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<p>Reverse shoulder arthroplasty (RSA) has become established as a&#xa0;key treatment option for irreparable rotator cuff tears (RCT), which represent a therapeutic challenge due to their high prevalence and complex pathophysiology. The loss of the rotator cuff is compensated by transferring the function to the deltoid muscle, which leads to a significant improvement in the shoulder function and alleviates pain, particularly in older patients with limited biological healing potential. Numerous clinical studies confirm substantial functional improvements and high patient satisfaction. Despite potential risks, such as notching or loosening, RSA provides a reliable solution with suitable patient selection and surgical expertise. Ongoing technological progress continues to improve implant durability and long-term clinical success.</p>

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Die Rolle der inversen Schulterprothese als Revisionsoption bei nichtrekonstruierbaren Rotatorenmanschettenläsionen

  • 期刊论文

  • 发表日期：

    2025年4月28日

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  • Daniel P. Berthold,
  • Knut Beitzel

摘要

Reverse shoulder arthroplasty (RSA) has become established as a key treatment option for irreparable rotator cuff tears (RCT), which represent a therapeutic challenge due to their high prevalence and complex pathophysiology. The loss of the rotator cuff is compensated by transferring the function to the deltoid muscle, which leads to a significant improvement in the shoulder function and alleviates pain, particularly in older patients with limited biological healing potential. Numerous clinical studies confirm substantial functional improvements and high patient satisfaction. Despite potential risks, such as notching or loosening, RSA provides a reliable solution with suitable patient selection and surgical expertise. Ongoing technological progress continues to improve implant durability and long-term clinical success.