Reverse shoulder arthroplasty in patients younger than 65 years, minimum 5-year follow-up

Monir, Joseph G.; Abeyewardene, Dilhan; King, Joseph J.; Wright, Thomas W.; Schoch, Bradley S.

doi:10.1016/j.jse.2019.10.028

Cited by 31 publications

(16 citation statements)

References 30 publications

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“…Multiple studies have reported on the outcomes of young patients undergoing primary RTSA generally with good outcomes. 7 , 16 , 17 , 30 , 34 , 36 , 37 , 40 , 44 , 45 One recent systematic review which included 6 articles and 245 patients showed significant midterm functional outcome improvements in patients ≤65 years old who underwent RTSA, but reported a high complication rate of 13%. 52 In addition, Muh et al 37 noted a relatively low satisfaction rate of 81% in young patients who underwent RTSA for multiple indications including failed arthroplasty despite improved functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Guy¹,

Schoch²,

Frantz³

et al. 2022

JSES International

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Section: Discussionmentioning

confidence: 99%

“…Younger patients tend to have higher expectations after RTSA. 34 A number of studies have examined RTSA outcomes in younger populations (<65 years old) 16 , 17 , 30 , 34 , 36 , 37 , 40 , 44 , 45 and suggest that RTSA in this demographic does yield functional improvement.…”

mentioning

confidence: 99%

Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Guy¹,

Schoch²,

Frantz³

et al. 2022

JSES International

Self Cite

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“…In comparison with type-A glenoid, the anatomic total shoulder arthroplasty in B glenoids incur a higher failure rate due to glenoid loosening or recurrent posterior instability [22,23]. Reverse shoulder arthroplasty may provide reliable improvement of shoulder function in these patients with B glenoids [24,25], however, longevity is a major concern.…”

Section: Discussionmentioning

confidence: 99%

Patient-specific risk profile associated with early-onset primary osteoarthritis of the shoulder: is it really primary?

Plachel

Akgün

Imiolczyk

et al. 2021

Arch Orthop Trauma Surg

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Introduction Although age is considered to be the major risk factor of primary glenohumeral osteoarthritis (GOA), younger population may suffer from degenerative changes of the shoulder joint without evidence of any leading cause. The purpose of this study was to investigate the risk profile in young patients suffering from presumably primary GOA. Methods A consecutive group of 47 patients undergoing primary shoulder arthroplasty for early-onset GOA below the age of 60 years at time of surgery was retrospectively identified and prospectively evaluated. Patients with identifiable cause for GOA (secondary GOA) were excluded. The resulting 32 patients (mean age 52 ± 7 years; 17 male, 15 female) with primary GOA were matched by age (± 3 years) and gender to 32 healthy controls (mean age 53 ± 7 years; 17 male, 15 female). Demographic data and patient-related risk factors were assessed and compared among both groups to identify extrinsic risk factors for primary GOA. Patients were further subdivided into a group with concentric GOA (group A) and a group with eccentric GOA (group B) to perform a subgroup analysis. Results Patients had a significantly higher BMI (p = 0.017), were more likely to be smokers (p < 0.001) and to have systematic diseases such as hypertension (p = 0.007) and polyarthritis (p < 0.001) and a higher Shoulder Activity Level (SAL) (p < 0.001) when compared to healthy controls. Furthermore, group B had a significantly higher SAL not only compared to healthy controls but also to group A, including activities such as combat sport (p = 0.048) and weightlifting (p = 0.01). Conclusions Several patient-specific risk factors are associated with primary GOA in the young population, as well as highly shoulder demanding activities in the development of eccentric GOA. Consequently, a subset of young patients with eccentric primary GOA could in reality be secondary due to a muscular imbalance between internal and external rotators caused by improper weight training. Level of evidence III, Case–Control study

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“…Реверсивне ендопротезування плечового суглоба останніми роками довело свою ефективність, оскільки більшість пацієнтів мають позитивні віддалені результати як після 3-4 фрагментарного перелому проксимального відділу плечової кістки, так і у випадках остеоартриту з ушкодженням ротаційної манжети [1][2][3]. Водночас функціональні результати залежать від правильного вибору імплантата, його розташування, підбору розмірів гленоїдальної частини та досягнення адекватного балансу м'яких тканин [4,5].…”

Section: вступunclassified

“…Кожен із наборів містить значення 11 параметрів, до яких належать лінійні та кутові величини (рис. [1][2][3][4].…”

Section: матеріал і методиunclassified

Morphometry of the shoulder joint and justification of new modular reverse shoulder endoprosthesis sizes using computed tomography data

Korzh¹,

Makarov²,

Botsva³

et al. 2021

OTP

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Reverse shoulder arthroplasty is effective surgery because most of patients have positive long-term results. However, the search for the «perfect» endoprosthesis continues. Objective. To justify the dimensions of a new modular reverse shoulder endoprosthesis using additive technologies based on spiral computed tomography data. Methods. Two data sets of healthy shoulder joints (right — R, left — L) of 100 patients obtained on a spiral computed tomography AQUILION 128 sections (Toshiba, Japan) were processed. Each set consisted of 11 morphometric parameters — linear and angular values. For each of them, three data samples (combined, R and L) are calculated: minimum, maximum, mode, median, mean, standard deviation, distribution asymmetry coefficient. Pearson’s correlation coefficient was calculated, cluster analysis was performed. Results. It is proved that most of the parameters of R and L data sets can be considered homogeneous and can be analyzed as a combined group of 200 cases. It was found that the width and height of the glenoid are more homogeneous data sets, and the value of the endosteal diameter of the humerus decreases in the distal direction. The cervical-diaphyseal angle averages 137.4° ± 4.66°. The correlation between different parameters is more pronounced within most clusters than in the sample as a whole. Conclusions. It is necessary to create different sizes of the distal part of the conical stem, to which securely fix a wide proximal part, as well as in different sizes, in the form of a cup for fixing the liner. The height of the proximal part of the reverse shoulder endoprosthesis should be not less than 20 mm, the diameter of the base of the proximal parts of the stem — 38, 40, 42 mm. It is proposed to use a conical stem of the implant with a wider proximal part, to create the angle 135° between the cup of the proximal part and the stem. Three standard sizes of basic glenoid plates with a diameter of 26, 30, 32 mm are defined. Key words. 3D-printing, arthroplasty of the shoulder joint, glenoid, cluster analysis, correlation analysis.

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Reverse shoulder arthroplasty in patients younger than 65 years, minimum 5-year follow-up

Cited by 31 publications

References 30 publications

Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Patient-specific risk profile associated with early-onset primary osteoarthritis of the shoulder: is it really primary?

Morphometry of the shoulder joint and justification of new modular reverse shoulder endoprosthesis sizes using computed tomography data

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