11.02.15
Age apparently is not a factor in shoulder arthroplasty.
According to recently published data, patients older than 80 years experienced similar improvements for functional outcome scores, pain scores and range of motion two years after undergoing either total shoulder arthroplasty or reverse shoulder arthroplasty.
Researchers from Nova Southeastern University in Fort Lauderdale, Fla.; Holy Cross Orthopedic Institute in Fort Lauderdale; and Jackson Memorial Hospital in Miami, Fla.; retrospectively evaluated data collected prospectively of 18 patients who underwent total shoulder arthroplasty (TSA) and 33 patients who underwent reverse shoulder arthroplasty (RSA). All patients were over 80 years old. The efficacy of the surgery was determined by the evaluation of clinical outcome scores preoperatively and postoperatively, which included VAS score, American Shoulder and Elbow Society (ASES) score, Simple Shoulder Test score, Subjective, Assessment Numeric Evaluation score, and range of motion (ROM).
Preoperative vs. postoperative changes for pain, function and ROM were compared with the Wilcoxon signed rank test. The minimum follow-up was two years.
Results showed both procedures were effective for the treatment of preoperative morbidity. Significant improvements in pain, function and ROM scores were found in both groups, with the exception of the Simple Shoulder test scores in the TSA group, the study concluded. Patients who underwent TSA postoperatively outperformed those who underwent RSA for ASES scores, active elevation and active external rotation.
Overall, the effectiveness of both RSA and TSA was not significantly different for functional outcome scores, pain and ROM, the data showed. Groups were not significantly different with regard to the development of perioperative medical conditions, length of hospital stay and need for intensive care unit stay. In the TSA group, there was one late complication --- one patient at six years had a rotator cuff tear with no effect on outcomes, while the RSA group had five early complications. Significantly higher rates of patient satisfaction with the procedure were seen in the TSA group, according to researchers.
According to recently published data, patients older than 80 years experienced similar improvements for functional outcome scores, pain scores and range of motion two years after undergoing either total shoulder arthroplasty or reverse shoulder arthroplasty.
Preoperative vs. postoperative changes for pain, function and ROM were compared with the Wilcoxon signed rank test. The minimum follow-up was two years.
Results showed both procedures were effective for the treatment of preoperative morbidity. Significant improvements in pain, function and ROM scores were found in both groups, with the exception of the Simple Shoulder test scores in the TSA group, the study concluded. Patients who underwent TSA postoperatively outperformed those who underwent RSA for ASES scores, active elevation and active external rotation.
Overall, the effectiveness of both RSA and TSA was not significantly different for functional outcome scores, pain and ROM, the data showed. Groups were not significantly different with regard to the development of perioperative medical conditions, length of hospital stay and need for intensive care unit stay. In the TSA group, there was one late complication --- one patient at six years had a rotator cuff tear with no effect on outcomes, while the RSA group had five early complications. Significantly higher rates of patient satisfaction with the procedure were seen in the TSA group, according to researchers.