Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty

Kiet, T.; Feeley, Brian T.; Naimark, Micah; Gajiu, Tatiana; Hall, Sarah; Chung, Teddy T.; Benjamin, C.

doi:10.1016/j.jse.2014.06.039

Cited by 215 publications

(120 citation statements)

References 23 publications

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“…Case–control data comparing outcomes between TSA and RSA revealed that ASES scores, pain severity, elevation, abduction, and internal rotation improved similarly after the two procedures (Kiet et al 2015). After RSA and TSA, a significant proportion of patients continue to participate in medium or high-demand activities (84 and 89%, respectively), but there are specific activities that people with RSA are unable to do well (Ware et al 1996).…”

Section: Discussionmentioning

confidence: 99%

Mid-term shoulder functional and quality of life outcomes after shoulder replacement in obese patients

Vincent¹,

Struk

Reed

et al. 2016

SpringerPlus

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BackgroundShoulder pain and loss of function are directly associated with obesity.Questions/purposesWe hypothesized that significant interactions would exist between total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RSA) and obesity status on functional and quality of life (QOL) outcomes over the long term. Clinical and QOL outcomes (American Shoulder and Elbow Surgeons Evaluation form, Shoulder Pain and Disability Index, University of California at Los Angeles Shoulder Rating scale, Medical Outcomes Short Form 12 (SF-12), range of motion (ROM), and strength) were longitudinally compared in patients with low and high body mass index (BMI) after a TSA or a RSA. Prospectively collected data of patients with a TSA or RSA were reviewed (N = 310). Preoperative, 2-year, and final follow-up visits were included (range 3–17 years; mean 5.0 ± 2.5 years). Patient data were stratified for analysis using BMI.ResultsMorbidly obese patients had worse preoperative functional scores and QOL compared to the other groups. There were no significant interactions of BMI group by surgery type for any of the outcome variables except for active external rotation ROM. Morbidly obese patients attained lower SF-12 scores compared to the remaining groups at each time point.ConclusionsBoth TSA and RSA can be expected to impart positive functional outcomes in patients irrespective of BMI. Morbidly obese patients do not attain the same gains in Medical Outcomes SF-12 scores as the non-morbidly obese patients. The lower improvements in active external ROM may be due to morphological limitations of excessive adiposity.Level of evidenceThis is a level II study.

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Section: Discussionmentioning

confidence: 99%

Mid-term shoulder functional and quality of life outcomes after shoulder replacement in obese patients

Vincent¹,

Struk

Reed

et al. 2016

SpringerPlus

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“…The results of studies reporting outcomes of patients who underwent rTSA for massive rotator cuff tears are summarized in Supplementary Table V. 9,28,33,34,67,76,97,106,112,123,124 Reported rates for complications and revisions after rTSA have been as high as 50% and 33%, respectively. 124 Recently, lower complication rates (7%) and revision rates (5.3%) have been reported.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes

Greenspoon

Petri

Warth

et al. 2015

Journal of Shoulder and Elbow Surgery

172

173

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“…While one comparative study suggested that RTSA may provide more improvement in AFE, strength, and functional outcome scores than TSA, in this study, these procedures were performed for different indications and thus these results may not be directly comparable [44] Other comparable studies suggest outcomes between TSA and RTSA to be similar, although RTSA consistently provides inferior rotational motion, particularly internal rotation [17,45,46]. Other authors have argued that in patients with pre-operative external rotation lag signs, post-operative active external rotation can be improved with the addition of a latissimus dorsi transfer [47].…”

Section: Massive Irreparable Rotator Cuff Tears Without Glenohumeralmentioning

confidence: 96%

“…However, as surgeon experience with the prosthesis has grown, surgeons have observed the predictable improvements in pain, range of motion, and function provided by the prothesis [12]. In addition, while early reports described high complication rates [13,14], as surgeon experience has grown, more recent studies have demonstrated the vast majority of complications to be minor, with major complications being infrequent [15][16][17][18]. The procedure has also been demonstrated to be costeffective [19•].…”

Section: Introductionmentioning

confidence: 99%

Expanding roles for reverse shoulder arthroplasty

Chalmers

Keener

2016

Curr Rev Musculoskelet Med

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Since its introduction in the USA in 2003, reverse total shoulder arthroplasty (RTSA) has been used with increasingly frequency as surgeons have observed the remarkable improvement in pain, range of motion, and function associated with this implant. RTSA was initially used exclusively for elderly, low demand individuals with end-stage rotator cuff tear arthropathy. However, RTSA is now being increasingly successfully employed for the management of irreparable rotator cuff tears, glenohumeral osteoarthritis with an intact rotator cuff, acute proximal humerus fractures, the sequelae of proximal humerus fractures, neoplasms of the proximal humerus, inflammatory arthropathy, young patients and failed anatomic total shoulder arthroplasty and hemiarthroplasty. While long-term outcomes are pending, short-and mid-term follow-up results suggest that in experienced hands, RTSA may be a reasonable treatment for many previously difficult to treat pathologies within the shoulder.

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Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty

Cited by 215 publications

References 23 publications

Mid-term shoulder functional and quality of life outcomes after shoulder replacement in obese patients

Mid-term shoulder functional and quality of life outcomes after shoulder replacement in obese patients

Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes

Expanding roles for reverse shoulder arthroplasty

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