Omuz Rotator Manşet Yırtığı Artropatisi Tedavisinde Ters Omuz Artroplastisi: Sistematik Derleme

Öz

Amaç: Çalışmamızda güncel literatür eşliğinde rotator manşet yırtığı artropatisi (CTA) sonrasında uygulanan ters omuz protezinin (RSA) sonuçlarını ve komplikasyonlarını incelemeyi amaçladık. Gereç ve Yöntem: Yöntemler Literatür taraması 1 Nisan 2024 tarihinde Medline, Cochrane, EMBASE, Google Scholar ve Ovid veritabanlarında ''ters total omuz artroplastisi'', ''ters total omuz protezi'', ''manşet yırtığı artropatisi'', ''sonuçlar'' ve ''komplikasyonlar'' anahtar kelimeleri kullanılarak eş zamanlı olarak yapılmıştır. Yalnızca hakemli dergilerde İngilizce olarak yayınlanan klinik araştırmalar değerlendirildi. Preoperatif ve postoperatif klinik skorların yanı sıra eklem hareket açıklığı (ROM) arasındaki karşılaştırma Wilcoxon-Mann-Whitney testi kullanılarak yapıldı. 0,05'in altındaki P değerleri istatistiksel olarak anlamlı kabul edildi Bulgular: Çalışmamıza 12 makale dahil edildi. Ameliyat öncesi ve ameliyat sonrasında yapılan muayenelerde elde edilen sonuçlar karşılaştırıldığında eklem hareket açıklıklarında ve fonksiyonel skorlamalarda istatistiksel olarak anlamlı bir iyileşme olduğu görüldü. Hastaların %21.1’inde çeşitli komplikasyonlar geliştiği gözlendi. Komplikasyonların en sık görüleni hastaların %13,8'inde meydana gelen skapular çentiklenmedir. Hastaların %1.57'sinde revizyon ameliyatı gerekti. Revizyonun sık nedeninin periprostetik eklem enfeksiyonu olduğu görüldü. Çıkarım: CTA hastalarında RSA ile hem ağrısız omuz eklemi hem de fonksiyonel olarak artış sağlanabilmektedir. Olumlu sonuçlarına karşın hastaların yaklaşık beşte birinde çeşitli şiddetlerde komplikasyon görülebilmektedir. Level I çalışmalarının olmayışı, CTA hastalarının tedavisinde RSA'nın potansiyelleri ve sınırlamalarının gerçek anlamda anlaşılmasını sınırlamaktadır.

Anahtar Kelimeler

• Manşet yırtığı artropatisi
• Ters omuz artroplastisi
• Sonuçlar
• Komplikasyonlar

Reverse Shoulder Arthroplasty in the Treatment of Cuff Tear Arthropathy: Systematic Review

Öz

Purpose: In our study, we aimed to examine the results and complications of reverse shoulder prosthesis (RSA) applied after rotator cuff tear arthropathy (CTA) in the light of the current literature. Methods: The literature search was conducted simultaneously on 1 April 2024 in the Medline, Cochrane, EMBASE, Google Scholar and Ovid databases using the ''reverse total shoulder arthroplasty'', ''reverse total shoulder prosthesis'', ''cuff tear arthropathy'', ''outcomes'' and ''complications'' keywords. Only clinical review published in English in peer-reviewed journals was evaluated. The comparison between preoperative and postoperative clinical scores, as well as range of motion (ROM), was performed using the Wilcoxon–Mann–Whitney test. P values lower than 0.05 were considered statistically significant. Results: 12 articles were included in our study. When comparing the results of the pre- and postoperative examinations, a statistically significant improvement in the range of motion and the functional score was found. It was found that various complications occurred in 21.1% of patients. The most common complication is scapular notching, which occurred in 13.8% of patients. Revision surgery was required in 1.57% of patients. The most common cause of revision was a periprosthetic joint infection. Conclusion: In CTA patients, RSA can achieve both freedom from pain in the shoulder joint and an increase in function. Despite positive results, complications of varying degrees of severity can occur in around one fifth of patients. The lack of Level I studies limits a true understanding of the possibilities and limitations of RSA in the treatment of CTA patients.

