{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:05:11Z","timestamp":1792101911917,"version":"4.4.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2017,3,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the increasing numbers of reverse total shoulder arthroplasty (RTSA) procedures, the long-term results have been rarely reported. We previously reported early outcomes of a cohort of patients treated with a Grammont-style RTSA. The purpose of this study was to evaluate the outcomes after a minimum of 10 years, and to document prosthetic survival and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Clinical outcome assessment was based on the absolute and relative Constant scores and the active range of motion. Radiographic evaluations of scapular notching, tuberosity osteolysis, and periprosthetic radiolucent lines were done as well. Complications and revisions were compiled, and a Kaplan-Meier survival analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The original report included the outcomes for 186 patients (191 RTSAs) who had been followed for a mean of 40 months. In the present study, in which the mean duration of follow-up was 150 months, follow-up clinical evaluations were available for 84 patients (87 prostheses) and radiographic assessments were available for 64 patients (67 prostheses). Seventy-seven patients (79 prostheses) had died before the 10-year follow-up, and 17 patients (17 prostheses) had been lost to follow-up. The mean absolute and relative Constant scores (and standard deviations) were 55 \u00b1 16 points and 86 \u00b1 26 points, respectively, with both having decreased significantly compared with the scores at the medium-term follow-up evaluation (at a minimum of 2 years) (p &lt; 0.001 and p = 0.025, respectively). Forty-nine shoulders (73%) exhibited scapular notching. Forty-seven complications (29%) were recorded, with 10 cases (10%) occurring after 2 years. Sixteen (12%) of the original patients underwent revision surgery. The 10-year overall prosthetic survival rate using revision as the end point was 93%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite a high arthroplasty survival rate and good long-term clinical results, RTSA outcomes showed deterioration when compared with medium-term results. The cause of this decrease is probably related to patient aging coupled with bone erosion and\/or deltoid impairment over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.16.00223","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T09:20:20Z","timestamp":1489569620000},"page":"454-461","source":"Crossref","is-referenced-by-count":373,"title":["Long-Term Outcomes of Reverse Total Shoulder Arthroplasty"],"prefix":"10.2106","volume":"99","author":[{"given":"Guillaume","family":"Bacle","sequence":"first","affiliation":[{"name":"Service d\u2019Orthop\u00e9die et Traumatologie 1, H\u00f4pital Trousseau, CHRU de Tours, Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Nov\u00e9-Josserand","sequence":"additional","affiliation":[{"name":"H\u00f4pital Priv\u00e9 Jean Mermoz Ramsay-GDS, Centre Orthop\u00e9dique Santy, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Garaud","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die et Traumatologie 1, H\u00f4pital Trousseau, CHRU de Tours, Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Walch","sequence":"additional","affiliation":[{"name":"H\u00f4pital Priv\u00e9 Jean Mermoz Ramsay-GDS, Centre Orthop\u00e9dique Santy, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1067\/mse.2001.110515","article-title":"Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions","volume":"10","author":"Rittmeister","year":"2001","journal-title":"J Shoulder Elbow Surg."},{"issue":"3","key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1302\/0301-620X.86B3.14024","article-title":"Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders","volume":"86","author":"Sirveaux","year":"2004","journal-title":"J Bone Joint Surg Br."},{"issue":"8","key":"bib3-20230714","first-page":"1697","article-title":"The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients","volume":"87","author":"Frankle","year":"2005","journal-title":"J Bone Joint Surg Am."},{"issue":"7","key":"bib4-20230714","first-page":"1476","article-title":"Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis","volume":"87","author":"Werner","year":"2005","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib5-20230714","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.jse.2006.01.003","article-title":"Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty","volume":"15","author":"Boileau","year":"2006","journal-title":"J Shoulder Elbow Surg."},{"issue":"8","key":"bib6-20230714","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.2106\/00004623-200608000-00008","article-title":"Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years","volume":"88","author":"Guery","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib7-20230714","doi-asserted-by":"crossref","first-page":"292","DOI":"10.2106\/00004623-200702000-00010","article-title":"The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture","volume":"89","author":"Levy","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"7","key":"bib8-20230714","first-page":"1476","article-title":"Reverse total shoulder arthroplasty: a review of results according to etiology","volume":"89","author":"Wall","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib9-20230714","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s00064-007-1202-x","article-title":"[Revision of failed fracture hemiarthroplasties to reverse total shoulder prosthesis through the transhumeral approach : method incorporating a pectoralis-major-pedicled bone window]","volume":"19","author":"Gohlke","year":"2007","journal-title":"Oper Orthop Traumatol."},{"issue":"20","key":"bib10-20230714","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.2106\/JBJS.J.00300","article-title":"Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis","volume":"93","author":"Young","year":"2011","journal-title":"J Bone Joint Surg Am."