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Research Paper | Orthopaedic Surgery | India | Volume 14 Issue 4, April 2025 | Popularity: 5.3 / 10
Long-Term Outcomes Following Reverse Shoulder Arthroplasty for Cuff Tear Arthropathy: Analysis of Functional Scores and Complications
Dr. Ojas Yadav, Dr. Akash Lotlikar
Abstract: Background: Cuff tear arthropathy (CTA) represents a complex degenerative pathology of the shoulder, resulting from massive rotator cuff tears and subsequent humeral head migration. Reverse shoulder arthroplasty (RSA) is widely considered a viable treatment option for patients with irreparable rotator cuff tears, especially in advanced stages of arthropathy. However, the long-term functional outcomes and complications associated with RSA require further elucidation. Methods: A retrospective analysis was performed on 22 patients (14 females, 8 males; mean age 72.4 years) who underwent RSA for CTA at a single tertiary care institute. Data were collected over a minimum follow-up period of five years. Functional outcome measures included the Constant-Murley score, American Shoulder and Elbow Surgeons (ASES) score, and the visual analogue scale (VAS) for pain. Complications, including infection, dislocation, scapular notching, and revision surgery, were recorded. Statistical analysis was conducted to compare preoperative and final follow-up outcomes. Results: At final follow-up, both Constant-Murley and ASES scores demonstrated significant improvement (p<0.001) compared to preoperative values. Mean Constant-Murley score increased from 28.5 to 64.3, while mean ASES score improved from 34.2 to 78.6. VAS pain scores decreased substantially from 7.2 to 2.1 (p<0.001). Overall satisfaction was high, with 85% of patients reporting good to excellent results. The most common complication observed was scapular notching (18%), followed by dislocation (4.5%) and superficial infection (4.5%). No deep infection or loosening requiring revision was documented over the follow-up period. Conclusion: RSA provides substantial and sustained functional improvement for patients with CTA, with acceptable complication rates over a minimum five-year follow-up. Despite the potential for scapular notching, most patients experience significant pain relief and improved shoulder function.
Keywords: reverse shoulder arthroplasty, cuff tear arthropathy, long-term outcomes, functional scores, complications, shoulder surgery
Edition: Volume 14 Issue 4, April 2025
Pages: 649 - 653
DOI: https://www.doi.org/10.21275/SR25408011127
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