Artroplastia de revisión de prótesis de superficie de hombro hacia prótesis invertida no cementada con vástago corto

Translated title of the contribution: Revision shoulder arthroplasty from resurfacing to non-cemented short-stem reverse prosthesis

L. Natera, J. Bruguera, E. Atoun, O. Levy

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objective: To assess the surgical parameters and the clinical and radiological outcomes of revisions of resurfacing shoulder arthroplasty to non-cemented short-stem reverse total shoulder arthroplasty. Material and methods: A total of 23 revisions from resurfacing shoulder arthroplasty to reverse total shoulder arthroplasty were performed. The mean age was 70.3 ± 11.95 years. The patients included 82.6% (19/23) revised for cuff failure; 13.04% (3/23) cuff failure and aseptic loosening, and 4.35% (1/23) peri-prosthetic fracture. The need for humeral osteotomy or structural allograft, operation length, blood loss, blood transfusions and intraoperative fractures were recorded. Minimum follow-up 25 months. Results: No humeral osteotomy or humeral structural allograft was required, and 2/23 (8.69%) required allograft for glenoid reconstruction. The mean operation time was 113.35 ± 21.30 minutes. Intra-operative blood loss was 374 ± 245.09 mls. Blood transfusion was required in one case. Intra-operative fracture occurred in 1 case. The Constant score improved from 17.32 to 59.78 (age/sex adjusted, 84). Overall satisfaction improved from 1.37 to 8.04. The range of motion increased 79.57° in forward elevation; 72.88° in abduction; 38.06° in internal rotation; and 13.57° in external rotation. There was no evidence of radiolucency, subsidence, or bone resorption. Conclusion: Revisions of resurfacing implants to non-cemented short-stem reverse prosthesis show good clinical and radiological outcomes, with minimal intra-operative complexities. Level of evidence: IV, case series.

Translated title of the contributionRevision shoulder arthroplasty from resurfacing to non-cemented short-stem reverse prosthesis
Original languageSpanish
Pages (from-to)175-183
Number of pages9
JournalRevista Espanola de Cirugia Ortopedica y Traumatologia
Issue number3
StatePublished - 1 May 2016


  • Perioperative complications
  • Reverse prosthesis
  • Revision arthroplasty
  • Shoulder resurfacing

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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