11.07.2015 Views

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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a lateral center <strong>of</strong> rotation and approved for use in <strong>the</strong> United States since 2004. Multiplestudies by <strong>the</strong> implant design team have documented excellent outcomes and low revision ratesfor <strong>the</strong> RSP, but o<strong>the</strong>r published outcomes data are relatively sparse. The objective <strong>of</strong> this studyis to report on <strong>the</strong> complications and early outcomes in <strong>the</strong> first consecutive 60 RSPs implantedin 57 patients by a single shoulder replacement surgeon between 2004 and 2010. Forty-fourpatients were female and mean age at <strong>the</strong> time <strong>of</strong> reverse shoulder arthroplasty was 75 years(range 54 to 92 years). The RSP was used as a primary arthroplasty in 42 shoulders and torevise a failed pros<strong>the</strong>tic shoulder arthroplasty in 18 shoulders. During <strong>the</strong> study period, 365shoulder replacements were implanted so that <strong>the</strong> RSP was used selectively, accounting for only17% <strong>of</strong> all shoulder arthroplasties (8.4% for 2004-2007, 24.2% for 2008-2010). Most patientshad pseudoparalysis and pr<strong>of</strong>ound shoulder dysfunction so that mean pre-operative activeforward elevation was to 45°, active abduction to 43°, active internal rotation to <strong>the</strong> buttock,and <strong>the</strong> mean pre-operative Simple Shoulder Test (SST) score was 1 out <strong>of</strong> 12. At final followup,mean active forward elevation had improved to 101° (p

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