Patient reported activities after reverse total shoulder arthroplasty in rotator cuff arthropathy patients

Rev Esp Cir Ortop Traumatol. 2017 Jul-Aug;61(4):273-280. doi: 10.1016/j.recot.2017.03.008. Epub 2017 Jun 15.
[Article in English, Spanish]

Abstract

Introduction and objective: Reverse total shoulder arthroplasty in rotator cuff arthropathy patients, improves anteversion and abduction, but not rotational, outcomes. The main aim of this study is to determine its repercussions on daily life activities in our patients.

Material and methods: Between 2009 and 2011 we implanted 210 shoulder arthroplasties, 126 of them were reverse total shoulder arthroplasty in a rotator cuff arthropathy context. About 88% were women, with a mean age at time of surgery of 81 years, 95% were retired. The mean follow up was 53 months. The Constant scale, Visual Analogue Scale, Charlson Comorbidity Index, range of motion were measured for each patient and whether they could manage 40 daily life activities by means of a new questionnaire, classifying them according toshoulder functional demand.

Results and discussion: Mean normalized by sex and age Constant value was 81.2%. Mean Visual Analogue Scale and Charlson Index were 3.56 and 1.69 respectively. Improvement in anteversion and abduction, not in rotational range of motion. Limitation was found in low and high functional demand activities in 20% and 51% respectively, especially those which involved internal rotation.

Conclusion: Reverse total shoulder arthroplasty treatment for RCA in the elderly, achieves adequate pain management and good functional outcomes. Nevertheless, an important risk of DLA limitation must be accepted in those which involve internal rotation or shoulder high functional demand.

Keywords: Actividades de la vida diaria; Artropatía de manguito rotador; Artroplastia invertida de hombro; Daily life activities; Hombro; Reverse total shoulder arthroplasty; Rotator cuff arthropathy; Shoulder.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Shoulder / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Patient Reported Outcome Measures*
  • Range of Motion, Articular
  • Recovery of Function
  • Retrospective Studies
  • Rotator Cuff Tear Arthropathy / physiopathology
  • Rotator Cuff Tear Arthropathy / surgery*
  • Treatment Outcome