Patient reported activities after reverse shoulder arthroplasty: part II

Lawrence, Thomas; Ahmadi, Shahryar; Sánchez-Sotelo, Joaquín; Sperling, John W.; Cofield, Robert H.

doi:10.1016/j.jse.2011.11.012

Cited by 51 publications

(49 citation statements)

References 14 publications

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“…It has also been documented that RTSA patients self-report an activity level on par with that of anatomic TSA and hemiarthroplasty patients. 13 It is therefore plausible that without a consensus on the types of sports and the activity level allowed after RTSA, this void is being filled by patient self-direction toward a higher activity level and participation in sports with which surgeons might feel uncomfortable.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of reverse total shoulder arthroplasty in a senior athletic population

Simovitch

Gerard

Brees

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Outcomes of reverse total shoulder arthroplasty in a senior athletic population

Simovitch

Gerard

Brees

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…This large database study does not have preoperative and postoperative patient outcome scores. However, the clinical improvement after RTSA and TSA has been widely documented 3,[18][19][20] and was not the aim of this study.…”

Section: Original Research and Contributionsmentioning

confidence: 99%

Effect of Age on Outcomes of Shoulder Arthroplasty

Anakwenze

Yehyawi

Dillon

et al. 2017

TPJ

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Context: Outcomes of total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA) as a function of age are not well known.Objective: To understand the effects of age on revision rate, mortality, and hospital readmissions.Design: A retrospective cohort study of prospectively collected data. Using an integrated health care system's shoulder arthroplasty registry, we identified patients who underwent TSA and RTSA between January 2007 and June 2012. Patients were grouped into older (> 75 years) and younger groups (≤ 75 years).Main Outcome Measures: Differences in outcomes between both age groups.Results: The TSA cohort had 2007 patients, and 538 (26.8%) were older than age 75 years. Older patients who underwent TSA had higher risks of 1-year mortality (2.0% vs 0.6%; odds ratio = 3.34, 95% confidence interval [CI] = 1.00-11.11, p = 0.049) and readmission within 90 days (7.6% vs 4.4%; odds ratio = 1.75, 95% CI = 1.17-2.63, p = 0.007). The RTSA cohort had 568 patients, and 295 (51.9%) of them were older than age 75 years. Older RTSA patients had a lower risk of revision (3.7% vs 8.1%; hazard ratio = 0.45, 95% CI = 0.24-0.89, p = 0.020).Conclusion: Patient age is one of many important variables that surgeons should consider when performing shoulder arthroplasty. However, the impact of age in the TSA and RTSA populations is different. In the TSA cohort, older patients have higher risk of readmission and mortality. In the RTSA cohort, older patients have lower risk of revision.

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“…Since Food and Drug Administration approval in 2004, reverse total shoulder arthroplasty (RTSA) has gained popularity as an effective means of achieving pain relief and improved function in a variety of complex shoulder conditions including cuff tear arthropathy, 17,34,45 massive, irreparable rotator cuff tears, 10,12,17 inflammatory arthritis, 15,21,23,63 acute proximal humerus fractures, 7,38,64 fracture sequelae, 4,39,62 and failed shoulder arthroplasty. 6,37,62 Despite promising reports of dramatic improvement in pain scores, functional outcome scores, range of motion (ROM), patient satisfaction, and costeffectiveness at early and midterm follow-up, primary and revision RTSAs have been associated with relatively high complication rates, with recent studies reporting ranges of 4.3% to 37.5% and 19% to 50%, respectively.…”

mentioning

confidence: 99%