Medium term results of reverse total shoulder replacement in patients with rotator cuff arthropathy

Ir J Med Sci. 2009 Jun;178(2):147-50. doi: 10.1007/s11845-008-0262-8. Epub 2008 Dec 4.


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.

Conclusion: 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.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement / methods*
  • Confidence Intervals
  • Female
  • Health Status Indicators
  • Humans
  • Male
  • Radiography
  • Range of Motion, Articular
  • Reference Values
  • Retrospective Studies
  • Rotator Cuff / diagnostic imaging
  • Rotator Cuff / surgery*
  • Rotator Cuff Injuries
  • Shoulder Injuries
  • Shoulder Joint / diagnostic imaging
  • Shoulder Joint / surgery*
  • Treatment Outcome