankle M, Levy JC, Pupello D, et al. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. a minimum two-year follow-up study of sixty patients surgical technique. J Bone Joint Surg Am. 2006;88 Suppl 1 Pt 2:178-90. https://doi.org/10.2106/00004623-200609001-00003
  27. Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elbow Surg. 2005;14(5):524-8. https://doi.org/10.1016/j.jse.2004.09.010
  28. Ji JH, Jeong JY, Song HS, et al. Early clinical results of reverse total shoulder arthroplasty in the Korean population. J Shoulder Elbow Surg. 2013;22(8):1102-7. https://doi.org/10.1016/j.jse.2012.07.019
  29. Phonphok P, Kulkamthorn N. Assessment of approximate glenoid size in Thai people. J Med Assoc Thai. 2014;97 Suppl 2: S14-8.
  30. Moon YL, Ha SH, Noh KH. Normal glenoid size of the Korean in 7th and 8th decades. J Korean Shoulder Elbow Soc. 2008; 11(1):37-40. https://doi.org/10.5397/CiSE.2008.11.1.037