Early Follow-up of Reverse Total Shoulder Arthroplasty in Patients Sixty Years of Age or Younger

Muh, Stephanie J.; Streit, Jonathan J.; Wanner, John Paul; Lenarz, Christopher J.; Shishani, Yousef; Rowland, Douglas Y.; Riley, Clay; Nowinski, Robert J.; Edwards, T. Bradley; Gobezie, Reuben

doi:10.2106/jbjs.l.10005

Cited by 159 publications

(82 citation statements)

References 26 publications

(37 reference statements)

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“…The mean prevalence of scapular notching was 35 %, which is similar to the percentages reported in several studies [13,31,33,34] in which the rate ranged from 43 to 51 %, and lower than the 68 % found by Boileau et al [9]. As in other studies [30,33], the notching did not appear to affect the clinical outcome.…”

Section: Discussionsupporting

confidence: 87%

“…Of the 45 patients of this review for whom the subjective outcome of surgery was reported [42,44,46], 77 % considered their results as excellent or good. This rate is comparable to that obtained recorded in several studies in which the RSA was mostly implanted for massive cuff tears or CTA [10,13,31,51].…”

Section: Discussionsupporting

confidence: 87%

“…Of the latter, 33 were excluded. In 19 reporting on patients who had undergone RSA or TSA, there were no rheumatoid patients with RSA [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]; nine studies on patients who had had an RSA for various aetiologies included one or more rheumatoid patients, but no or insufficient information was provided on their outcomes [26][27][28][29][30][31][32][33][34]; three review articles on RSA in patients with various conditions gave very little information, contained in a short paragraph [35,36], or limited information [37], for the RA group; there were also two articles of general information on shoulder arthroplasty reporting no own case series [38,39]. Two additional studies reported enough pertinent and useful information on several [40] or many [41] RA patients undergoing RSA, but they were excluded because the mean follow-up was less than 36 months and the longest did not reach five years.…”

Section: Study Selectionmentioning

confidence: 99%

See 2 more Smart Citations

Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review

Postacchini¹,

Carbone²,

Canero³

et al. 2015

International Orthopaedics (SICOT)

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 87%

Section: Study Selectionmentioning

confidence: 99%

See 1 more Smart Citation

Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review

Postacchini¹,

Carbone²,

Canero³

et al. 2015

International Orthopaedics (SICOT)

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“…In fact, studies have demonstrated a high rate of radiolucency about the glenoid component [ 56 ], which may translate into a higher risk for failure and need for revision in these young patients. Given its functional limitations, reverse total shoulder replacement has generally not been considered an option for young patients; furthermore, recent evidence suggests a lower satisfaction rate [ 65 ] and higher complication rate [ 66 ] in this patient demographic, and the long-term survivability has yet to be determined.…”

Section: Shouldermentioning

confidence: 99%

Shoulder and Elbow Osteoarthritis

Leroux

Veillette

2015

Osteoarthritis

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“…Yet long-term studies have shown declining functional outcome scores with time, a high risk of complications, and a lower likelihood of satisfaction in young patients [2,3,13]. As an alternative, hemiarthroplasty can be considered for patients with painful CTA without instability and for whom conservative treatment has failed.…”

Section: Introductionmentioning

confidence: 99%

What Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy?

Somerson

Sander²,

Bohsali³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background In selected patients with a desire to maintain activity levels greater than those recommended after reverse total shoulder arthroplasty, hemiarthroplasty remains an option for treatment of cuff tear arthropathy (CTA). However, given the relatively small case series that have been reported to date, little is known regarding which patients will show functional improvement after this surgery.Questions/purposes We asked: What factors are associated with achieving the minimum clinically important difference in the simple shoulder test (SST) after hemiarthroplasty for cuff tear arthropathy? Patients and Methods Between 1991 and 2007, two surgeons at one academic center performed 48 shoulder hemiarthroplasties for CTA. No patients were known to have died before data collection, and of those not known to have died, 42 (88%) were available for followup at a mean of 48 months (range, 24-132 months). During that time, the general indications for this approach were glenohumeral arthritis with superior decentering of the humeral head. The majority of the patients with CTA were treated nonoperatively with patient-directed physical therapy and other modalities. A total of 42 patients (42 shoulders; 24 males and 18 females) with CTA were treated with hemiarthroplasty and followed for a mean of 48 months (range, 24-132 months). This is a retrospective study that made use of a longitudinally maintained database, which included physical examination of ROM, the SST, VAS, and standardized radiographs. At latest followup, 33 of 42 patients achieved a clinically important percentage of maximum possible improvement (%MPI) in SST score, One of the authors certifies that he (KB), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from DepuySynthes (Warsaw, IN, USA). One of the authors certifies that he (CAR), has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Depuy-Synthes (Warsaw, IN, USA). One of the authors certifies that he (MAW), has or may receive payments or benefits, during the study period, an amount of USD 100,001-1,000,000 from Depuy-Synthes (Warsaw, IN, USA) and less than USD 10,000 from Tornier (Lyon, France), Saunders (Philadelphia, PA, USA) and Arthrex (Naples, FL, USA). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDAapproval status, of any drug or device prior to clinical use. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained....

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Early Follow-up of Reverse Total Shoulder Arthroplasty in Patients Sixty Years of Age or Younger

Cited by 159 publications

References 26 publications

Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review

Reverse shoulder prosthesis in patients with rheumatoid arthritis: a systematic review

Shoulder and Elbow Osteoarthritis

What Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy?

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