Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Fabricant, Peter D.; Chin, Christopher; Grawe, Brian M.; Dines, Joshua S.; Craig, Edward V.; Dines, David M.

doi:10.1016/j.jse.2016.04.004

Cited by 14 publications

(21 citation statements)

References 32 publications

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“…Additionally, even though there are several studies showing positive outcomes in patients who have undergone bilateral rTSA, no cases have been published with patients undergoing bilateral rTSA during the same admission with the closest interval between rTSAs being 2 months 12–14. Historically, there was concern about the ability to regain enough internal rotation to complete ADLs successfully when patients underwent rTSA 15.…”

Section: Discussionmentioning

confidence: 99%

Near-simultaneous bilateral reverse total shoulder arthroplasty for the treatment of bilateral fracture dislocations of the shoulder

et al. 2019

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A man in his mid-80s presented with bilateral posterior fracture dislocations of the humerus after suffering a seizure. He had Parskinson’s disease and lived with his wife at home. His left shoulder was not felt to be reconstructable. The initial treatment plan was to perform reverse total shoulder arthroplasty (rTSA) on the left and non-operatively reduce his right shoulder. A left rTSA was performed, but his right shoulder was unstable due to a glenoid fracture and soft tissue instability. In order to preserve the patient’s quality of life, a right rTSA was performed 4 days later. In the follow-up period, the patient was able to regain enough pain-free range of motion on activities of daily living. The patient died from complications of Parkinson’s disease 10 months postoperatively.

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Section: Discussionmentioning

confidence: 99%

Near-simultaneous bilateral reverse total shoulder arthroplasty for the treatment of bilateral fracture dislocations of the shoulder

et al. 2019

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“…Several studies have shown favorable outcomes for pain and function after staged bilateral TSA and RSA. 7 8 9 However, little is known about the outcomes after the second operated shoulder compared with the first. Similar to patients who undergo bilateral knee arthroplasty, concerns exist regarding a patient's ability to recover similarly from the second shoulder arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Outcomes after staged knee arthroplasty have been extensively studied, and differences have been shown between the first and second operated knees. 4 5 6 There have been a number of previous studies that evaluated overall outcomes in BSA, 7 8 9 but little is known regarding differences between the first and second operated shoulders. The purpose of this study was to compare the efficacy and overall improvement in function, pain, general health, motion, and satisfaction between the first and second operated shoulders in patients with BSA.…”

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confidence: 99%

Comparative Outcomes Between the First and Second Operated Shoulders in Bilateral Shoulder Arthroplasty

et al. 2018

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Introduction:Studies that report outcomes after staged bilateral shoulder arthroplasty (BSA) are limited. This study compared the overall improvement between the first and second operated shoulders after BSA.Methods:Preoperative and postoperative motion and patient-reported outcomes for function, pain, and general health were assessed for patients who underwent BSA with a 2-year follow-up. Ultimate outcomes and the efficacy of treatment were compared between the first and second operated shoulders.Results:Seventy-three patients met the inclusion criteria (mean follow-up, 51.4 months). There were no notable differences between the first and second operated shoulders for all preoperative and postoperative variables except for the preoperative 12-item Short-Form Physical Component Score, which was greater in the second shoulder (P = 0.005). The efficacy of treatment was not markedly different except for the Physical Component Score (P = 0.001) and forward elevation (P = 0.01), which were greater after the first surgery.Discussion:Improvements in function, pain, and motion were not markedly different between the first and second shoulder arthroplasty surgeries.

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“…Furthermore, it is important to better understand the impact of different combinations of shoulder arthroplasty as patients are more commonly being treated with RSA when other pathology within the shoulder make TSA less predictable. 17 Several studies have investigated bilateral TSA (TSA/ TSA), [18][19][20] bilateral RSA (RSA/RSA), [21][22][23][24][25] and unilateral TSA with contralateral RSA (TSA/RSA) 26 in isolation. However, no study to date has compared the outcomes among the different combinations of shoulder arthroplasties.…”

Section: Introductionmentioning

confidence: 99%

Comparative Outcomes of Various Combinations of Bilateral Shoulder Arthroplasty

Kurowicki

Triplet

Rosas

et al. 2019

Hand (New York, N,Y.)

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Background: In the setting of bilateral shoulder arthroplasty (BSA), differences in functional outcomes and motion between anatomic total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) are unknown. The purpose of this study was to compare the effectiveness of treatment for various combinations of TSA procedures. Methods: A review of prospectively collected data from an institutional shoulder surgery repository was performed for patients who underwent any combination of bilateral TSA or RSA surgery. Based on the combination of shoulder arthroplasty, patients were divided into the following subgroups: bilateral TSA (TSA/TSA), bilateral RSA (RSA/RSA), or unilateral TSA with contralateral RSA (TSA/RSA). A total of 73 patients (146 shoulders), with a minimum of 2-year follow-up, who underwent any combination of bilateral TSA or RSA from 2007 to 2014 were included. Pre- and postoperative patient-reported outcome measures and measured motion were evaluated between the 3 groups. Results: There were 47 TSA/TSA, 17 RSA/RSA, and 9 TSA/RSA patients with a mean age of 72 years and mean follow-up of 51 months. Preoperatively, TSA/TSA had significantly higher Simple Shoulder Test scores, Visual Analog Scale (VAS) function, active elevation, and active external rotation compared with RSA/RSA. Postoperative scores were significantly superior in TSA/TSA compared with other combinations of shoulder arthroplasty except VAS pain and function. Change in pre- to postoperative (effectiveness of treatment) internal rotation was superior in the TSA/TSA group compared with RSA/RSA and TSA/RSA; however, no other differences were observed. Conclusions: Bilateral TSA patients have higher preoperative function and motion. Although some postoperative outcomes differ among combinations of BSA, the overall effectiveness of treatment for patients undergoing BSA is similar between various combinations of arthroplasty.

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Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Cited by 14 publications

References 32 publications

Near-simultaneous bilateral reverse total shoulder arthroplasty for the treatment of bilateral fracture dislocations of the shoulder

Near-simultaneous bilateral reverse total shoulder arthroplasty for the treatment of bilateral fracture dislocations of the shoulder

Comparative Outcomes Between the First and Second Operated Shoulders in Bilateral Shoulder Arthroplasty

Comparative Outcomes of Various Combinations of Bilateral Shoulder Arthroplasty

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