Patient reported activities after shoulder replacement: total and hemiarthroplasty

Zarkadas, Peter C.; Throckmorton, Thomas; Dahm, Diane L.; Sperling, John W.; Schleck, Cathy D.; Cofield, Robert H.

doi:10.1016/j.jse.2010.06.007

Cited by 62 publications

(76 citation statements)

References 17 publications

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“…It is also less technically demanding and some studies have shown quality of life outcomes equivalent to that of TSA [8,23]. However, more recent randomized controlled trials, multicenter studies, and meta-analyses have concluded that TSA achieves superior pain relief, function, ROM, strength, and patient satisfaction [4,5,20,21,27]. There may be variation in the results of these studies based on factors such as the available glenoid bonestock and the integrity of the rotator cuff, which are known to affect the outcomes following shoulder arthroplasty, as well as based on the training of the treating surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…The choice between HSA and TSA has been a topic of debate, with proponents of HSA arguing that it is a less invasive, faster, cheaper, and technically less demanding procedure, with quality of life outcomes equivalent to those of TSA. Though there is evidence to support these claims [4,8,16], more recent randomized controlled trials, multicenter studies, and meta-analyses have concluded that TSA is superior to HSA for treatment of primary glenohumeral osteoarthritis in terms of pain relief, function, ROM, strength, and patient satisfaction [4,5,8,20,21,27]. Furthermore, based on studies from 2003 and 2005, the American Academy of Orthopaedic Surgeons (AAOS), in its clinical practice guidelines from 2009 [13], recommend using TSA over HSA because it achieves superior pain relief, better global health assessment scores, and lower revision rates.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

Mann

Baumhauer

O’Keefe

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Primary glenohumeral osteoarthritis is a common indication for shoulder arthroplasty. Historically, both total shoulder arthroplasty (TSA) and hemi-shoulder arthroplasty (HSA) have been used to treat primary glenohumeral osteoarthritis. The choice between procedures is a topic of debate, with HSA proponents arguing that it is less invasive, faster, less expensive, and technically less demanding, with quality of life outcomes equivalent to those of TSA. More recent evidence suggests TSA is superior in terms of pain relief, function, ROM, strength, and patient satisfaction. We therefore investigated the practice of recently graduated orthopaedic surgeons pertaining to the surgical treatment of this disease. Questions/purposes We hypothesized that (1) recently graduated, board eligible, orthopaedic surgeons with fellowship training in shoulder surgery are more likely to perform TSA than surgeons without this training; (2) younger patients are more likely to receive HSA than TSA; (3) patient sex affects the choice of surgery; (4) US geographic region affects practice patterns; and (5) complication rates for HSA and TSA are not different.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

Mann

Baumhauer

O’Keefe

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…In the past, glenohumeral arthritis associated with deficient glenoid bone stock and massive irreparable rotator cuff tear were suggested to be clear indications for hemiarthroplasty of the shoulder 15. But inevitably biased results of hemiarthroplasty due to insufficient bone stock and lack of soft tissue envelope as against superior results of total shoulder arthroplasty which was largely performed in patients with intact rotator cuffs or reparable small full thickness rotator cuff tears 1516…”

Section: Discussionmentioning

confidence: 99%

Midterm results of Oxford shoulder hemiarthroplasty

Dwyer

Eid

Dvorak

et al. 2014

IJOO

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Background:Hemiarthroplasty of the shoulder is known to provide satisfactory long term results provided concentric reduction can be obtained in a high percentage of patients. Careful soft tissue balancing with appropriate adaptation of version of the component appears to allow good results permitting centering of the arthroplasty without replacement of a glenoid component.Materials and Methods:29 consecutive patients (30 shoulders) who underwent Oxford cementless shoulder hemiarthroplasty between 2004 and 2006 were analyzed. Mean age was 71 years (range 34-91 years, 95% of the confidence interval [CI] of standard deviation [SD] was 10.32-17.58). Mean duration of preoperative symptoms was 42.8 months (range 9-84 months, 95% CI of SD was 17.83-30.11). Patients’ self reported Oxford shoulder score (OSS) was collected prospectively and was used as an assessment tool to measure final outcome.Results:The mean initial OSS was 17.9 (range 7-43, 95% CI of the SD was 7.19-12.13). The score improved by an average of 16.9 points at a mean followup of 5.9 years (range 4.3-7.6 years) to reach mean final OSS of 34.8 (range 13-48, 95% CI of the SD was 9.31-15.73). The improvement of OSS was highly significant with a two tailed P < 0.0001 and 95% CI of this difference was 11.47-22.20.Conclusion:This study demonstrates shoulder hemiarthroplasty as reliable procedure for improvement of shoulder function as shown by the patients’ self reported outcome score (OSS) in end stage glenohumeral arthritis with intact or reparable rotator cuff at midterm followup. Our results suggest successful outcome of the Oxford shoulder hemiarthroplasty (Corin, UK) away from its originating center and in hospitals where fewer shoulder replacements are performed.

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“…The distribution of low-, medium-, and high-demand activities in the sample was compared to a historical cohort of patients undergoing unilateral RSA, TSA, and HA. 23,24 All operations were performed by one of four surgeons (RHC, JWS, JSS, and one nonauthor). Operative reports were reviewed.…”

Section: Methodsmentioning

confidence: 99%

Patient-reported activities after bilateral reverse total shoulder arthoplasties

Assenmacher

Alentorn-Geli

Aronowitz

et al. 2018

J Orthop Surg (Hong Kong)

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Purpose: Reverse shoulder arthroplasty (RSA) improves pain and function with very good satisfaction. Concerns exist about some activities of daily living (ADLs) involving internal rotation. The purpose of this study was to report how patients with bilateral RSA perform various ADLs. Methods: Thirty-one primary bilateral RSA patients (average age 76 years; 21 women and 10 men) completed a survey to assess various outcomes. The average time between the second arthroplasty and the survey was 2.7 years (range 1.0-7.8 years). Results: All clinical parameters were favorable. All patients reported being able to easily manage toileting and 87% reaching their back pocket. However, 29% found difficulty and 39% were unable to wash their back or put on bra. In comparison with various unilateral arthroplasty types, there was no statistical difference in overall activities (p < 0.05). Conclusion: Bilateral RSA can provide good functional outcome and high satisfaction. Patients manage most ADLs easily with some limitations in activities requiring extreme internal rotation.

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Patient reported activities after shoulder replacement: total and hemiarthroplasty

Cited by 62 publications

References 17 publications

High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

Midterm results of Oxford shoulder hemiarthroplasty

Patient-reported activities after bilateral reverse total shoulder arthoplasties

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