Anahtar Kelimeler

• Cuff tear arthropaty
• Reverse total shoulder arthroplasty
• Outcomes
• Complications

Kaynakça

1. 1. Neer 2nd C, Craig E, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surgery Am. 1983;65(9):1232-1244.
2. 2. Nielsen KP, Amundsen A, Olsen BS, Rasmussen JV. Good long-term patient-reported outcome after shoulder arthroplasty for cuff tear arthropathy. JSES Int. 2022;6(1):40-43.
3. 3. Nwakama AC, Cofield RH, Kavanagh BF, Loehr J. Semiconstrained total shoulder arthroplasty for glenohumeral arthritis and massive rotator cuff tearing. J Shoulder Elbow Surg. 2000;9(4):302-307.
4. 4. Franklin JL, Barrett WP, Jackins SE, Matsen III FA. Glenoid loosening in total shoulder arthroplasty: association with rotator cuff deficiency. J Arthroplasty. 1988;3(1):39-46.
5. 5. Nam D, Maak TG, Raphael BS, Kepler CK, Cross MB, Warren RF. Rotator cuff tear arthropathy: evaluation, diagnosis, and treatment: AAOS exhibit selection. J Bone Joint Surgery Am. 2012;94(6):e34.
6. 6. Feeley BT, Gallo RA, Craig EV. Cuff tear arthropathy: current trends in diagnosis and surgical management. J Shoulder Elbow Surg. 2009;18(3):484-494.
7. 7. Zuckerman JD, Scott AJ, Gallagher MA. Hemiarthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2000;9(3):169-172.
8. 8. Sanchez-Sotelo J, Torchia ME, O’Driscoll SW. Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique. J Bone Joint Surgery Am. 2007;89(5):961-969.

