Reverse Shoulder Prosthesis in Patients with Rheumatoid Arthritis: a Systematic Review

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2015 Jul 24

PMID 26202019

Citations 10

Authors

Roberto Postacchini

Stefano Carbone

Gianfranco Canero

Maurizio Ripani

Franco Postacchini

Affiliations

Soon will be listed here.

Abstract

Purpose: To obtain detailed information on the outcomes of patients with rheumatoid arthritis (RA) undergoing reverse shoulder arthroplasty (RSA) METHODS: A literature search was conducted for studies reporting on the use of RSA in RA patients from 1990 to 2014. The inclusion criteria were a report of sufficient information on pre-operative status and surgical outcome allowing evaluation of the therapeutic potential of RSA in RA. The literature search resulted in 586 hits, but only five studies that met the inclusion criteria were assessed.

Results: There were 100 shoulders that had been operated on, of which 87 were followed for a mean of 55.4 months, the longest follow-up being 11.9 years Most patients had glenohumeral erosive lesions of Larsen Grade III or IV. The Delta III prosthesis was implanted in most cases and in three studies bone graft was used for severe glenoid lesions. The main outcome measures employed were the Constant score (Cs) and ASES questionnaire. The mean increase in Cs and ASES score after surgery was 42.4 and 54 points, respectively. The mean post-operative forward elevation was 120.6°, the average increment being 51° and the mean increase of abduction was 58.5°. The mean prevalence of scapular notching was 35.4 %. The rate of adverse events was 31 %, but the vast majority were of minor severity. Eight prostheses underwent revision, due to infection in four.

Conclusions: RSA implanted in RA patients would appear to give similar results to those obtained in massive cuff tears with or without arthropathy.

Citing Articles

Role of the Gut Microbiota in Osteoarthritis, Rheumatoid Arthritis, and Spondylarthritis: An Update on the Gut-Joint Axis.

Longo U, Lalli A, Bandini B, De Sire R, Angeletti S, Lustig S Int J Mol Sci. 2024; 25(6).

PMID: 38542216 PMC: 10970477. DOI: 10.3390/ijms25063242.

Outcome of a metaphyseal reverse total shoulder replacement in rheumatoid arthritis.

Consigliere P, Witney-Lagen C, Natera L, Sforza G, Bruguera J, Abraham R Musculoskelet Surg. 2021; 106(3):257-268.

PMID: 33783764 DOI: 10.1007/s12306-021-00706-x.

Midterm clinical outcomes of reverse shoulder arthroplasty in Japanese patients with rheumatoid arthritis using patient-reported outcome measures (Shoulder36).

Nagase Y, Naito M, Momoyama G, Uchida Y, Nishikawa T, Makabe K JSES Int. 2021; 5(1):114-120.

PMID: 33554176 PMC: 7846690. DOI: 10.1016/j.jseint.2020.09.016.

Reverse Shoulder Arthroplasty in Patients with Rheumatoid Arthritis: Early Outcomes, Pitfalls, and Challenges.

He Y, Xiao L, Zhai W, Xu Y Orthop Surg. 2020; 12(5):1380-1387.

PMID: 32803918 PMC: 7670150. DOI: 10.1111/os.12769.

Patient-reported outcomes of reverse total shoulder arthroplasty: a comparative risk factor analysis of improved versus unimproved cases.

Parsons M, Routman H, Roche C, Friedman R JSES Open Access. 2019; 3(3):174-178.

PMID: 31709358 PMC: 6834991. DOI: 10.1016/j.jses.2019.07.004.

