Shoulder replacement for osteoarthritis: A review of surgical management

Pandya, Jay; Johnson, Tamara; Low, Adrian K.

doi:10.1016/j.maturitas.2017.11.013

Cited by 22 publications

(24 citation statements)

References 24 publications

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“…As previously mentioned, all of the shoulder conditions included within this study typically begin with some form of conservative treatment and follow a similar stepwise progression. For those patients who do not achieve sustained or adequate relief with conservative management, most are left with a decision between surgical intervention or long-term analgesics (5,7,8).…”

Section: Discussionmentioning

confidence: 99%

“…The initial management of all of the above-mentioned shoulder conditions begins with conservative treatment consisting of some combination of physical therapy, ideally in combination with a home exercise program, oral anti-inflammatories/analgesics, and anesthetic/steroid/orthobiologic injections (5)(6)(7). For those patients who have failed conservative treatment or who present with severe disease, surgical intervention is typically the next step (5)(6)(7)(8). A subset of patients though continue to have pain despite surgical intervention or are not amenable to surgery for a variety of reasons.…”

Section: Introductionmentioning

confidence: 99%

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Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series

Mansfield

Desai

2020

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series

Mansfield

Desai

2020

Neuromodulation: Technology at the Neural Interface

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“…Indeed, more recently, reverse shoulder designs have demonstrated good success in alleviating pain and poor function in patients with primary indications of RCTA, and MRCTs with and without OA. 30 However, post-operative rehabilitation, considered by many to be an essential component of patient satisfaction and functional recovery, 15 does not yet have a strong evidence base. The limited available evidence suggests that structured rehabilitation programmes, applied by qualified therapists, help guide patients through the various recovery periods after TSA, advancing patients' recovery and improving their final functional gain.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review

et al. 2018

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Background Physical therapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physical therapy programmes with a view to inform current clinical practice, as well as to develop a platform upon which future research might be conducted. Methods An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane Library to March 2018 was complemented by hand and citation-searching. Studies were selected in relation to pre-defined criteria. A narrative synthesis was undertaken. Results A total of 506 papers were identified in the electronic database search, with only one study showing moderate evidence of early physical therapy promoting a more rapid return of short-term improvement in function and pain. No studies evaluated the effectiveness of physical therapy programmes in reverse total shoulder arthroplasty procedures. Discussion Restoring range of motion and strength following total shoulder arthroplasty is considered important for patients to obtain a good outcome post-surgery and, when applied early, may offer more rapid recovery. Given the rising incidence of total shoulder arthroplasties, especially reverse total shoulder arthroplasty, there is an urgent need for high-quality, adequately powered randomised controlled trials to determine the effectiveness of rehabilitation programmes following these surgeries.

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“…Glenohumeral osteoarthritis (GHOA), primary or secondary, is characterized by progressive wear of articular cartilage and eventual loss of joint movement functions [1][2][3]. It affects one third of the world's population, especially those over 60 years [1]. With population aging around the globe, its prevalence has been on the rise [4].…”

Section: Introductionmentioning

confidence: 99%

“…To address these problems, hemiarthroplasty (HA) is introduced as a viable option for the treatment of shoulder disorders [14][15][16][17][18], and is widely applied in various age groups [19][20][21]. It only replaces the humeral side and avoids potential complications associated with glenoid implantation [1,22], as shown by patient-reported outcomes [23][24][25]. Therefore, HA may be preferred for high-demanding athletes and laborers [26].…”

Section: Introductionmentioning

confidence: 99%

Resurfacing hemiarthroplasty versus stemmed hemiarthroplasty for glenohumeral osteoarthritis: a meta-analysis

et al. 2020

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Background: Though total shoulder arthroplasty (TSA) has been an acknowledged treatment option for glenohumeral osteoarthritis, resurfacing hemiarthroplasty (RHA) and stemmed hemiarthroplasty (SHA) may be preferred in some circumstances by surgeons, especially for treating young or active patients. However, decision-making between the RHA and SHA is controversial. Therefore, we conducted a meta-analysis to systematically compare two surgical procedures in terms of postoperative functional outcomes, range of motion (ROM), pain relief, complication rates, risk of revision. Methods: The PubMed, Embase, Web of Science and Cochrane Library were searched from inception to January 1, 2020, for all articles that compared the clinical effectiveness and safety of RHA with SHA. All eligible studies were selected based on certain screening criteria. Two investigators independently conducted the quality assessment and extracted the data. Fixed-effect and random-effect models were used for pooled results according to the degree of heterogeneity. All statistical analyses were performed by employing Stata software 14.0. Results: A total of six comparative studies involving 2568 shoulders (1356 RHA and 1212 SHA) were included in the final analysis. Patients were followed up for at least 1 year in each study. Pooled results showed that RHA was associated with a better visual analog scale (SMD 0.61, p = 0.001) but higher revision rates (OR 1.50, p = 0.016) when compared to SHA. There were no significant differences in functional outcomes, such as Constant-Murley score (SMD 0.06, P = 0.878), American Shoulder and Elbow Surgeons score (SMD 0.05, P = 0.880), Western Ontario Osteoarthritis of the Shoulder index (SMD 0.43, p = 0.258) and quick-Disabilities of the Arm, Shoulder and Hand score (SMD 0.06, p = 0.669). In addition, no differences were observed in forward flexion (SMD 0.16, p = 0.622), external rotation (SMD-0.17, P = 0.741) and overall complication rates (OR 1.42, p = 0.198).

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Shoulder replacement for osteoarthritis: A review of surgical management

Cited by 22 publications

References 24 publications

Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series

Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series

Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review

Resurfacing hemiarthroplasty versus stemmed hemiarthroplasty for glenohumeral osteoarthritis: a meta-analysis

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