Comparison of reverse shoulder arthroplasty and total shoulder arthroplasty for patients with inflammatory arthritis

Garcia, Jose; Cannon, Dylan; Rodriguez, Hugo C.; Grewal, Gagan; Lewis, Steven; Lapica, Hans; Levy, Jonathan C.

doi:10.1016/j.jse.2022.08.024

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…A systematic review by Cho et al showed that RTSA performed in patients with RA provided pain relief and improvements in shoulder motion with higher Constant scores [11]. A retrospective review by Garcia et al showed that ATSA performed in patients with inflammatory arthritis had improved clinical outcomes compared to RTSA but also higher rates of early revision [12].…”

Section: Inflammatory Arthritismentioning

confidence: 99%

Update on Shoulder Arthroplasties with Emphasis on Imaging

Weaver

Omar

Chadwick

et al. 2023

JCM

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Shoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the hip and knee. The main indications for shoulder arthroplasty include primary osteoarthritis, post-traumatic arthritis, inflammatory arthritis, osteonecrosis, proximal humeral fracture sequelae, severely dislocated proximal humeral fractures, and advanced rotator cuff disease. Several types of anatomic arthroplasties are available, such as humeral head resurfacing and hemiarthroplasties, as well as total anatomic arthroplasties. Reverse total shoulder arthroplasties, which reverse the normal ball-and-socket geometry of the shoulder, are also available. Each of these arthroplasty types has specific indications and unique complications in addition to general hardware-related or surgery-related complications. Imaging—including radiography, ultrasonography, computed tomography, magnetic resonance imaging, and, occasionally, nuclear medicine imaging—has a key role in the initial pre-operative evaluation for shoulder arthroplasty, as well as in post-surgical follow-up. This review paper aims to discuss important pre-operative imaging considerations, including rotator cuff evaluation, glenoid morphology, and glenoid version, as well as to review post-operative imaging of the various types of shoulder arthroplasties, to include normal post-operative appearances as well as imaging findings of complications.

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Section: Inflammatory Arthritismentioning

confidence: 99%

Update on Shoulder Arthroplasties with Emphasis on Imaging

Weaver

Omar

Chadwick

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

Short- to medium-term outcomes and future direction of reverse shoulder arthroplasty: Current concepts

Zeng,

Sheng,

Lie

2023

Journal of ISAKOS

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Whether the Indications for Reverse Shoulder Arthroplasty Should Continue to Be Expanded? A Systematic Review and Meta‐Analysis

Li,

Bao,

Yang

et al. 2024

Orthopaedic Surgery

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BackgroundIt is still unclear whether reverse total shoulder arthroplasty (RTSA) has advantages over traditional hemiarthroplasty (HA) and anatomic total shoulder arthroplasty (ATSA) in the treatment of complex shoulder joint diseases. Therefore, this study aims to evaluate the clinical effectiveness of RTSA in the treatment of complex shoulder joint diseases and further determine whether it is necessary to expand the indications of RTSA.MethodWe conducted a systematic search of studies published between January 1, 2012 and May 31, 2023 in PubMed, Embase, and Cochrane databases. The experimental group included patients who underwent primary reverse total shoulder arthroplasty (RTSA), while the control group consisted of patients who underwent primary hemiarthroplasty (HA) or anatomic total shoulder arthroplasty (ATSA). The minimum follow‐up period was 1 year, and a random‐effects model was utilized for data synthesis.ResultsA total of 45 studies were included in the meta‐analysis. Compare to HA, RTSA showed significant advantages in postoperative ASES scores (p = 0.004), forward flexion (p < 0.0001), and abduction (p < 0.0001). Compare to ATSA, RTSA showed significantly lower postoperative Constant scores (p = 0.004), ASES scores (p = 0.001), SST scores (p < 0.0001), forward flexion (p < 0.0001), abduction (p = 0.011), internal rotation (p < 0.0001), and external rotation (p < 0.0001). Further meta regression analysis was conducted, considering factors such as region, age, gender ratio, and follow‐up time, excluding the influence of relevant factors. Overall, RTSA did not demonstrate advantages in postoperative functional scores and range of motion. In terms of complication and revision rates, RTSA had lower rates compared to HA and ATSA, except for the complication rate, where there was no significant difference between RTSA and ATSA (p = 0.521), but statistically significant differences were observed in other measures.ConclusionRTSA demonstrates better clinical efficacy compared to HA but is inferior to ATSA. It can be considered for expanding treatment options for elderly patients with 3 or 4‐part proximal humeral fractures, but it is not suitable for treating end‐stage shoulder arthritis and humeral head necrosis. Overall, the decision to use RTSA should be carefully evaluated based on the extent of the patient's rotator cuff injury.

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Comparison of reverse shoulder arthroplasty and total shoulder arthroplasty for patients with inflammatory arthritis

Cited by 3 publications

References 25 publications

Update on Shoulder Arthroplasties with Emphasis on Imaging

Update on Shoulder Arthroplasties with Emphasis on Imaging

Short- to medium-term outcomes and future direction of reverse shoulder arthroplasty: Current concepts

Whether the Indications for Reverse Shoulder Arthroplasty Should Continue to Be Expanded? A Systematic Review and Meta‐Analysis

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