TY - JOUR
T1 - Reverse Total Shoulder Arthroplasty without Bone-Grafting for Severe Glenoid Bone Loss in Patients with Osteoarthritis and Intact Rotator Cuff
T2 - A Concise 5-Year Follow-up of a Previous Report*
AU - McFarland, Edward G.
AU - Meshram, Prashant
AU - Rojas, Jorge
AU - Joseph, Jacob
AU - Srikumaran, Uma
N1 - Funding Information:
Disclosure: This research was funded by the William and Donna Marriott Shoulder Division Research Fund at The Johns Hopkins University. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and “yes” to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work ( http://links.lww.com/JBJS/G341 ).
Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/4/7
Y1 - 2021/4/7
N2 - We previously reported on 40 patients (42 shoulders) with glenoid bone loss who underwent reverse total shoulder arthroplasty with glenoid reaming and without bone-grafting. The purpose of this study was to report the updated results in 29 patients (31 shoulders) from the original cohort who were available after a minimum 5-year follow-up. Since the last report, 1 additional patient had a baseplate failure. The cumulative incidence of baseplate failure requiring revision, accounting for the competing risk of death, was 2.4% (95% confidence interval [CI], 0.2% to 12%) at 2 years and 5.2% (95% CI, 0.9% to 16%) at 5 and 10 years. Patients who did not have an implant failure had a statistically significant and clinically relevant improvement compared with their preoperative scores on a visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test, and Short Form-36 (SF-36). Scapular notching occurred in 6 shoulders (19%). For the studied indication, reaming the glenoid flat produced excellent prosthetic survival with clinical results maintained at a minimum 5-year follow-up.
AB - We previously reported on 40 patients (42 shoulders) with glenoid bone loss who underwent reverse total shoulder arthroplasty with glenoid reaming and without bone-grafting. The purpose of this study was to report the updated results in 29 patients (31 shoulders) from the original cohort who were available after a minimum 5-year follow-up. Since the last report, 1 additional patient had a baseplate failure. The cumulative incidence of baseplate failure requiring revision, accounting for the competing risk of death, was 2.4% (95% confidence interval [CI], 0.2% to 12%) at 2 years and 5.2% (95% CI, 0.9% to 16%) at 5 and 10 years. Patients who did not have an implant failure had a statistically significant and clinically relevant improvement compared with their preoperative scores on a visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test, and Short Form-36 (SF-36). Scapular notching occurred in 6 shoulders (19%). For the studied indication, reaming the glenoid flat produced excellent prosthetic survival with clinical results maintained at a minimum 5-year follow-up.
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U2 - 10.2106/JBJS.20.01042
DO - 10.2106/JBJS.20.01042
M3 - Article
C2 - 33684084
AN - SCOPUS:85103683907
VL - 103
SP - 581
EP - 585
JO - Journal of Bone and Joint Surgery
JF - Journal of Bone and Joint Surgery
SN - 0021-9355
IS - 7
ER -