Aim: This study aimed to evaluate the short-term clinical and functional outcomes of reverse shoulder arthroplasty (RSA) in patients with cuff tear arthropathy and complex proximal humeral fractures. Material and Methods: A retrospective review was conducted on 15 patients who underwent RSA between January 2019 and July 2024 at a single tertiary center. Clinical evaluations were performed preoperatively and at 3 and 6 months postoperatively. Pain was assessed using the visual analog scale (VAS), and functional status was measured using the quick disabilities of the arm, shoulder and hand (Quick DASH) questionnaire. Shoulder range of motion (ROM) was recorded in abduction, flexion, and external rotation. Internal rotation was assessed by the vertebral level reached. Results: The mean age was 74.3±6.8 years, and 80% (n=12) of the patients were female. Cuff tear arthropathy was the most common indication (86.7%, n=13). At 6 months postoperatively, the mean VAS score improved significantly from 7.9±1.2 to 2.3±1.1 (p0.001), while the Quick DASH score decreased from 78.2±6.5 to 27.6±9.3 (p0.001). Abduction and flexion increased from 68.4±17.3° and 71.2±16.1° to 115.6±21.2° and 105.7±18.5° postoperatively, respectively (p0.001). No major complications were observed during follow-up. Conclusion: RSA provides substantial short-term improvements in pain reduction, functional capacity, and ROM in a rare and complex patient group. These findings support its use as a reliable surgical option in carefully selected cases with irreparable rotator cuff pathology and complex fractures.
Zekeriya Okan Karaduman (Wed,) studied this question.
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