Pre-operative factors affecting the indications for anatomical and reverse total shoulder arthroplasty in primary osteoarthritis and outcome comparison in patients aged seventy years and older

Background We evaluated the pre-operative factors affecting anatomical and reverse total shoulder arthroplasty (TSA and RTSA) indications in primary osteoarthritis and compared outcomes in patients aged 70 years and older. Methods Fifty-eight patients received a TSA with an all-polyethylene glenoid...

Full description

Saved in:
Bibliographic Details
Published in:International orthopaedics 2020-06, Vol.44 (6), p.1131-1141
Main Authors: Merolla, Giovanni, De Cupis, Mauro, Walch, Gilles, De Cupis, Vincenzo, Fabbri, Elisabetta, Franceschi, Francesco, Ascani, Claudio, Paladini, Paolo, Porcellini, Giuseppe
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Shoulder
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedics
Osteoarthritis - surgery
Radiography
Range of Motion, Articular
Retrospective Studies
Rotator Cuff - surgery
Scapula - surgery
Shoulder Joint - surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background We evaluated the pre-operative factors affecting anatomical and reverse total shoulder arthroplasty (TSA and RTSA) indications in primary osteoarthritis and compared outcomes in patients aged 70 years and older. Methods Fifty-eight patients received a TSA with an all-polyethylene glenoid component (APGC) or an RTSA with/without glenoid lateralization and the same curved short-stem humeral component. Active anterior and lateral elevation (AAE, ALE), internal and external rotation (IR, ER), pain, and the Constant–Murley score (CS) were recorded pre and post-operatively. Pre-operative rotator cuff (RC) fatty infiltration (FI) and modified Walch glenoid morphology were assessed. Humeral and glenoid component radiological outcomes were recorded. Results RTSA were older than TSA patients ( p  = 0.006), had lower pre-operative AAE ( p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-020-04501-4