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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 3, 388-395.
doi: 10.1302/0301-620X.86B3.14024  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff

RESULTS OF A MULTICENTRE STUDY OF 80 SHOULDERS

F. Sirveaux, MD1; L. Favard, MD2; D. Oudet, MD3; D. Huquet, MD4; G. Walch, MD5; and D. Mole, MD1

1 Clinique de Traumatologie et d’Orthopédie, 49 Rue Hermite, 54000 Nancy, France.
2 Service d’Orthopédie et Traumatologie 1, CHU Trousseau, 37044 Tours, France.
3 Clinique Saint Grégoire, 18 rue Groison, 37100 Tours, France.
4 Clinique de l’Atlantique, Avenue Claude Bernard, 44819 Saint-Herblain, France.
5 Clinique Sainte Anne Lumiére, 85 cours Albert Thomas, 69003 Lyon, France.

Correspondence should be sent to Dr F. Sirveaux.

We reviewed 80 shoulders (77 patients) at a mean follow-up of 44 months after insertion of a Grammont inverted shoulder prosthesis. Three implants had failed and had been revised. The mean Constant score had increased from 22.6 points pre-operatively to 65.6 points at review. In 96% of these shoulders there was no or only minimal pain. The mean active forward elevation increased from 73° to 138°. The integrity of teres minor is essential for the recovery of external rotation and significantly influenced the Constant score. Five cases of aseptic loosening of the glenoid and seven of dissociation of the glenoid component were noted.

This study confirms the promising early results obtained with the inverted prosthesis in the treatment of a cuff-tear arthropathy. It should be considered in the treatment of osteoarthritis with a massive tear of the cuff but should be reserved for elderly patients.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General