Shoulder replacement surgery for osteoarthritis and rotator cuff tear arthropathy

Craig, Richard S; Goodier, Henry; Singh, Jasvinder A; Hopewell, Sally; Rees, Jonathan

doi:10.1002/14651858.cd012879.pub2

Cited by 30 publications

(27 citation statements)

References 83 publications

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“…Three months later, Raymonde will have surgery under general anaesthesia performed by the surgeon she has chosen, with the insertion of an anatomical total shoulder prosthesis. The outcome is good, as expected because this procedure usually improves the patient's shoulder and quality of life [3,4]. The rehabilitation will last 6 months, with the physiotherapist who took care of her before the operation.…”

mentioning

confidence: 60%

Back to basics. The value of clinical examination and traditional human contact between a patient and his physician compared with procedural standardized virtual or presential consultation: a narration

Gazielly

Scarlat²

2021

International Orthopaedics (SICOT)

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mentioning

confidence: 60%

Back to basics. The value of clinical examination and traditional human contact between a patient and his physician compared with procedural standardized virtual or presential consultation: a narration

Gazielly

Scarlat²

2021

International Orthopaedics (SICOT)

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“…Fundamentally, shoulder osteoarthritis displays regional pain, rigidity, and restriction of shoulder function. Consequently, shoulder pain is correlated with a remarkable disability, disability assertions, augmented usage of healthcare resources, and marked morbidity, principally in the elderlies ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature

et al. 2021

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Reverse shoulder arthroplasty (RSA) has become an optimal treatment for numerous orthopedic entities, such as rotator cuff tear arthropathies, pseudoparalysis, fracture sequelae, acute fractures, failed arthroplasties, osteoarthritis, and rheumatoid arthritis, and is linked with relief of topical pain and regaining of functionality. Presently, RSA has been conducted through anterosuperior (AS) or deltopectoral (DP) approach. The aim of the study was to discuss both approaches and to examine broadly their features to render a comparison in terms of clinical effectiveness. An electronic search in PubMed, EMBASE, and Google Scholar databases was performed, using combinations of the following keywords: RSA, DP approach, AS approach, notching, and cuff tear arthropathy. A total of 61 studies were found, and 16 relevant articles were eventually included. Currently published literature has not shown significant diversities in the clinical course due to approach preference; risk of instability seems to be greater in DP approach, while regarding scapular notching and fracture rates the findings were conflicted. In addition, the AS approach has been associated with decreased risk of acromial and scapular spine fractures. In conclusion, both surgical approaches have shown similar clinical outcomes and effectiveness concerning pain and restoring range of motion (ROM) in rotator cuff tear arthropathies. In the future, further investigations based on large-scale well-designed studies are required to address clinical gaps allowing in-depth comparison of both approaches.

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“…Total shoulder arthroplasty (TSA) has been well established as an efficacious and valid treatment modality for a myriad of glenohumeral joint pathologies [1][2][3][4]. The incidence of TSA has been growing annually in the United States and has currently outpaced that of total hip or total knee arthroplasty [5].…”

Section: Introductionmentioning

confidence: 99%

“…This approach utilizes implants that places the ball component on the glenoid and the socket component to the proximal humerus [ 6 ]. A vast body of evidence shows that both TSA techniques have better radiographic and patient reported outcomes in comparison to other surgical treatment modalities for conditions such as proximal humerus fractures and glenohumeral arthritis [ 2 , 3 , 7 - 9 ].…”

Section: Introductionmentioning

confidence: 99%

Short-Term Outcomes After Total Shoulder Arthroplasty in Octogenarians: A Matched Analysis

Carney

Gerlach

Plantz

et al. 2021

Cureus

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IntroductionStudies have shown that the use of total shoulder arthroplasty is increasing every year in the United Stated at a rate higher than that of total hip or total knee arthroplasty. As the population of the United States continues to age, it is becoming more important for surgeons to understand the true impact of age on outcomes and complications following procedures such a total shoulder arthroplasty. The purpose of this study was to determine if octogenarians have poorer outcomes after total shoulder arthroplasty compared to a younger, matched control group. MethodsData was obtained through the American College of Surgeons National Surgical Quality Improvement Program database (ACS NSQIP). Patients who had undergone total shoulder arthroplasty were identified by Current Procedural Terminology code (23472). Indication for arthroplasty was determined by ICD9/10 code (osteoarthritis, fracture, other). Each octogenarian was matched 1:1 to a non-octogenarian based on sex, BMI, ASA class, medical comorbidities, functional status, and surgical indication for arthroplasty by propensity scoring. A subgroup analysis was performed to compare outcomes between only those patients who underwent TSA for osteoarthritis. Outcomes of interest were assessed between the two groups for statistical significance using a chi-squared test or fisher exact test for expected values of less than 5. Statistical significance was set at p<0.05. ResultsAfter matching, octogenarians were found to be at higher risk of readmission (4.7% vs. 3.3%, p=0.046), nonhome discharge (27.1% vs. 9.4%, p<0.001), and overall surgical (4.4% vs. 2.5%, p=0.006) and medical complications (3.7% vs. 2.4%, p=0.039). In the setting of TSA for osteoarthritis only, however, octogenarians were only at higher risk for non-home discharge (22.4% vs. 7.5%, p<0.001). ConclusionsOctogenarians are at higher risk of some complications following total shoulder arthroplasty but fewer than has been previously reported, particularly in the setting of arthroplasty for the treatment of arthritis.

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Shoulder replacement surgery for osteoarthritis and rotator cuff tear arthropathy

Abstract: This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To determine the benefits and harms of shoulder arthroplasty in adults with osteoarthritis (OA) of the shoulder, including rotator cuff tear arthropathy (RCTA).

Cited by 30 publications

References 83 publications

Back to basics. The value of clinical examination and traditional human contact between a patient and his physician compared with procedural standardized virtual or presential consultation: a narration

Back to basics. The value of clinical examination and traditional human contact between a patient and his physician compared with procedural standardized virtual or presential consultation: a narration

Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature

Short-Term Outcomes After Total Shoulder Arthroplasty in Octogenarians: A Matched Analysis

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