Original articleGlenoid bone grafting with a reverse design prosthesis
Section snippets
Materials and methods
Two hundred thirty-five consecutive patients were treated from September 1995 to June 2003 with a Grammont reverse design prosthesis (DePuy France, Saint Priest, France). Indications for treatment included cuff tear arthropathy (54 cases), glenohumeral osteoarthritis (44 cases), posttraumatic arthritis (31 cases), failure of rotator cuff surgery (25 cases), massive rotator cuff tear without arthritis (19 cases), rheumatoid arthritis (5 cases), fractures (3 cases), tumors (2 cases), and revision
Results
Follow-up averaged 31 months (range, 24-41 months). Results of the preoperative and postoperative clinical evaluations are shown in Table I. The mean score for pain for the entire series increased from 3 to 12.5 points (out of 15 points possible). Only 1 patient complained of significant pain (case 8). This patient had pain in the shoulder that was further complicated by a history of multiple cervical spine operations. Five patients were completely pain-free at the latest follow-up visit.
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Discussion
Many conditions of the shoulder may be complicated by glenoid bone deficiency or rotator cuff deficiency, such as cuff tear arthropathy, primary glenohumeral osteoarthritis, posttraumatic arthritis, failed rotator cuff surgery, massive rotator cuff tear with pseudoparalysis, rheumatoid arthritis, fractures, and tumors. In addition, shoulders that have previously undergone arthroplasty for these conditions may develop glenoid bone deficiency after either loosening of a glenoid component or
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