RESUMEN

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.

Asunto(s)

Artralgia/cirugía , Artritis Reumatoide/cirugía , Artroplastia de Reemplazo/métodos , Complicaciones Posoperatorias/cirugía , Rango del Movimiento Articular/fisiología , Articulación del Hombro/cirugía , Adulto , Anciano , Artralgia/diagnóstico por imagen , Artritis Reumatoide/diagnóstico por imagen , Femenino , Estudios de Seguimiento , Humanos , Prótesis Articulares , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Estudios Prospectivos , Falla de Prótesis , Radiografía , Articulación del Hombro/diagnóstico por imagen , Adulto Joven