Good long-term patient-reported outcome after shoulder arthroplasty for cuff tear arthropathy

© 2021 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 6(2022), 1 vom: 18. Jan., Seite 40-43
1. Verfasser: Nielsen, Karoline P (VerfasserIn)
Weitere Verfasser: Amundsen, Alexander, Olsen, Bo S, Rasmussen, Jeppe V
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Hemiarthroplasty Long-term Patient-reported outcome Reverse shoulder arthroplasty Rotator cuff arthropathy
Beschreibung
Zusammenfassung:© 2021 The Authors.
BACKGROUND: The use of the reverse shoulder arthroplasty (RSA) for cuff tear arthropathy (CTA) has increased within the last decades, but there is still limited information about the long-term outcome and how it performs in comparison with hemiarthroplasty (HA). The aim of this study was to compare the long-term patient-reported outcomes of RSA and HA for CTA
METHODS: We included all patients with CTA, who according to the Danish Shoulder Arthroplasty Registry, underwent either HA or RSA between 2006 and 2010. Patients who were alive were sent the Western Ontario Osteoarthritis of the Shoulder (WOOS) questionnaire in 2020. One hundred twenty (65%) patients returned a complete questionnaire. The linear regression model was used to compare RSA and HA. Sex, age, and previous surgery were included in the multivariable model
RESULTS: Forty-two HAs and 78 RSAs were evaluated with a mean follow-up time of 11.5 and 10.6 years, respectively. The mean WOOS score was 66.7 for HA and 71.7 for RSA. The difference of 5.0 was neither statistically significant nor clinically important (95% confidence interval: -4.3 to 14.2, P = .17), nor were there any significant risk of a worse WOOS score for sex, age, or previous surgery
CONCLUSION: To our knowledge, this is the first study to compare the long-term patient-reported outcomes of HA and RSA for CTA. Our results indicate that RSA is a reliable and durable treatment option for CTA with good long-term results. Based on this observational study, it is not possible to make safe estimates about the effect of RSA compared with HA, but similar to RSA, HA was associated with relatively good long-term results
Beschreibung:Date Revised 01.05.2022
published: Electronic-eCollection
Citation Status PubMed-not-MEDLINE
ISSN:2666-6383
DOI:10.1016/j.jseint.2021.08.002