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Volume 13
Journal of Orthopaedics Trauma Surgery & Related Research
Arthroplasty 2018
September 24-25, 2018
Arthroplasty
September 24-25, 2018 London, UK
11
th
International Conference on
Karen E Nelson, J Arthroplasty 2018, Volume 13
The effect of humeral inclination on post-operative range of motion following reverse shoulder arthroplasty
Karen E Nelson and Shariff K Bishai
Henry Ford Macomb Hospital, USA
Reverse total shoulder arthroplasty has gained increasing popularity over the past several years. It has become a reliable surgery for
patients with significant glenohumeral arthritis without a rotator cuff and an intact deltoid. Expected outcomes from a reverse total
shoulder arthroplasty are decreased pain, but post-operative range of motion is unpredictable. Based on outcomes in our practice,
we hypothesized that humeral inclination in various implants, including a 155 degree and 147-degree neck shaft angle, would affect
post-operative range of motion. We retrospectively reviewed 27 patients, 15 patients with a 155 stem and 12 patients with a 147 stem.
There was no difference in patient age at time of surgery or type of medical comorbidities. We chose to focus on forward flexion range
of motion. We found that patients with the 155-stem had on average a 53-degree improvement in forward flexion compared to their
preoperative range of motion. The patients with the 147-stem had 40-degree improvement in range of motion. In summary, patients
with the 155 implants had better post-operative forward flexion when compared to the 145 stems.
karendawson309@gmail.com skbishai@yahoo.com