Reverse total shoulder arthroplasty for massive irreparable rotator cuff tears in patients younger than 65 years old: results after five to fifteen years.

TLDR: RTSA in younger patients with pseudoparalysis secondary to massive irreparable rotator cuff tears provides significant subjective improvement and substantial gain in overall function, which is maintained up to 10 years.

About: This article is published in Journal of Shoulder and Elbow Surgery.The article was published on 2013-09-01 and is currently open access. It has received 318 citations till now. The article focuses on the topics: Arthroplasty.

Figures

Table 1: Staging of massive rotator cuff tears and number of patients with or without previous surgery

Table 2: Previous failed surgery

Table 6: Degree of infrascapular notching at latest follow-up and with increasing time

Table 5: Preoperative and postoperative clinical results

Table 4: Preoperative and Postoperative functional scores for shoulders with no previous surgery (Group A) and shoulders with previous surgery (Group B)

Frequently asked questions

Q1. What are the contributions in this paper?

At the latest follow-up, 5 patients had died and 1 was lost, leaving 35 patients ( 40 shoulders ) with a mean follow-up of 93 months ( range, 60-171 months ). Of the 15 patients who developed complications, 9 did not require prosthesis removal or conversion and functional outcome and subjective shoulder value were similar to those with no complications ( P >. 4 ). CONCLUSION: RTSA in younger patients provides significant subjective improvement and substantial gain in overall function, which is maintained up to 10 years. 

Q2. What is the role of RTSA in the relatively young individual?

Their study evaluates the mid to long-term results of RTSA for patients less than 65 years with pseudoparalysis secondary to massive irreparable rotator cuff tears with or without arthritis.