9. 9. Grammont P, Trouilloud P, Laffay J, Deries X. Etude et réalisation d’une nouvelle prothèse d’épaule. Rhumatologie. 1987;39(10):407-418.
10. 10. Petrillo S, Longo U, Papalia R, Denaro V. Reverse shoulder arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review. Musculoskelet Surg. 2017;101:105-112.
11. 11. Juhan T, Stone M, Jalali O, et al. Irreparable rotator cuff tears: Current treatment options. Orthop Rev. 2019;11(3).
12. 12. Grammont P, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16(1):65-68.
13. 13. Lehtimäki K, Rasmussen JV, Mokka J, et al. Risk and risk factors for revision after primary reverse shoulder arthroplasty for cuff tear arthropathy and osteoarthritis: a Nordic Arthroplasty Register Association study. J Shoulder Elbow Surg. 2018;27(9):1596-1601.
14. 14. Boulahia A, Edwards TB, Walch G, Baratta RV. Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics. 2002;25(2):129-133.
15. 15. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surgery Am. 2011;93(24):2249-2254.
16. 16. Rittmeister M, Kerschbaumer F. Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg. 2001;10(1):17-22.
17. 17. Bohsali KI, Bois AJ, Wirth MA. Complications of shoulder arthroplasty. J Bone Joint Surgery Am. 2017;99(3):256-269.
18. 18. Boileau P. Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res. 2016;102(1):S33-S43.
19. 19. Beltrame A, Di Benedetto P, Salviato D, et al. The SMR reverse shoulder arthroplasty in rotator cuff arthropathy management. Acta Biomed. 2017;88(Suppl 4):81.
20. 20. Nascimento AT, Claudio GK, Rocha PB. Artroplastia reversa de ombro: Resultados funcionais na artropatia do manguito. Rev Bras Ortop. 2020;55:106-111.
21. 21. Nolan BM, Ankerson E, Wiater MJ. Reverse total shoulder arthroplasty improves function in cuff tear arthropathy. Clin Orthop Relat Res. 2011;469(9):2476-2482.
22. 22. Leung B, Horodyski M, Struk AM, Wright TW. Functional outcome of hemiarthroplasty compared with reverse total shoulder arthroplasty in the treatment of rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2012;21(3):319-323.
23. 23. Jobin CM, Brown GD, Bahu MJ, et al. Reverse total shoulder arthroplasty for cuff tear arthropathy: the clinical effect of deltoid lengthening and center of rotation medialization. J Shoulder Elbow Surg. 2012;21(10):1269-1277.
24. 24. Franceschetti E, Ranieri R, de Sanctis EG, Palumbo A, Franceschi F. Clinical results of bony increased-offset reverse shoulder arthroplasty (BIO-RSA) associated with an onlay 145° curved stem in patients with cuff tear arthropathy: a comparative study. J Shoulder Elbow Surg. 2020;29(1):58-67.
25. 25. Lee JH, Chun YM, Kim DS, Lee DH, Shin SJ. Clinical comparison of humeral-lateralization reverse total shoulder arthroplasty between patients with irreparable rotator cuff tear and patients with cuff tear arthropathy. JSES Int. 2020;4(3):694-700.
26. 26. Barlow JD, Jamgochian G, Wells Z, et al. Reverse shoulder arthroplasty is superior to hemiarthroplasty for cuff tear arthropathy with preserved motion. Arch Bone Jt Surg. 2020;8(1):75.
27. 27. Adam MF, Lädermann A, Denard PJ, Lacerda F, Collin P. Preoperative Diagnosis and Rotator Cuff Status Impact Functional Internal Rotation Following Reverse Shoulder Arthroplasty. J Shoulder Elbow Surg. 2024 Jul;33(7):1570-1576.
28. 28. Holschen M, Kiriazis A, Bockmann B, Schulte TL, Witt KA, Steinbeck J. Treating cuff tear arthropathy by reverse total shoulder arthroplasty: do the inclination of the humeral component and the lateral offset of the glenosphere influence the clinical and the radiological outcome? Eur J Orthop Surg Traumatol. 2022 Feb;32(2):307-315.
29. 29. Saini SS, Pettit R, Puzzitiello RN, et al. Clinical outcomes after reverse total shoulder arthroplasty in patients with primary glenohumeral osteoarthritis compared with rotator cuff tear arthropathy: does preoperative diagnosis make a difference? J Am Acad Orthop Surg. 2022;30(3):e415-e422.
30. 30. Uçan V, Pulatkan A, Sarıkaş M, Kapıcıoğlu M, Bilsel K. Does correction of reverse shoulder arthroplasty angle improve clinical outcomes in cuff tear arthropathy? Acta Orthop Traumatol Turc. 2021;55:466-472.
31. 31. Paszicsnyek A, Kriechling P, Razaeian S, Ernstbrunner L, Wieser K, Borbas P. Reverse total shoulder arthroplasty for proximal humeral fractures and sequalae compared to non-fracture indications: a matched cohort analysis of outcome and complications. J Clin Med. 2023;12(6):2097.
32. 32. Baram A, Ammitzboell M, Brorson S, Olsen BS, Amundsen A, Rasmussen JV. What factors are associated with revision or worse patient-reported outcome after reverse shoulder arthroplasty for cuff-tear arthropathy? A study from the Danish shoulder arthroplasty registry. Clin Orthop Relat Res. 2020;478(5):1089-1097.
