Total shoulder arthroplasty vs. hemiarthroplasty in patients with primary glenohumeral arthritis with intact rotator cuff: meta-analysis using the ratio of means

Jagdev, Balraj S.; McGrath, Jonathan; Cole, Alex; Gomaa, Abdul-Rahman; Chong, Han Hong; Singh, Harvinder

doi:10.1016/j.jse.2022.07.012

Cited by 8 publications

(5 citation statements)

References 26 publications

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“…Meta-analysis of 3 randomized trials and 5 observational studies reported an increased risk of revision following HA [ 24 ]. 563 patients were included (404 TSA, 159 HA), and small cohort studies with a high risk of bias contributed the majority of this data.…”

Section: Discussionmentioning

confidence: 99%

“…Cuff insufficiency and instability/dislocation were the most common indications for revision of a TSA recorded in the Australian Registry, but glenoid erosion was most common in HA [ 25 ]. Further smaller studies reported that glenoid erosion was the most common indication for revision of an HA [ 24 ]. A large proportion of the indications for revision HA in this study were undefined.…”

Section: Discussionmentioning

confidence: 99%

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The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK

Davies,

Sabharwal,

Liddle

et al. 2024

ActaO

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Background and purpose: Total shoulder arthroplasty (TSA) and hemiarthroplasty (HA) are used in the management of osteoarthritis of the glenohumeral joint. We aimed to determine whether TSA or HA resulted in a lower risk of adverse outcomes in patients of all ages with osteoarthritis and an intact rotator cuff and in a subgroup of patients aged 60 years or younger.Patients and methods: Shoulder arthroplasties recorded in the National Joint Registry, UK, between April 1, 2012 and June 30, 2021, were linked to Hospital Episode Statistics in England. Elective TSAs and HAs were matched on propensity scores based on 11 variables. The primary outcome was all-cause revision. Secondary outcomes were combined revision/non-revision reoperations, 30-day inpatient complications, 1-year mortality, and length of stay. 95% confidence intervals (CI) were reported.Results: 11,556 shoulder arthroplasties were included: 7,641 TSAs, 3,915 HAs. At 8 years 95% (CI 94–96) of TSAs and 91% (CI 90–92) of HAs remained unrevised. The hazard ratio (HR) varied across follow-up: 4-year HR 2.7 (CI 1.9–3.5), 8-year HR 2.0 (CI 0.5–3.5). Rotator cuff insufficiency was the most common revision indication. In patients aged 60 years or younger prosthesis survival at 8 years was 92% (CI 89–94) following TSA and 84% (CI 80–87) following HA.Conclusion: The risk of revision was higher following HA in patients with osteoarthritis and an intact rotator cuff. Patients aged 60 years and younger had a higher risk of revision following HA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK

Davies,

Sabharwal,

Liddle

et al. 2024

ActaO

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“…The assessment measures were the following: (1) Patients’ sociodemographic characteristics and information related to RC pathology, rehabilitation measures, medicines and exercise intensity at home were recorded from the patient’s medical history. (2) Pain syndrome—intensity, severity, and nature of pain were evaluated by VAS scale [ 18 , 26 ] and McGill pain questionnaire [ 16 , 25 ]. (3) Shoulder motor function was evaluated using manual muscle strength testing (MMT) [ 13 , 15 , 16 ], shoulder active ROM [ 14 , 20 , 27 ], and dexterity of movements by Box&Block test [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

“…(2) Pain syndrome—intensity, severity, and nature of pain were evaluated by VAS scale [ 18 , 26 ] and McGill pain questionnaire [ 16 , 25 ]. (3) Shoulder motor function was evaluated using manual muscle strength testing (MMT) [ 13 , 15 , 16 ], shoulder active ROM [ 14 , 20 , 27 ], and dexterity of movements by Box&Block test [ 36 ]. (4) Functioning and disability of the Arm, Shoulder and Hand by DASH [ 17 , 20 , 21 ] and SPADI [ 28 ]; (5) Psycho-emotional state–anxiety and depression evaluated by HAD scale [ 19 , 21 , 23 , 25 , 28 , 35 ], Sleep restrictions [ 25 , 34 ] and Fear of movements by TAMPA Scale of Kinesiophobia [ 14 , 30 , 31 ].…”

Section: Methodsmentioning

confidence: 99%

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Functional recovery prediction during rehabilitation after rotator cuff tears by decision support system

Adomavičienė,

Daunoravičienė,

Kazakevičiūtė-Januškevičienė

et al. 2024

PLoS ONE

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Background Today’s rehabilitation decision-making still relies on conventional methods and different specific targeted rehabilitation protocols. Our study focuses on the decision support system for early rehabilitation after rotator cuff (RC) tears repair, where a multicriteria decision-making framework (MCDM) is applied for the prediction of successful functional recovery and selection of a rehabilitation protocol. Objective To identify factors that affect recovery outcomes and to develop a decision support system methodology for predicting functional recovery outcomes at early rehabilitation after RC repair. Methods Twelve rehabilitation experts were involved in the design, calibration, and evaluation of a rehabilitation protocol based on the proposed decision support system constructed using the MCDM framework. For the development of a decision support system, 20 patients after RC surgery undergoing outpatient rehabilitation were enrolled in a prospective cohort clinical trial. Results The MCDM framework (SWARA method) sensitively assesses different criteria and determines the corresponding criteria weights that were similar to criteria weights assessed subjectively by rehabilitation experts. The assignment of patients into the classes, according to the heuristic evaluation method based on expert opinion and the standard qualitative evaluation methods showed the validity of MCDM methods remain the best new alternative in predicting recovery during rehabilitation Conclusions The results of this paper show that sustainable rehabilitation is an area that is quite suitable for the use of MCDM. The most of rehabilitation protocols are based on traditional methods and approaches, but the sensitive results showed the validity of MCDM methods and remains the best new alternative in prediction recovery protocols during rehabilitation.

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Short- to medium-term outcomes and future direction of reverse shoulder arthroplasty: Current concepts

Zeng,

Sheng,

Lie

2023

Journal of ISAKOS

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Total shoulder arthroplasty vs. hemiarthroplasty in patients with primary glenohumeral arthritis with intact rotator cuff: meta-analysis using the ratio of means

Cited by 8 publications

References 26 publications

The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK

The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK

Functional recovery prediction during rehabilitation after rotator cuff tears by decision support system

Short- to medium-term outcomes and future direction of reverse shoulder arthroplasty: Current concepts

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