Reverse Shoulder Replacement (Delta joint replacement) for arthritis: Surgery with a reverse prosthesis can lessen shoulder pain and improve function in shoulders with failed surgery or combined arthritis, rotator cuff tears and instability.
Edited By: Winston J. Warme, MD, Frederick A. Matsen III, M.D.
Last updated Friday, June 20, 2008
ConclusionWhat are the five most important facts about reverse shoulder for reverse shoulder? Rotator cuff tear arthropathy (arthritis with a massive cuff defect)
with shoulder instability is a devastating condition that seriously
compromises the comfort and function of the shoulder. This condition is
characterized by the permanent loss of the rotator cuff tendons and the
normal surface of the shoulder joint. These tissues cannot be restored
to their normal condition and the lost comfort and function of the
shoulder cannot be totally regained.
However, in the hands of an experienced surgeon and in a
well-motivated individual, shoulder replacement surgery with a reversed
(reverse Delta) prosthesis along with careful post-surgical
rehabilitation can help restore substantial comfort and function to
shoulders damaged by cuff tear arthropathy and instability.
Pre-planning and persistent rehabilitation efforts will help assure
the best possible result for the individual with rotator cuff tear
arthropathy.
Thanks to the DePuy Company, the distributor of the Delta prosthesis, for their permission to use the
illustrations from their technical manual for this procedure. [Figure
45]
References:
Arntz, C. T., S. Jackins, et al. (1993). "Prosthetic replacement of the shoulder for the treatment of defects in the rotator cuff and the surface of the glenohumeral joint." J Bone Joint Surg Am 75(4): 485-91.
Arntz, C. T., F. A. Matsen, 3rd, et al. (1991). "Surgical management of complex irreparable rotator cuff deficiency." J Arthroplasty 6(4): 363-70.
Matsen, F. A., 3rd, P. Boileau, et al. (2007). "The reverse total shoulder arthroplasty." J Bone Joint Surg Am 89(3): 660-7.
Caroline Chebli, Philippe Huber, Jonathan Watling, Alexander Bertelsen,
Ryan T. Bicknell, Frederick Matsen
III.(2008) Factors affecting fixation of the glenoid component of a reverse total shoulder prosthesis
Journal of Shoulder and Elbow Surgery, Volume 17, Issue 2, March-April
2008, Pages 323-327.
Frederick A. Matsen, III, Pascal Boileau, Gilles Walch, Christian Gerber, and Ryan T. Bicknell (2007)
The Reverse Total Shoulder Arthroplasty
J. Bone Joint Surg. Am., Mar 2007; 89: 660 - 667.
F. Matsen III , R . Bicknell, S . Lippitt
(2007) Shoulder arthroplasty:
The socket perspective .
Volume 16, Issue
5, Supplement 1, September-October 2007, Pages S241-S247
Surgery for Reverse Shoulder at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-7416 to make an appointment.Disclaimer
This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.
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