33. 33. Coscia AC, Matar RN, Espinal EE, Shah NS, Grawe BM. Does preoperative diagnosis impact patient outcomes following reverse total shoulder arthroplasty? A systematic review. J Shoulder Elbow Surg 2021;30(6):1458-1470.
34. 34. Lindbloom BJ, Christmas KN, Downes K, et al. Is there a relationship between preoperative diagnosis and clinical outcomes in reverse shoulder arthroplasty? An experience in 699 shoulders. J Shoulder Elbow Surg. 2019;28(6):S110-S117.
35. 35. Cabarcas BC, Gowd AK, Liu JN, et al. Establishing maximum medical improvement following reverse total shoulder arthroplasty for rotator cuff deficiency. J Shoulder Elbow Surg. 2018;27(9):1721-1731.
36. 36. Waterman BR, Dean RS, Naylor AJ, et al. Comparative clinical outcomes of reverse total shoulder arthroplasty for primary cuff tear arthropathy versus severe glenohumeral osteoarthritis with intact rotator cuff: a matched-cohort analysis. J Am Acad Orthop Surg. 2020;28(23):e1042-e1048.
37. 37. Rugg CM, Gallo RA, Craig EV, Feeley BT. The pathogenesis and management of cuff tear arthropathy. J Shoulder Elbow Surg. 2018;27(12):2271-2283.
38. 38. Silva CM, Teixeira GFD, de Brito GCC, Lacerda MA, Rocha FA. Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population. BMC Musculoskelet Disord. 2024;25(1):13.
39. 39. Testa EJ, Glass E, Ames A, et al. Indication matters: effect of indication on clinical outcome following reverse total shoulder arthroplasty—a multicenter study. J Shoulder Elbow Surg. Published online 2023.
40. 40. Familiari F, Rojas J, Doral MN, Huri G, McFarland EG. Reverse total shoulder arthroplasty. EFORT open rev. 2018;3(2):58-69.
41. 41. Freislederer F, Moroder P, Audigé L, et al. Analysis of three different reverse shoulder arthroplasty designs for cuff tear arthropathy–the combination of lateralization and distalization provides best mobility. BMC Musculoskelet Disord. 2024;25(1):204.
42. 42. Ilyas G, Egeli E, Ipci FB, Gokalp O. The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients. BMC Musculoskelet Disord. 2024;25(1):231.
43. 43. İlyas G, Egeli E, Ilyas G, Egeli Sr E. Does Reverse Shoulder Arthroplasty Improve Function and Quality of Life in Patients With Rotator Cuff Tear Arthropathy? Cureus. 2023;15(8).
44. 44. Bacle G, Nové-Josserand L, Garaud P, Walch G. Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Joint Surg Am. 2017;99(6):454-461.
45. 45. Tornberg H, Kleinbart EP, Martin K, et al. Disparities in arthroplasty utilization for rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2023;32(10):1981-1987.
46. 46. De La Selle H, Lascar T, Clappaz P, et al. Reverse Shoulder Arthroplasty for Patients with Massive Rotator Cuff Tears or Cuff Tear Arthropathies at a Minimum Follow-up of 7 Years. J Shoulder Elbow Surg. 2023;7:24715492231157659.
47. 47. Stenson JF, Mills ZD, Dasari SP, Whitson AJ, Hsu JE, Matsen III FA. Managing rotator cuff tear arthropathy: a role for cuff tear arthropathy hemiarthroplasty as well as reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2024;33(3):e162-e174.
48. 48. Imiolczyk JP, Audigé L, Harzbecker V, Moroder P, Scheibel M. Metallic humeral and glenoid lateralized implants in reverse shoulder arthroplasty for cuff tear arthropathy and primary osteoarthritis. JSES Int. 2022;6(2):221-228.
49. 49. Skedros JG, Smith JS, Langston TD, Adondakis MG. Reverse Total Shoulder Arthroplasty as Treatment for Rotator Cuff-Tear Arthropathy and Shoulder Dislocations in an Elderly Male with Parkinson’s Disease. Case Rep Orthop. 2017;2017.
50. 50. Yoon JP, Seo A, Kim JJ, et al. Deltoid muscle volume affects clinical outcome of reverse total shoulder arthroplasty in patients with cuff tear arthropathy or irreparable cuff tears. PloS One. 2017;12(3):e0174361.
51. 51. Huber J, Irlenbusch U, Kääb M, Reuther F, Kohut G, Judge A. Treatment Effects of Reverse Total Shoulder Arthroplasty for Unilateral Cuff Tear Arthropathy–Outcomes at 6, 12, 24 and 60 Months and Confounders. BMC Musculoskelet Disord. 2020 Jun 22;21(1):397.
52. 52. Kennedy J, Klifto CS, Ledbetter L, Bullock GS. Reverse total shoulder arthroplasty clinical and patient-reported outcomes and complications stratified by preoperative diagnosis: a systematic review. J Shoulder Elbow Surg. 2021;30(4):929-941.
53. 53. Kim JY, Rhee YG, Rhee SM. Clinical outcomes after reverse total shoulder arthroplasty according to primary diagnosis. Clin Orthop Surg. 2020;12(4):521.
54. 54. Wanga KY, Agarwal AR, Best MJ, Mawn JG, Kamalapathy P, Srikumaran U. A Comparison of Complications and Survivorship after Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture compared with Cuff Tear Arthropathy. Arch Bone Jt Surg. 2023;11(3):166.
