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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2014; 5(3): 255-261
Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.255
Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.255
Reverse polarity shoulder replacement: Current concepts and review of literature
Ling Hong Lee, Aravind Desai, Specialist Registrar, Trauma and Orthopaedics, Northern Deanery, Newcastle Upon Tyne, NE12 8RF, United Kingdom
Author contributions: Lee LH and Desai A contributed equally to this work..
Correspondence to: Aravind Desai, MS (Orth), MRCS, MSc, MCh (Orth), FRCS (Tr&Orth), Specialist Registrar, Trauma and Orthopaedics, Northern Deanery, 17 Maybury Villas, Newcastle Upon Tyne, NE12 8RF, United Kingdom. desaiaravind@yahoo.co.uk
Telephone: +44-78-85994545 Fax: +44-78-85994545
Received: December 29, 2013
Revised: April 8, 2014
Accepted: May 16, 2014
Published online: July 18, 2014
Revised: April 8, 2014
Accepted: May 16, 2014
Published online: July 18, 2014
Core Tip
Core tip: Cuff tear arthropathy is a challenging condition to manage. Hemiarthroplasty and total shoulder replacement have been tried but reported to have poor outcome. Reverse polarity shoulder has evolved since last two decades and its outcome is promising in this pathology. It is a complex procedure associated with significant risks. It is important to understand the bio-mechanics, principles of surgery, extended indications, pitfalls associated with it and the available literature. This review summarises the concept of this procedure. We also review the most recent available biomechanical and clinical evidence to aid clinicians’ practice.