Varvitsiotis Dimitrios, Kokkineli Stefania, Feroussis Christopher, Apostolopoulos Nikos, Zakilas Dimitrios, Feroussis John
Shoulder Unit of General Hospital Asklepieio Voula, Athens, Greece.
J Shoulder Elb Arthroplast. 2023 Aug 9;7:24715492231192072. doi: 10.1177/24715492231192072. eCollection 2023.
The aim of this single-center study was to analyze the long-term clinical results of reverse shoulder arthroplasty in patients with massive, irreparable rotator cuff tears without glenohumeral arthritis.
A retrospective cohort study of 105 patients (115 shoulders) was conducted. The mean age of the patient group was 76 years (range, 65 to 87 years). The mean clinical follow-up was 9.4 years (range, 5 to 17 years). Pain, range of motion, and complication rates were analyzed pre-operatively and at the last follow-up.
The mean Constant-Murley score increased from 29 points (range, 21 to 34 points) preoperatively to 68.1 points (range, 57 to 81 points) postoperatively (p<0.05). Scapular notching was present in 50 shoulders (43.5%) and it was grade 1 or 2 in 47 of 115 cases (40.9%) and grade 3 or 4 in 3 of 115 cases (2.6%). Complications occurred in 19 patients (17%). Seven patients (6%) underwent revision surgery. The mean satisfaction rate was 94%.
Reverse shoulder arthroplasty is a viable treatment for massive, irreparable rotator cuff tears without glenohumeral arthritis with satisfactory clinical outcomes and low complication and reoperation rates with a mean follow up of 9.4 years after surgery.
本单中心研究的目的是分析在无盂肱关节炎的巨大、不可修复肩袖撕裂患者中，反式肩关节置换术的长期临床结果。
对105例患者（115个肩关节）进行回顾性队列研究。患者组的平均年龄为76岁（范围65至87岁）。平均临床随访时间为9.4年（范围5至17年）。在术前和末次随访时分析疼痛、活动范围和并发症发生率。
Constant-Murley平均评分从术前的29分（范围21至34分）增加到术后的68.1分（范围57至81分）（p<0.05）。50个肩关节（43.5%）存在肩胛切迹，115例中有47例（40.9%）为1级或2级，115例中有3例（2.6%）为3级或4级。19例患者（17%）发生并发症。7例患者（6%）接受了翻修手术。平均满意率为94%。
对于无盂肱关节炎的巨大、不可修复肩袖撕裂，反式肩关节置换术是一种可行的治疗方法，临床结果满意，并发症和再次手术率低，术后平均随访9.4年。
