REVERSE SHOULDER ARTHROPLASTY IN THE TREATMENT OF POST-TRAUMATIC ELBOW SEQUELAE: CASE REPORT
DOI:
https://doi.org/10.61443/rto.v24i4.472Keywords:
shoulder/surgery; reverse shoulder arthroplasty; proximal humerus nonunion.Abstract
Reverse total shoulder arthroplasty was first developed in 1980 by French surgeon Paul Grammont for patients with cuff tear arthropathy associated with irreparable rotator cuff tears. With advancements in surgical techniques and implant design, additional indications have emerged: complex proximal humerus fractures, nonunion, revision of conventional prostheses, chronic shoulder instability, rheumatoid arthritis or other inflammatory diseases associated with rotator cuff insufficiency, and reconstructions following oncologic resections or failed previous surgeries. However, there is a growing incidence of postoperative complications, reduced durability, and higher revision rates, particularly in younger or high-demand patients.
Current challenges of reverse shoulder arthroplasty include glenosphere loosening, prosthetic instability, limited durability in young patients, deltoid-related complications, restricted range of motion, risk of infections, glenoid or humeral bone loss, technical difficulties in complex cases, and managing patients' expectations regarding functional outcomes. We present a case report of a 55-year-old female patient with sequelae from a left proximal humerus fracture sustained two years prior, treated with reverse shoulder arthroplasty.
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References
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