The Viability of Bilateral Reverse Total Shoulder Arthroplasty
With surgeons pushing the indications for reverse shoulder arthroplasty beyond the original indication for cuff arthropathy, Christopher Mellano, MD, believes it makes sense that the next frontier will be bilateral reverse shoulder arthroplasty.
Dr. Mellano and his colleagues at Rush University Medical Center in Chicago, Illinois, examined functional outcomes – particularly with regard to activities of daily living (ADLs) requiring internal and external rotation, such as personal hygiene tasks – in 50 patients who had undergone staged bilateral reverse shoulder arthroplasty. The average follow-up time was 2 years.
They found promising results, including predictable pain relief and improved function. Internal and external rotation improved less than forward elevation, but it was enough to allow patients independence in their ADLs.
Click the image above to hear Dr. Mellano discuss the study.
Producer and Director: Mike Bugera; Post Production: Charles J. Maynard
Mellano C, Feldheim T, Chalmers P, Cole B, Verma N, Romeo A, Nicholson G. Functional results of bilateral reverse total shoulder arthroplasty. Presented at the 2nd Annual Pan Pacific Orthopaedic Congress, July 22-25, 2015, Kona, Hawaii.