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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 9, 1197-1200.
doi: 10.1302/0301-620X.91B9.22035  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Total shoulder replacement in rheumatoid disease

A 16- TO 23-YEAR FOLLOW-UP

H. M. Betts, MRCS, Specialist Registrar1; R. Abu-Rajab, MPhil, FRCS, Consultant Orthopaedic Surgeon2; T. Nunn, FRCS, Specialist Registrar2; and A. J. Brooksbank, FRCS, Consultant Orthopaedic Surgeon3

1 Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK.
2 Royal Alexandra Hospital, Corsebar Road, Paisley PA2 9PN, UK.
3 Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK.

Correspondence should be sent to Miss H. M. Betts; e-mail: Helen.betts{at}nhs.net

We describe the longer term clinical and radiological findings in a prospectively followed series of 49 rheumatoid patients (58 shoulders) who had undergone Neer II total shoulder replacement. The early and intermediate results have been published previously.

At a mean follow-up of 19.8 years (16.5 to 23.8) 14 shoulders survived. Proximal migration of the humeral component was associated with progressive loosening of the glenoid and humeral components, but was independent of the state of the rotator cuff at the time of operation. Despite these changes the range of movement was preserved. Most patients had little or no pain in the shoulder, could sleep undisturbed and could attend to personal hygiene and grooming.






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