22/12/2019 · However, reverse total shoulder replacement works better for people with certain injuries, including some rotator cuff injuries. If you have this type of injury, a standard shoulder replacement still might leave you with some pain and limited movement. A reverse total shoulder replacement usually improves these problems. Stryker’s ReUnion Total Shoulder Arthroplasty System was designed to address common arthritic disorders affecting the shoulder as well as various fractures of the proximal humerus. In most cases involving both the humeral head and the glenoid, a total shoulder arthroplasty may be performed. 12/04/2011 · Background. The reverse total shoulder arthroplasty was introduced to treat the rotator cuff-deficient shoulder. Since its introduction, an improved understanding of the biomechanics of rotator cuff deficiency and reverse shoulder arthroplasty has facilitated the development of modern reverse arthroplasty designs. Flurin, PH. et al. Comparison of Outcomes Using Anatomic and Reverse Total Shoulder Arthroplasty. Bulletin of the Hospital for Joint Diseases. 2013; Vol 71, Supp 2. Roche, C. et al. Impact of Inferior Glenoid Tilt, Humeral Retroversion And Bone Grafting on Muscle Length and Deltoid Wrapping in Reverse Shoulder Arthroplasty.
A reverse total shoulder replacement may be a better option than traditional shoulder replacement for people who have a type of shoulder arthritis called "cuff tear arthropathy." This is because it relies on different muscles — not the rotator cuff — to move the arm. Between May 2014 and December 2015, 96 consecutive primary reverse shoulder arthroplasties were performed by a single surgeon using the Stryker ReUnion reverse shoulder arthroplasty implant. Patients undergoing reverse arthroplasty for proximal humerus fracture were excluded. 1. Introduction. After the rapid failure of models of constrained and/or reverse total shoulder arthroplasty TSA in the 1970's, the semi-constrained prosthesis developed by Grammont was a real turning point in the treatment of painful functionally impotent shoulders with massive rotator cuff tears in elderly patients.
• Total Shoulder replacement: the rotator cuff must be intact or reconstructable. In cases with a deﬁ cient and unreconstructable rotator cuff, a hemiprosthesis with a CTA head or a Reverse Total Shoulder Arthroplasty is indicated. • Reverse Shoulder replacement: the bone stock of the glenoid and humerus must be able to support the implant.
This simple change allows the large deltoid muscle that covers the shoulder to lift the arm. The result is a shoulder that functions better, is less painful, and can last for years without loosening. That's the positive side of things. There are some problems that are unique to the reverse total shoulder replacement.
25/01/2016 · Reverse stemless shoulder arthroplasty results. In 2013, Ballas and Beguin reported 38-month minimum follow-up on the TESS reverse arthroplasty [28•]. This study included 56 patients with various preoperative conditions, massive cuff tear 20, cuff tear arthropathy 33, and primary osteoarthritis 3. Frankle M, Kumar A. Reverse total shoulder replacement for arthritis with an irreparable rotator cuff tear. Techniques in Shoulder & Elbow Surgery 2003;4:77-83. Individual results may vary. Neither DJO Global, Inc. nor any of its subsidiaries dispense medical advice. FEATURED SURGERY: Reverse Total Shoulder Arthroplasty. Mark A. Mighell, MD, from the Florida Orthopaedic Institute in Tampa, performs a reverse total shoulder arthroplasty on the right shoulder of a 61-year-old female patient in a procedure broadcast live from ICJR’s 7th Annual Shoulder Course. CTA arthroplasty rather than a reverse total shoulder for rotator cuff tear arthropathy Many of our patients with classical cuff tear arthropathy want to lead active lives. They wish to avoid a reverse total shoulder because of concerns about activity limitations, dislocation, screw breakage or humeral shaft fracture should they fall.
Total shoulder arthroplasty performed using the Arthrex Univers II humeral component allows for the adaptation of the humeral stem and articular surface to the.
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