Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis

Publish Year: 1403
نوع سند: مقاله ژورنالی
زبان: English
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JR_TABO-12-6_003

تاریخ نمایه سازی: 16 خرداد 1403

Abstract:

Objectives: This study aimed to compare short-term outcomes following Total Shoulder Arthroplasty (TSA) and Humeral Head Resurfacing (HHR) in patients with glenohumeral osteoarthritis (GHOA).Methods: A retrospective analysis included patients who had undergone either TSA or HHR for GHOA at a single institution. Baseline demographics, complications, range of motion (active forward flexion, FF and active external rotation, ER), visual analog scores (VAS), and Subjective Shoulder Values (SSV) were collected.Results: A total of ۶۹ TSA and ۵۶ HHR patients were analyzed. More HHR patients were laborers (۴۴% versus ۲۱%, P=۰.۰۱). There were more smokers in the TSA group (۲۵% versus ۱۱%, P=۰.۰۴) and more cardiovascular disease in the HHR cohort (۶۴% versus. ۶%, p<۰.۰۰۰۱). Postoperative FF was similar, but ER was greater in the HHR (۴۷° ± ۱۵°) vs. TSA group (۴۰° ± ۱۲°, P = ۰.۰۱). VAS was lower after TSA vs. HHR (median ۰, IQR ۱ versus median ۳.۷, IQR ۶.۹, p<۰.۰۰۰۱), and SSV was higher after TSA (۸۹% ± ۱۳% vs. ۷۵% ± ۲۰% after HHR; p<۰.۰۰۰۱). Post-operative impingement was more common after HHR (۳۲% vs. ۳% for TSA, p<۰.۰۰۰۱). All other complications were equivalent.Conclusion: While younger patients and heavy laborers had improved ER following HHR, their pain relief was greater after TSA. Decisions on surgical technique should be based on patient-specific demographic and anatomic factors. Level of evidence: III

Authors

Ehab Nazzal

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Rajiv Reddy

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

David Solomon

Summit Health Orthopaedics, Florham Park, NJ, USA

Jonathan Hughes

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

James Rooney

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Mitchell Fourman

Hospital for Special Surgery, New York, NY, USA

David Hirsch

Rothman Orthopaedics, Orlando, FL, USA

Mark Rodosky

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Albert Lin

Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA

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  • Fourman MS, Beck A, Gasbarro G, Irrgang JJ, Rodosky MW, ...
  • Ibounig T, Simons T, Launonen A, Paavola M. Glenohumeral osteoarthritis: an ...
  • Millett PJ, Horan MP, Pennock AT, Rios D. Comprehensive Arthroscopic Management ...
  • Mitchell JJ, Warner BT, Horan MP, et al. Comprehensive Arthroscopic Management ...
  • Skelley NW, Namdari S, Chamberlain AM, Keener JD, Galatz LM, Yamaguchi ...
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  • Ravi V, Murphy RJ, Moverley R, Derias M, Phadnis J. ...
  • Manauté F, Lateur G, Gaillot J, Saragaglia D. Results of shoulder ...
  • Davidson PA, Rivenburgh D. Primary shoulder replacement using stemless inlay arthroplasty ...
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