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Reverse Shoulder Arthroplasty for the Treatment of Rotator Cuff DeficiencyA Concise Follow-up, at a Minimum of Five Years, of a Previous Report*
Derek Cuff, MD1; Rachel Clark, BA, CCRC2; Derek Pupello, MBA2; Mark Frankle, MD3
1 Suncoast Orthopaedic Surgery & Sports Medicine, P.A., 836 Sunset Lake Boulevard, Suite A-205, Venice, FL 34292-7556
2 Foundation for Orthopaedic Research and Education, 13020 North Telecom Parkway, Tampa, FL 33637
3 Florida Orthopaedic Institute, 13020 North Telecom Parkway, Tampa, FL 33637. E-mail address: frankle@pol.net
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Investigation performed at the Florida Orthopaedic Institute and the Foundation for Orthopaedic Research and Education, Tampa, Florida

Original Publication

Cuff D, Pupello D, Virani N, Levy J, Frankle M. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am. 2008 Jun;90(6):1244-51.

Disclosure: One or more of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of an aspect of this work. In addition, one or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, one or more of the authors has had another relationship, or has engaged in another activity, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Nov 07;94(21):1996-2000. doi: 10.2106/JBJS.K.01206
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We previously evaluated ninety-four patients (ninety-six shoulders) who underwent reverse shoulder arthroplasty with use of a central compressive screw along with 5.0-mm peripheral locking screws for baseplate fixation and a center of rotation lateral to the glenoid. The purpose of this study was to report updated results at a minimum follow-up of five years. Since the last report, an additional two patients underwent revision surgery: one for recurrent instability and one for resorption of a proximal humeral allograft. The patients continue to have improved outcome scores and range of motion. Survivorship with the end point being revision for any reason was 73.5 months, with 94% survival at sixty months. Radiographic follow-up showed that two (3%) of seventy-six patients included in the survivorship analysis had asymptomatic humeral loosening, seven (9%) had scapular notching, and no patient had glenoid baseplate loosening or baseplate failure. The patients have maintained their improved function with durable clinical and radiographic results at a minimum of five years.

Level of Evidence: 

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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