References

Lehtinen J, Belt E, Lyback C, Kauppi M, Kaarela K, Kautiainen H . Subacromial space in the rheumatoid shoulder: a radiographic 15-year follow-up study of 148 shoulders. J Shoulder Elbow Surg. 2000; 9(3):183-7. View

Walch G, Boileau P, Noel E . Shoulder arthroplasty: evolving techniques and indications. Joint Bone Spine. 2010; 77(6):501-5. DOI: 10.1016/j.jbspin.2010.09.004. View

Baulot E, Garron E, Grammont P . [Grammont prosthesis in humeral head osteonecrosis. Indications--results]. Acta Orthop Belg. 1999; 65 Suppl 1:109-15. View

Nolan B, Ankerson E, Wiater J . Reverse total shoulder arthroplasty improves function in cuff tear arthropathy. Clin Orthop Relat Res. 2010; 469(9):2476-82. PMC: 3148381. DOI: 10.1007/s11999-010-1683-z. View

Cuff D, Pupello D, Virani N, Levy J, Frankle M . Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am. 2008; 90(6):1244-51. DOI: 10.2106/JBJS.G.00775. View

Young A, Smith M, Bacle G, Moraga C, Walch G . Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am. 2011; 93(20):1915-23. DOI: 10.2106/JBJS.J.00300. View

Zumstein M, Pinedo M, Old J, Boileau P . Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2010; 20(1):146-57. DOI: 10.1016/j.jse.2010.08.001. View

Jiang J, Toor A, Shi L, Koh J . Analysis of perioperative complications in patients after total shoulder arthroplasty and reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2014; 23(12):1852-1859. DOI: 10.1016/j.jse.2014.04.008. View

Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D . Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004; 86(3):388-95. DOI: 10.1302/0301-620x.86b3.14024. View

10.

Sperling J, Cofield R, Schleck C, Harmsen W . Total shoulder arthroplasty versus hemiarthroplasty for rheumatoid arthritis of the shoulder: results of 303 consecutive cases. J Shoulder Elbow Surg. 2007; 16(6):683-90. DOI: 10.1016/j.jse.2007.02.135. View

11.

Richards J, Inacio M, Beckett M, Navarro R, Singh A, Dillon M . Patient and procedure-specific risk factors for deep infection after primary shoulder arthroplasty. Clin Orthop Relat Res. 2014; 472(9):2809-15. PMC: 4117904. DOI: 10.1007/s11999-014-3696-5. View

12.

Wall B, Nove-Josserand L, OConnor D, Edwards T, Walch G . Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007; 89(7):1476-85. DOI: 10.2106/JBJS.F.00666. View

13.

Castagna A, Delcogliano M, De Caro F, Ziveri G, Borroni M, Gumina S . Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system. Int Orthop. 2013; 37(7):1297-305. PMC: 3685650. DOI: 10.1007/s00264-013-1907-4. View

14.

Boileau P, Watkinson D, Hatzidakis A, Hovorka I . Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg. 2006; 15(5):527-40. DOI: 10.1016/j.jse.2006.01.003. View

15.

Werner C, Steinmann P, Gilbart M, Gerber C . Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am. 2005; 87(7):1476-86. DOI: 10.2106/JBJS.D.02342. View

16.

John M, Pap G, Angst F, Flury M, Lieske S, Schwyzer H . Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear. Int Orthop. 2009; 34(1):71-7. PMC: 2899269. DOI: 10.1007/s00264-009-0733-1. View

17.

Rittmeister M, Kerschbaumer F . Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg. 2001; 10(1):17-22. DOI: 10.1067/mse.2001.110515. View

18.

Patel D, Young B, Onyekwelu I, Zuckerman J, Kwon Y . Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Shoulder Elbow Surg. 2012; 21(11):1478-83. DOI: 10.1016/j.jse.2011.11.004. View

19.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009; 339:b2535. PMC: 2714657. DOI: 10.1136/bmj.b2535. View

20.

Ekelund A, Nyberg R . Can reverse shoulder arthroplasty be used with few complications in rheumatoid arthritis?. Clin Orthop Relat Res. 2010; 469(9):2483-8. PMC: 3148380. DOI: 10.1007/s11999-010-1654-4. View