Abstract
Reverse shoulder prostheses may reduce pain and improve active elevation, but they cannot restore normal shoulder function. Most patients treated with such prostheses have limited internal and external rotation, they do not achieve full elevation, and they have difficulties to lift even lightweight objects above the shoulder level. These problems are related to the lack of rotator cuff function and to the particular design of reverse prostheses. Reverse prostheses medialize the center of rotation and distalize the humerus. This alters the range of motion, the working length and lever arms of the muscles, and the stability of the reconstructed joints. Biomechanical and radiographic studies performed during the last 12 years helped to enhance the knowledge, improve the surgical technique, and ameliorate the design of the original reverse prosthesis of Grammont. The following chapter summarizes my experience with this prosthesis.
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Acknowledgements
The contribution of Haytham M.Y. Abdelrahim, Aline Brégou-Bourgeois, Mathias Bergmann, Alain Farron, Sandro Fucentese, Christian Gerber, Ralph Sheikh, Dominic Staudenmann and Clément M.L. Werner to the different studies is gratefully acknowledged.
Conflict of Interest
The author is a consultant of Aston Medical, Saint-Etienne, France and Mathys Ltd., Bettlach, Switzerland.
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Nyffeler, R.W. (2016). Motion and Muscular Function After Reverse Shoulder Arthroplasty. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_6
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DOI: https://doi.org/10.1007/978-3-319-20840-4_6
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