Early Experience of Reverse Total Shoulder Arthroplasty in a Public Hospital in Malaysia
https://doi.org/10.5704/MOJ.2103.018
- Author:
Sam CX
1
;
Anwar AZ
2
,
3
;
Ahmad AR
2
,
3
;
Solayar GN
1
Author Information
1. Department of Orthopaedics, International Medical University, Seremban, Malaysia
2. Department of Orthopaedics, Tuanku Ja'
3. afar Hospital, Seremban, Malaysia
- Publication Type:Journal Article
- Keywords:
replacement, proximal humerus, rotator cuff, arthropathy, shoulder fractures
- From:Malaysian Orthopaedic Journal
2021;15(No.1):119-123
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Reverse total shoulder arthroplasty provides a
surgical alternative to standard total shoulder arthroplasty for
the treatment of cuff tear arthropathy, arthritis and fracture
sequelae. This study aimed to assess the short-term outcomes
following reverse total shoulder arthroplasty for patients in a
large public hospital in Malaysia.
Materials and Methods: We identified and performed five
primary reverse total shoulder arthroplasties between 1 May
2019 and 1 June 2020. All patients were contactable and
available for analysis. Assessment of functional outcomes
was performed using the Constant-Murley score, the patient
satisfaction score (PSS), and imaging studies. The mean
follow-up from operation to the time of reporting was 9.6
months (range, 3 to 14 months)
Results: The median age for our patients was 58 years
(±11.91). The most common indication for surgery was posttraumatic arthritis, followed by rotator cuff arthropathy and
osteoarthritis. The mean Constant score improved from 9.0
pre-operatively to 52.3 post-operatively at a mean of 9.6
months. The majority of the patients were satisfied with the
surgery as the post-operative range of motion, especially
anterior elevation and abduction, improved in four of our
patients and there were no short-term complications, for
example, of infection or revisions, reported at the last followup.
Conclusion: This study has shown that reverse total
shoulder arthroplasty can yield good short-term outcomes for
the treatment of complex shoulder problems in addition to
cuff tear arthropathy. It should be considered a treatment for
rotator cuff tears, severe arthritis and ≥ 3 parts proximal
humeral fractures.
- Full text:16.2021my1158.pdf