55. 55. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency: a minimum two-year follow-up study of sixty patients. Bone Joıint J. 2005;87(8):1697-1705.
56. 56. Ammitzboell M, Baram A, Brorson S, Olsen BS, Rasmussen JV. Poor patient-reported outcome after shoulder replacement in young patients with cuff-tear arthropathy: a matched-pair analysis from the Danish Shoulder Arthroplasty Registry. Acta Orthop. 2019;90(2):119-122.
57. 57. Shah NS, Foote AM, Steele CA, et al. Does preoperative disease severity influence outcomes in reverse shoulder arthroplasty for cuff tear arthropathy? J Shoulder Elbow Surg. 2021;30(12):2745-2752.
58. 58. Sadoghi P, Vavken P, Leithner A, et al. Impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2011;20(7):1138-1146.
59. 59. Valenti P, Sauzieres P, Katz D, Kalouche I, Kilinc AS. Do less medialized reverse shoulder prostheses increase motion and reduce notching? Clin Orthop Relat Res. 2011;469(9):2550-2557.
60. 60. Chawla SS, Schiffman CJ, Whitson AJ, Matsen III FA, Hsu JE. Drivers of inpatient hospitalization costs, joint-specific patient-reported outcomes, and health-related quality of life in shoulder arthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2022;31(12):e586-e592.
61. 61. Vancolen SY, Elsawi R, Horner NS, Leroux T, Alolabi B, Khan M. Reverse total shoulder arthroplasty in the younger patient (≤ 65 years): a systematic review. J Shoulder Elbow Surg. 2020;29(1):202-209.
62. 62. Ichiseki T, Ueda S, Souma D, Shimasaki M, Ueda Y, Kawahara N. Reverse Shoulder Arthroplasty for Primary Synovial Osteochondromatosis of the Shoulder with Massive Rotator Cuff Tear and Marked Degenerative Arthropathy. J Clin Med. 2018;7(8):189.
63. 63. Westermann RW, Pugely AJ, Martin CT, Gao Y, Wolf BR, Hettrich CM. Reverse shoulder arthroplasty in the United States: a comparison of national volume, patient demographics, complications, and surgical indications. Iowa Orthop J. 2015;35:1.
64. 64. Goutallier D, Postel J, Bernageau J, Lavau L, Voisin M. Fatty infiltration of disrupted rotator cuff muscles. Rev Rhum Engl Ed. 1995;62(6):415-422.
65. 65. Berton A, Gulotta LV, Petrillo S, et al. The effect of humeral version on teres minor muscle moment arm, length, and impingement in reverse shoulder arthroplasty during activities of daily living. J Shoulder and Elbow Surg. 2015;24(4):578-586.
66. 66. Monir JG, Wagner ER. Tendon Transfers in the Setting of Shoulder Arthroplasty. JSES Reviews, Reports, and Techniques. Published online 2024.
67. 67. Rakauskas TR, Hao KA, Cueto RJ, et al. Insertion Sites of Latissimus Dorsi Tendon Transfer Performed During Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis. Orthop Traumatol Surg Res. Published online 2024:103873.
68. 68. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1):S147-S161.
69. 69. Aleem AW, Feeley BT, Austin LS, et al. Effect of humeral component version on outcomes in reverse shoulder arthroplasty. Orthopedics. 2017;40(3):179-186.
70. 70. Jassim SS, Ernstbrunner L, Ek ET. Does humeral component version affect range of motion and clinical outcomes in reverse total shoulder arthroplasty? A systematic review. J Clin Med. 2021;10(24):5745.
71. 71. Rhee YG, Cho NS, Moon SC. Effects of humeral component retroversion on functional outcomes in reverse total shoulder arthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2015;24(10):1574-1581.
72. 72. Oh JH, Sharma N, Rhee SM, Park JH. Do individualized humeral retroversion and subscapularis repair affect the clinical outcomes of reverse total shoulder arthroplasty? J Shoulder Elbow Surg. 2020;29(4):821-829.
73. 73. Shah SS, Gaal BT, Roche AM, et al. The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I. JSES Int. 2020;4(4):929-943.
74. 74. Ascione F, Domos P, Guarrella V, Chelli M, Boileau P, Walch G. Long-term humeral complications after Grammont-style reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2018;27(6):1065-1071.
75. 75. Kim SC, Kim IS, Jang MC, Yoo JC. Complications of reverse shoulder arthroplasty: a concise review. Clin Shoulder Elbow. 2021;24(1):42.
76. 76. Jang YH, Lee JH, Kim SH. Effect of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: a meta-analysis. Bone Joint J. 2020;102(11):1438-1445.
77. 77. Friedman RJ, Barcel DA, Eichinger JK. Scapular notching in reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2019;27(6):200-209.
78. 78. Mollon B, Mahure SA, Roche CP, Zuckerman JD. Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders. J Shoulder Elbow Surg. 2017;26(7):1253-1261.
79. 79. Gerber C, Pennington SD, Nyffeler RW. Reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2009;17(5):284-295.