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Total shoulder replacement in rheumatoid disease
The Journal of Bone and Joint Surgery (British Volume), 09/03/09

Betts HM et al. – Most patients had little or no pain in the shoulder, could sleep undisturbed and could attend to personal hygiene and grooming.

• The long-term clinical and radiologic findings in a prospectively followed series of 49 rheumatoid patients (58 shoulders) who had undergone Neer II total shoulder replacement are described

• 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

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