Review Article
Volume 12 Issue 5 - 2021
Pioneers of Stemless Reverse Shoulder Replacement - A Review of Design Concepts and Outcomes
Ira Bachar1,2, Paolo Consigliere1,3 and Ofer Levy1,2
1Reading Shoulder Unit, Berkshire Independent Hospital, Reading, Berkshire, UK
2Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva, Israel
3Manchester University NHS Foundation Trust, Manchester, UK
*Corresponding Author: Ofer Levy, Professor, Reading Shoulder Unit, Berkshire Independent Hospital, Reading, Berkshire, UK.
Received: March 08, 2021; Published: April 28, 2021




Abstract

The Reverse shoulder prostheses have gained popularity in the recent decades and has become the procedure of choice for treatment of glenohumeral arthropathy with deficient rotator cuff such as: rotator cuff arthropathy, rheumatoid arthritis, trauma sequela (e.g. proximal humerus fractures and dislocations), massive irreparable rotator cuff tears, and failed shoulder replacement. Mid and long-term patient outcomes have been good, with most patients restoring a functional range of motion. Complication rates vary significantly between 24 - 50%, some requiring revision surgery. Many of these complications, both intraoperative and postoperative, occur around the humeral diaphyseal stem. Revision arthroplasty has a higher rate of complications, with specific complications related to revising the humeral diaphyseal stem and loss of bone stock. Stemless metaphyseal cementless implants have been developed to preserve bone, with only minimal bone resection needed for implant. Since 2005, stemless reverse Total Shoulder Arthroplasties (TSA) have been in clinical use, with the Verso shoulder [Innovative Design Orthopedics, London, UK (formerly Biomet, UK)] and the TESS reverse shoulder (Biomet, France. This review examines the introduction of the metaphyseal prosthesis, the principles of their design, indications, biomechanical considerations, and clinical and radiological outcomes in the 15 years since they were introduced.

 

Keywords: Reverse TSA; Stemless; Metaphyseal; Cementless; Glenoid Notching; Bone Preserving

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Citation: Ofer Levy., et al. “Pioneers of Stemless Reverse Shoulder Replacement - A Review of Design Concepts and Outcomes”. EC Orthopaedics 12.5 (2021): 71-84.

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