Ochoa CR, Acosta GMA

Language: Spanish
References: 11
Page: 385-389
PDF size: 215.40 Kb.

ABSTRACT

Introduction: The indication for shoulder replacement has changed in the last years, the reverse total shoulder replacement has overcome the anatomic shoulder replacement. Material and methods: 15 patients were studied. In the Arthroscopy and Articular Reconstruction Course in the Hospital Ángeles Pedregal, from January 2014 to December 2017, with average of follow up one year. Results: The indication for reverse shoulder arthroplasty was the rotator cuff arthropathy with 86.7 % (n = 13), followed by revision surgery with 13.3% (n = 2). The functional results were stablished by the Constant-Murley score, we got in our patients an average of 25.7 points before the surgery and 60.3 points after the surgical procedure. Discussion: There are three indications where have been showed the utility of reverse shoulder arthroplasty, the first one is the osteoarthritis of the shoulder with massive rupture of rotator cuff, the second one are the severe sequelae of proximal humeral fractures, and the third one is the revision surgery of previous failed shoulder arthroplasty. Conclusion: Our results in the present study are similar to the literature results reviewed, the main indication for surgery is the rotator cuff arthropathy, and there are clear improvement in the functional results after surgery.

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