},{"issue":"14","key":"bib11-20230714","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.2106\/JBJS.L.00820","article-title":"Reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis in patients with a biconcave glenoid","volume":"95","author":"Mizuno","year":"2013","journal-title":"J Bone Joint Surg Am."},{"issue":"12","key":"bib12-20230714","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1016\/j.jse.2014.06.055","article-title":"The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty","volume":"23","author":"Jain","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"issue":"5","key":"bib13-20230714","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.jse.2014.12.023","article-title":"Use of reverse total shoulder arthroplasty in the Medicare population","volume":"24","author":"Day","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"issue":"1","key":"bib14-20230714","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jse.2014.08.026","article-title":"National utilization of reverse total shoulder arthroplasty in the United States","volume":"24","author":"Schairer","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"issue":"24","key":"bib15-20230714","doi-asserted-by":"crossref","first-page":"2249","DOI":"10.2106\/JBJS.J.01994","article-title":"Increasing incidence of shoulder arthroplasty in the United States","volume":"93","author":"Kim","year":"2011","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib16-20230714","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1007\/s00402-016-2417-9","article-title":"Shoulder arthroplasty in Germany: 2005-2012","volume":"136","author":"Oppermann","year":"2016","journal-title":"Arch Orthop Trauma Surg."},{"issue":"9","key":"bib18-20230714","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1007\/s11999-011-1833-y","article-title":"Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time?","volume":"469","author":"Favard","year":"2011","journal-title":"Clin Orthop Relat Res."},{"issue":"9","key":"bib19-20230714","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1302\/0301-620X.93B9.25926","article-title":"An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years","volume":"93","author":"Melis","year":"2011","journal-title":"J Bone Joint Surg Br."},{"key":"bib20-20230714","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00003086-198701000-00023","article-title":"A clinical method of functional assessment of the shoulder","volume":"214","author":"Constant","year":"1987","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib22-20230714","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1067\/mse.2000.109384","article-title":"Radiographic assessment of ingrowth total shoulder arthroplasty","volume":"9","author":"Sperling","year":"2000","journal-title":"J Shoulder Elbow Surg."},{"issue":"6","key":"bib23-20230714","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/j.jse.2008.02.010","article-title":"Scapular notching in reverse shoulder arthroplasty","volume":"17","author":"L\u00e9vigne","year":"2008","journal-title":"J Shoulder Elbow Surg."},{"issue":"3","key":"bib24-20230714","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3109\/17453674.2010.487242","article-title":"Reversed shoulder arthroplasty in cuff tear arthritis, fracture sequelae, and revision arthroplasty","volume":"81","author":"Stechel","year":"2010","journal-title":"Acta Orthop."},{"issue":"5","key":"bib25-20230714","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1139\/h06-033","article-title":"Chronic exposure to stretch-shortening contractions results in skeletal muscle adaptation in young rats and maladaptation in old rats","volume":"31","author":"Cutlip","year":"2006","journal-title":"Appl Physiol Nutr Metab."},{"issue":"6","key":"bib26-20230714","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1139\/H08-110","article-title":"Adaptive stretch-shortening contractions: diminished regenerative capacity with aging","volume":"33","author":"Baker","year":"2008","journal-title":"Appl Physiol Nutr Metab."},{"issue":"Spec No","key":"bib27-20230714","first-page":"124","article-title":"Muscle atrophy and weakness with aging: contraction-induced injury as an underlying mechanism","volume":"50","author":"Faulkner","year":"1995","journal-title":"J Gerontol A Biol Sci Med Sci."},{"issue":"4","key":"bib28-20230714","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1067\/mse.2001.115985","article-title":"Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus","volume":"10","author":"Boileau","year":"2001","journal-title":"J Shoulder Elbow Surg."},{"issue":"11","key":"bib29-20230714","doi-asserted-by":"crossref","first-page":"1698","DOI":"10.1016\/j.jse.2015.04.015","article-title":"Reverse shoulder arthroplasty for massive rotator cuff tear: risk factors for poor functional improvement","volume":"24","author":"Hartzler","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"issue":"4","key":"bib30-20230714","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/j.jse.2010.10.026","article-title":"Torsional stability of modular and non-modular reverse shoulder humeral components in a proximal humeral bone loss model","volume":"20","author":"Cuff","year":"2011","journal-title":"J Shoulder Elbow Surg."},{"issue":"9","key":"bib31-20230714","doi-asserted-by":"crossref","first-page":"2512","DOI":"10.1007\/s11999-010-1695-8","article-title":"Scapular notching in reverse shoulder arthroplasty: is it important to avoid it and how?","volume":"469","author":"L\u00e9vigne","year":"2011","journal-title":"Clin Orthop Relat Res."},{"issue":"8","key":"bib32-20230714","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1302\/0301-620X.86B8.15228","article-title":"Analysis of a retrieved Delta III total shoulder prosthesis","volume":"86","author":"Nyffeler","year":"2004","journal-title":"J Bone Joint Surg Br."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201703150-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:35:57Z","timestamp":1787751357000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201703150-00002"}},"subtitle":["A Follow-up of a Previous Study"],"short-title":[],"issued":{"date-parts":[[2017,3,15]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.16.00223","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,15]]}}}