Comparison of survivorship and performance of a platform shoulder system in anatomic and reverse total shoulder arthroplasty

Tams, Carl; Simovitch, Ryan W.; Knudsen, Christopher; Roche, Christopher P.; Wright, Thomas W.; Zuckerman, Joseph D.; Schoch, Bradley S.

doi:10.1016/j.jseint.2020.07.001

Cited by 22 publications

(26 citation statements)

References 38 publications

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“…34 This study expands on recent data that indicate rTSA is associated with lower complication and revision rates. 37,40…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies comparing aTSA and rTSA have found that both procedures result in similar improvements in range of motion (ROM) and functionality postoperatively, 6,9,11,13,20 one exception being external rotation, which is more reliably improved after aTSA. 21 In addition, aTSA and rTSA have been found to have similar improvements in pain levels postoperatively.…”

mentioning

confidence: 99%

“…7,9,10 Since its FDA approval in 2003 for the treatment rotator cuff tear arthropathy in older patients, 1,11 rTSA has become a mainstay of treatment for an increasing number of indications. The usage of rTSA has increased significantly due to the predictability of successful outcomes 2,11-14 and lower complication rates. 15 Indications for use of rTSA currently include rotator cuff tear arthropathy, OA with significant glenoid deformity and/or bone loss, proximal humeral fracture, and revision of failed shoulder arthroplasty, among others.…”

mentioning

confidence: 99%

“…21 In addition, aTSA and rTSA have been found to have similar improvements in pain levels postoperatively. 22 Conflicting evidence exists comparing the rates of complications and revisions between aTSA and rTSA 6,9,13,15,22-24 ; however, most studies have found that aTSA has higher rates of complications and revisions than rTSA.…”

mentioning

confidence: 99%

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Comparison of Reverse and Anatomic Total Shoulder Arthroplasty in Patients With an Intact Rotator Cuff and No Previous Surgery

Friedman

Schoch

Eichinger

et al. 2022

J Am Acad Orthop Surg

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Introduction:This study's purpose is to compare clinical and radiographic outcomes of primary anatomic total shoulder arthroplasty (aTSA) and primary reverse total shoulder arthroplasty (rTSA) patients with osteoarthritis (OA) and an intact rotator cuff with no previous history of shoulder surgery using a single platform TSA system at a minimum follow-up of 2 years.Methods:A total of 370 aTSA patients and 370 rTSA patients matched for age, sex, and length of follow-up from an international multi-institutional Western Institutional Review Board approved registry with a minimum 2-year follow-up were reviewed for this study. All patients had a diagnosis of OA, an intact rotator cuff, and no previous shoulder surgery. All patients were evaluated and scored preoperatively and at latest follow-up using six outcome scoring metrics and four active range of motion measurements.Results:Mean follow-up was 41 months, and the mean age was 73 years. Preoperatively, the rTSA patients had lower outcome metrics and less motion. Postoperatively, aTSA and rTSA patients had similar clinical outcomes, motion, and function, with the only exception being greater external rotation in aTSA exceeding the minimal clinically important difference. Pain relief was excellent, and patient satisfaction was high in both groups. Humeral radiolucent lines were similar in both groups (8%). Complications were significantly higher with aTSA (aTSA = 4.9%; rTSA = 2.2%; P = 0.045), but revisions were similar (aTSA = 3.2%; rTSA = 1.4%; P = 0.086).Conclusion:At a mean of 41 month follow-up, primary aTSA and rTSA patients with OA and an intact rotator cuff with no previous history of shoulder surgery had similar clinical and radiographic outcomes. Greater external rotation was noted in aTSA patients at follow-up. However, aTSA patients had a significantly greater rate of complications compared with rTSA patients. rTSA is a viable treatment option in patients with an intact rotator cuff and no previous shoulder surgery, offering similar clinical outcomes with a lower complication rate.Level of Evidence:Level III

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“…34 This study expands on recent data that indicate rTSA is associated with lower complication and revision rates. 37,40…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison of Reverse and Anatomic Total Shoulder Arthroplasty in Patients With an Intact Rotator Cuff and No Previous Surgery

Friedman

Schoch

Eichinger

et al. 2022

J Am Acad Orthop Surg

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“…In view of this variability, additional research is needed to develop evidence‐based guidelines for commencing transfers and propulsion for MWUs after shoulder arthroplasty, especially with RTSA because of marked increased likelihood of the specific complication of glenoid dislodgement/loosening 24 . Otherwise, robust data sets in non‐wheelchair patients show similar revision rates (for all reasons) in ATSA vs. RTSA 50,51 ; comparatively limited data suggest that this is also the case in most wheelchair‐dependent patients 24 …”

Section: Discussionmentioning

confidence: 99%

Manual wheelchair use leads to a series of failed shoulder replacements: A case report and literature review

Skedros

Cronin

Finlinson

et al. 2022

Clinical Case Reports

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Low complication rate following reverse total shoulder arthroplasty at 90-days follow-up – A systematic review

Kent,

Hurley,

Davey

et al. 2024

Journal of ISAKOS

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Comparison of survivorship and performance of a platform shoulder system in anatomic and reverse total shoulder arthroplasty

Cited by 22 publications

References 38 publications

Comparison of Reverse and Anatomic Total Shoulder Arthroplasty in Patients With an Intact Rotator Cuff and No Previous Surgery

Comparison of Reverse and Anatomic Total Shoulder Arthroplasty in Patients With an Intact Rotator Cuff and No Previous Surgery

Manual wheelchair use leads to a series of failed shoulder replacements: A case report and literature review

Low complication rate following reverse total shoulder arthroplasty at 90-days follow-up – A systematic review

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