Younger patients report similar activity levels to older patients after reverse total shoulder arthroplasty

Walters, Jordan D.; Barkoh, Kaku; Smith, Richard A.; Azar, Frederick M.; Throckmorton, Thomas W.

doi:10.1016/j.jse.2016.01.011

Cited by 28 publications

(18 citation statements)

References 20 publications

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“…Appropriate candidates for RTSA now include young patients, who have shown excellent clinical improvement with high implant survivorship of up to 12 years. 16 - 21 …”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Reverse total shoulder arthroplasty

Familiari¹,

et al. 2018

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Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching.Current controversies in RTSA include optimal baseplate positioning, humeral neck-shaft angle (135° versus 155°), glenosphere placement (medial, lateral or bony increased offset RTSA) and subscapularis repair.Improvements in prosthesis design, surgeon experience and clinical results will need to occur to optimize this treatment for many shoulder conditions.Cite this article: EFORT Open Rev 2018;3:58–69 DOI: 10.1302/2058-5241.3.170044

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“…Appropriate candidates for RTSA now include young patients, who have shown excellent clinical improvement with high implant survivorship of up to 12 years. 16 - 21 …”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Reverse total shoulder arthroplasty

Familiari¹,

et al. 2018

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“…[30][31][32] Following RTSA, patients reported involvement in high demand activities/sports in 23-47% of cases and moderate activities in 24-49% of cases. 31,35,36 The mean time to return to full sports was reported to be 5.3 months in two studies 32,34 and ranged from 7% to 86% of cases by 12 months in two studies. 30,33 Sport participation in older patients All of the included studies looked at senior athletic or recreationally active populations.…”

Section: Sports Participation After Rtsamentioning

confidence: 98%

“…A total of 176 studies were retrieved, from which 11 studies were selected for meta-analysis ( Figure 1). 16,17,[30][31][32][33][34][35][36][37][38] The included studies consisted of a total of 621 patients (mean 67% female) with a mean age of 73 years (range and were published between 2008 and 2018 ( Table 1). The primary indications for RTSA were rotator cuff arthropathy and massive cuff tear.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…Walters et al reported on sports involvement after RTSA in patients aged over 65 years (n ¼ 29). 35 Sports were classified as high, medium or low demand activities as classified by Zarkadas et al 41 A low demand activity does not impose a repetitive stress on the shoulder and does not involve heavy lifting (i.e. stationary bike); a medium demand activity has a potential for repetitive stress and may involve lifting up to 20 lbs and occasional overhead activity (i.e.…”

Section: Sports Participation After Rtsamentioning

confidence: 99%

“…40 Recent evidence would now suggest that in the midterm, return to higher demand upper limb loading sporting activities such as tennis are also safe in this age group. 32,[34][35][36] RTSA in the younger patient There are currently few studies looking specifically at return to sporting activity in younger patients following RTSA. 32,35 Younger patients can and do return to sports after surgery with Walters et al reporting a higher rate of return to sports in patients aged less than 70 years compared to patients 70 years or over.…”

Section: Surgeon Opinions On Post-operative Activitymentioning

confidence: 99%

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Activity following reverse total shoulder arthroplasty: What should surgeons be advising?

et al. 2018

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Background: Reverse total shoulder arthroplasty (RTSA) is now the most frequently performed form of shoulder arthroplasty. There is currently no consensus on recommended levels of activity and sport following RTSA. The aim of this review is to outline the current evidence and provide a guide for surgeons on what to advise their patients regarding activity level following RTSA. Methods: A systematic review of the literature was performed using the Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was performed using the electronic databases PubMed and Medline. Included studies were of level 1 to 4 evidence in the English language evaluating complications and return to sport after RTSA. Results: Eleven studies were selected and included a total of 621 patients (67% female) with a mean age of 73 years (range 22-92). All of the included patients participated in sports prior to RTSA. The rate of return to sport ranged from 60 to 86% and varied with the level of sport activity. Mean time to return to sport after surgery varied greatly between studies. Conclusions: Return to sport is tolerated following RTSA; however, studies are short to medium term only and although the reported complication rate is low, the studies did not include radiographic evaluation. Longer term studies with subgroup analysis evaluating common recreational activities after RTSA are required, particularly in the younger population, in order to establish clear post-operative guidelines.

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