Abstract
Reverse prostheses have been proved to relief pain and improve function in patients with massive irreparable rotator cuff tears and arthritis, the so-called “cuff-tear arthropathy”. Furthermore, in any clinical situation that the cuff system fails (massive cuff tears without arthritis, acute fractures, rheumatoid arthritis, fracture sequelae, primary arthritis in static posterior subluxation, revision surgery and tumour surgery) the reverse system may obtain better functional results than anatomical prostheses. However, the reverse system should be limited to elderly people as functional outcomes decrease over time. High complication rates may also be expected (infection, dislocation, scapular notching) especially when used for other indications rather than cuff-tear arthropathy.
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