Outcomes of anatomic and reverse total shoulder arthroplasty in patients over the age of 70: a systematic review

Su, Favian; Nuthalapati, Prashant; Lansdown, Drew A.

doi:10.1016/j.xrrt.2023.02.003

Cited by 1 publication

(1 citation statement)

References 46 publications

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“…MUTARS reverse total shoulder arthroplasty [ 17 , 18 , 19 , 22 ] has better outcomes versus endoprosthesis [ 21 , 23 , 24 ] and anatomically shaped prostheses [ 18 ]. On the contrary, it is reported in the literature that patients who underwent anatomic total shoulder arthroplasty generally had better functional outcomes compared to those who underwent reverse total shoulder arthroplasty, which showed reduced upper limb proximal mobility [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Functional and Rehabilitative Outcomes of Patients Affected by Bone Cancer of the Upper Limb Treated with MUTARS Prosthesis: A Narrative Review

Codazza,

Ferrara,

Aprovitola

et al. 2024

JCM

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Megaprostheses are well-known, reliable, and effective reconstruction prostheses used in oncologic surgery for limb salvage in patients affected by primary or metastatic bone tumors.Rehabilitation plays a major role after MUTARS replacement, with the aim of improving function after surgery and maintaining the highest possible quality of life. Only a few studies have been published about the use of megaprostheses for the upper limb. The aim of this narrative review is to describe the results of functional and rehabilitative outcomes of patients affected by bone primary or metastatic bone cancer of the upper limb and surgically treated with MUTARS prostheses. A comprehensive search was conducted on PubMed and Scopus using the following MESH terms: “Mutars”, “Megaprosthesis”, “bone”, “tumors”, “metastasis”, “upper limb”, “rehabilitation”, “outcome”, “quality of life”, and 10 studies were included. The most frequent oncological pathology was found to be metastases of the proximal humerus treated with modular endoprosthesis or modular reverse implants. Outcome measures used were ROM, MSTS, ASES, DASH, Constant-Murley score, Enneking score, VAS, MEP, TESS, and WOSI. Reconstruction of the proximal humerus with the MUTARS system seemed to be a valid treatment option after bone tumor resection. Rehabilitation after MUTARS surgery is very relevant, but currently, functional and rehabilitative outcomes are inadequately represented in the literature. Hence, further studies are needed to define standardized rehabilitation protocols after oncological orthopedic surgery that can be applied routinely in clinical practice.

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