Clinical outcomes are unchanged after a mean of 12 years after reverse shoulder arthroplasty: a long-term re-evaluation

Roberto Castricini, MD; Olimpio Galasso, MD; Michele Mercurio, MD; Luca Dei Giudici, MD; Alessandro Massarini, MD; Marco De Gori, MD; Davide Castioni, MD; Giorgio Gasparini, MD

JSES International (Jan 2024)

Clinical outcomes are unchanged after a mean of 12 years after reverse shoulder arthroplasty: a long-term re-evaluation

Roberto Castricini, MD,
Olimpio Galasso, MD,
Michele Mercurio, MD,
Luca Dei Giudici, MD,
Alessandro Massarini, MD,
Marco De Gori, MD,
Davide Castioni, MD,
Giorgio Gasparini, MD

Affiliations

Roberto Castricini, MD: Division of Orthopaedic and Trauma Surgery, “Villa Verde” Hospital, Fermo, Italy; Department of Orthopaedic and Trauma Surgery, “Villa Maria Cecilia” Hospital, Cotignola, Italy
Olimpio Galasso, MD: Department of Orthopaedic and Trauma Surgery, “Magna Græcia” University, “Renato Dulbecco” University Hospital, Catanzaro, Italy; Corresponding author: Olimpio Galasso, MD, Department of Orthopaedic and Trauma Surgery, “Magna Græcia” University, “Renato Dulbecco” University Hospital, V.le Europa, Catanzaro 88100, Italy.
Michele Mercurio, MD: Department of Orthopaedic and Trauma Surgery, “Magna Græcia” University, “Renato Dulbecco” University Hospital, Catanzaro, Italy
Luca Dei Giudici, MD: Orthopedic Unit, Villa dei Pini Hospital, Civitanova Marche, Italy
Alessandro Massarini, MD: Division of Orthopaedic and Trauma Surgery, “Villa Verde” Hospital, Fermo, Italy; Department of Orthopaedic and Trauma Surgery, “Villa Maria Cecilia” Hospital, Cotignola, Italy
Marco De Gori, MD: Department of Orthopaedic and Trauma Surgery, Basso Ionio Hospital, Soverato, Italy
Davide Castioni, MD: Department of Orthopedic and Trauma Surgery, Girolamo Fracastoro Hospital, San Bonifacio, Verona, Italy
Giorgio Gasparini, MD: Department of Orthopaedic and Trauma Surgery, “Magna Græcia” University, “Renato Dulbecco” University Hospital, Catanzaro, Italy

Journal volume & issue: Vol. 8, no. 1
pp. 185 – 190

Abstract

Read online

Background: The medium-term results of reverse shoulder arthroplasty (RSA) that has been performed by a single surgeon have been previously reported. The purpose of this study was to investigate the minimum 10-year clinical and radiographic outcomes of these patients. Methods: In this prospective cohort study, 27 patients were evaluated after RSA for massive rotator cuff tear with or without eccentric osteoarthritis (OA) or concentric OA with the Constant-Murley Score (CMS), range of motion (ROM), and a radiologic assessment. Results: At a mean 12-year follow-up, the CMS and ROM were significantly improved when compared with the baseline values (all P < .001). Once stratified by diagnosis, no difference in the ROM or total CMS was found between patients with massive rotator cuff tear with/without eccentric OA and those with concentric OA. Neither ROM nor CMS decreased when compared to the mid-term values of the previous study, for both the overall population and the diagnosis-stratified groups. Scapular notching was reported in 66.7% of cases that was similar to the data reported at mid-term follow-up. The calcification rate was 59.3% at the long-term evaluation, and there were no differences between the same case-series population (51.9%; P = .785) and the whole population at mid-term follow-up (47%; P = .358). Conclusion: RSA led to excellent clinical and functional outcomes for patients up to 17 years postoperatively, and there was no decrease in the CMS over time. No loosening of implants was noted, and the rate of scapular notching was 66%, mostly grade 1 or 2.

Published in JSES International

ISSN: 2666-6383 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the musculoskeletal system
Website: https://www.journals.elsevier.com/jses-international

About the journal

Abstract

Keywords