Medium term results of reverse total shoulder replacement in patients with rotator cuff arthropathy.
BACKGROUND
The Delta III total shoulder replacement is a reversed, semi-constrained prosthesis and is recommended for the management of rotator cuff arthropathy.


METHODS
We performed a retrospective mid-term review of the Delta shoulder replacements performed during 2000-2005 with a minimum 18-month follow-up. We recorded the pre-operative and post-operative constant scores.


RESULTS
The Constant's score improved from a pre-operative mean of 14.8 (95% CI +8.8 to +19.8) to a post-operative mean of 60.9 (95% CI +50 to +66.2) with a P valve of <0.0001.


CONCLUSIONS
Delta III prosthesis restores the function in shoulder affected by severe pain and dysfunction due to rotator cuff arthropathy. Inferior scapular notching in the post-operative radiographs was better visualised in abduction views compared with standard anteroposterior radiographs. Long-term follow-up is required to predict the effect of scapular notching.
Sayana
M K
MK
University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent, ST4 6QB, UK. sayanamk@gmail.com
Kakarala
G
G
Bandi
S
S
Wynn-Jones
C
C
D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000379:methods*; D016001:Confidence Intervals; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D012016:Reference Values; D012189:Retrospective Studies; D017006:Rotator Cuff / Q000000981:diagnostic imaging / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome