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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
PAPERS ON SHOULDER
Minerva Ortopedica e Traumatologica 2006 August;57(4):393-7
Reverse shoulder arthroplasty. Our experience
Cacciato F., Grognardi P., Scivetti F., Sansoni M.
Divisione di Ortopedia e Traumatologia Ospedale San Giovanni Bosco Torino Nord Emergenza ASL 4, Torino
Aim. Reverse shoulder arthroplasty may be a viable alternative in patients with cuff tear arthropathy, pseudo-paralysis due to a massive cuff tear and severe fracture sequelae. It has been recommended to limit its use to elderly patients, exspecially over 70.
Methods. We report our experience in 8 reverse shoulder prosthesis (3 male and 5 female), with follow-up from 7 to 36 months. The average age at time of operation was 71 years.
Results. At the follow-up the Constant score medium was 57.7 (minimum 36.5, maximum 74). The good results in all patients was in reduction of pain and in restoring active elevation.
Conclusions. Our series, even if not statistically significant, shows that reverse shoulder arthroplasty should be performed particularly in elderly patients with cuff tear arthroplasty and without important contraindications.