Does having prior rotator cuff repair affect outcomes in reverse shoulder arthroplasty? A matched cohort study

Patel, M.; Stone, William Z.; Schoch, Bradley S.; Struk, Aimee M.; Farmer, Kevin W.; Wright, Thomas W.; King, Joseph J.

doi:10.1016/j.otsr.2020.02.005

Cited by 18 publications

(21 citation statements)

References 25 publications

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“…12 However, when focusing on prior RC surgeries, investigations to date have not demonstrated increased complications or adverse events. 14,16,18 Similarly, the present investigation observed no increase in scapular notching, complications, or revision rates in RSA after a prior RCR. This supports the literature of prior soft-tissue reconstruction not having as significant of an effect on RSA, especially in the context of other indications.…”

Section: Discussionsupporting

confidence: 72%

mentioning

confidence: 99%

“…14 More recent studies have demonstrated similar findings with previous RCR having statistically significant but clinically insignificant differences in outcome scores 16 and no adverse effects on the early outcome of RSA. 17,18 The purpose of this study, therefore, was to evaluate the effects of a prior RCR on the outcomes and complications of primary RSA compared with a matched control group. It was hypothesized that RSA would significantly improve outcomes for both cohorts (with and without a prior RCR) and that there would be no difference in outcomes between the two groups.…”

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confidence: 99%

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Reverse Shoulder Arthroplasty After Prior Rotator Cuff Repair: A Matched Cohort Analysis

Marigi

Tams

King

et al. 2021

J Am Acad Orthop Surg

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Introduction: Rotator cuff repair (RCR) is commonly performed before reverse shoulder arthroplasty (RSA) with conflicting evidence on the effect on arthroplasty outcomes. The purpose of this investigation was to evaluate the effect of a prior RCR on the outcomes and complications of primary RSA. Methods: Between 2007 and 2017, 438 RSAs performed in patients with a prior RCR and 876 case-matched controls were identified from a multicenter database. Patients were grouped based on a preoperative diagnosis of glenohumeral osteoarthritis (GHOA) and rotator cuff tear arthropathy (CTA). Data collected included range of motion, strength, complications, and revisions. Additional clinical metrics included American Shoulder and Elbow Society score, Constant score, Shoulder Pain and Disability Index, Simple Shoulder Test, and the University of California Los Angeles shoulder score. Results: Compared with controls, both GHOA and CTA study groups demonstrated lower postoperative forward elevation (FE) (133°versus 147°, P , 0.001; 133°versus 139°, P = 0.048) and FE trength (6.5 versus 8.2, P = 0.004; 6.1 versus 7.3, P = 0.014). In addition, inferior improvements were observed in the GHOA and CTA study groups with respect to abduction (38°versus 52°, P = 0.001; 36°versus 49°, P = 0.001), FE (41°versus 60°, P , 0.001; 38°versus 52°, P = 0.001), ER (16°versus 25°, P , 0.001; 10°versus 17°, P = 0.001), and Constant score (28.4 versus 37.1, P , 0.001; 26.2 versus 30.9, P = 0.016). Compared with controls, no differences were observed in the GHOA and CTA study groups with respect to notching (11.2% versus 5.6%, P = 0.115; 5.8% versus 7.9%, P = 0.967), complications (4.3% versus 1.6%, P = 0.073; 2.5% versus 2.7%, P = 0.878), and revision surgery (3.1% versus 0.9%, P = 0.089; 1.1% versus 1.3%, P = 0.822). Conclusion: RSA after a prior RCR improves both pain and function, without increasing scapular notching, complications, or revision surgery. However, compared with patients without a prior RCR, postoperative shoulder function may be slightly decreased.

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Section: Discussionsupporting

confidence: 72%

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confidence: 99%

mentioning

confidence: 99%

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Reverse Shoulder Arthroplasty After Prior Rotator Cuff Repair: A Matched Cohort Analysis

Marigi

Tams

King

et al. 2021

J Am Acad Orthop Surg

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“…Starting with passive range of motion exercises, over active range of motion exercises muscle strength, and functional exercises. 39,41,[43][44][45][46][48][49][50][51] Two of the included articles looked at the difference between the immediate range of motion exercises and starting at 2-3 weeks, 4 weeks, or 6 weeks post-operative. 39,52 More details about these physical therapy exercise programs can be found in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Patients in the included studies had undergone a shoulder arthroplasty, either an anatomic total shoulder arthroplasty ( N = 1029), 38, 39, 44, 46, 51 a hemiarthroplasty ( N = 133), 42, 44, 45, 51 or a reverse total shoulder arthroplasty ( N = 1863). 38, 40, 41, 43, 46, 48, 50, 52…”

Section: Resultsmentioning

confidence: 99%

Factors associated with better treatment outcome of physical therapy interventions after shoulder arthroplasty: A systematic review

et al. 2022

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Objective To summarize factors that are associated with a better treatment outcome after post-operative physical therapy in patients with shoulder arthroplasty. Data sources PubMed, Cochrane, and Web of Science. Review methods Studies examining factors that are associated with a better outcome after post-operative physical therapy interventions in patients with shoulder arthroplasty were included. Two independent reviewers performed screening, extracted data, and assessed the risk of bias and level of evidence, using the Quality In Prognosis Studies tool and Evidence-Based Guideline Development checklist. PRISMA guidelines were followed. Results In total, 460 articles were found and 14 studies were included. Two of the included articles had a moderate risk of bias, 12 high. The overall number of patients in the included studies varied from 20 to 2053. Patients had either a reverse ( N = 1863), an anatomic total shoulder arthroplasty ( N = 1029) or, a hemiarthroplasty ( N = 133). Anatomic total shoulder arthroplasty patients with a neutral rotation sling position showed less night pain and greater range of motion, which was awarded moderate evidence. Other modifiable and non-modifiable factors such as telemedicine, immediate range of motion exercises, and pre-operative function were only awarded preliminary or conflicting evidence. Conclusion Mainly preliminary and conflicting evidence was found. The possible causes of the conflicting evidence were the different measurement methods, implant types, and follow-up times used. The methodological quality was low and physical therapy protocols differed greatly. More high-quality research with standardized protocols is needed to determine the association of various factors with treatment outcomes after post-operative physical therapy in patients with shoulder arthroplasty.

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Does prior rotator cuff surgery influence the outcomes and complications after reverse total shoulder arthroplasty in patients with cuff tear arthropathy or massive rotator cuff tear? A propensity score-matched study

Cho,

Choi,

Park

et al. 2024

Journal of Orthopaedic Science

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Does having prior rotator cuff repair affect outcomes in reverse shoulder arthroplasty? A matched cohort study

Cited by 18 publications

References 25 publications

Reverse Shoulder Arthroplasty After Prior Rotator Cuff Repair: A Matched Cohort Analysis

Reverse Shoulder Arthroplasty After Prior Rotator Cuff Repair: A Matched Cohort Analysis

Factors associated with better treatment outcome of physical therapy interventions after shoulder arthroplasty: A systematic review

Does prior rotator cuff surgery influence the outcomes and complications after reverse total shoulder arthroplasty in patients with cuff tear arthropathy or massive rotator cuff tear? A propensity score-matched study

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