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Recent reports have suggested early success in using a reverse shoulder prosthesis to provide longitudinal stability while utilizing the power of an intact deltoid muscle to restore motion and function and alleviate pain in shoulders with cuff tear arthropathy.
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In 4 cases, a reverse shoulder was indicated.
Between May 2000 and September 2007, we treated 45 patients (49 shoulders) with a reverse shoulder prosthesis (Tornier®; Edina, MN, USA).
However, in all patients with tears, the defects were felt to be small enough to proceed with a total shoulder arthroplasty rather than a reverse shoulder arthroplasty.
A reverse shoulder arthroplasty is arguably one of the most important contributions to the treatment of certain shoulder arthropathies in the past several years.
A prosthetic overhang therefore seems to be an important factor to consider when performing a reverse shoulder arthroplasty.
2 patients with severe glenoid erosion and rotator cuff scarring were converted to a reverse shoulder implant.
From October 2006 through 2010, the senior author (FG) performed 119 revision arthroplasties to a reverse shoulder arthroplasty.
Before using reverse shoulder prosthesis, many authors reported the difficulties and worse results obtained with an unconstrained prosthesis [ 23].
There has been a renewed interest in lateralizing the center of rotation (CoR) in implants used in reverse shoulder arthroplasty.
As the worldwide use of reverse shoulder arthroplasty (RSA) increases, a range of implant sizes may be required to match regional and ethnic variation in patients' stature.
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