The medium- and long-term outcome of total shoulder arthroplasty for primary glenohumeral osteoarthritis in middle-aged patients

• Verfasst von: Sowa, Boris [VerfasserIn]
• Verfasst von: Bülhoff, Matthias [VerfasserIn]
• Verfasst von: Zeifang, Felix [VerfasserIn]
• Verfasst von: Loew, Markus [VerfasserIn]
• Verfasst von: Bruckner, Thomas [VerfasserIn]
• Verfasst von: Raiss, Patric [VerfasserIn]
• Titel: The medium- and long-term outcome of total shoulder arthroplasty for primary glenohumeral osteoarthritis in middle-aged patients
• Verf.angabe: B. Sowa, M. Bochenek, M. Bülhoff, F. Zeifang, M. Loew, T. Bruckner, P. Raiss
• E-Jahr: 2017
• Jahr: 1 July 2017
• Umfang: 5 S.
• Fussnoten: Gesehen am 03.08.2018
• Titel Quelle: Enthalten in: The bone & joint journal
• Ort Quelle: London : British Editorial Society of Bone and Joint Surgery, 2013
• Jahr Quelle: 2017
• Band/Heft Quelle: 99-B(2017), 7, Seite 939-943
• ISSN Quelle: 2049-4408
• DOI: doi:10.1302/0301-620X.99B7.BJJ-2016-1365.R1
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1578225574

Abstract

Aims: Promising medium-term results from total shoulder arthroplasty (TSA) have been reported for the treatment of primary osteoarthritis in young and middle-aged patients. The aim of this study was to evaluate the long-term functional and radiological outcome of TSA in the middle-aged patient.Patients and MethodsThe data of all patients from the previous medium-term study were available. At a mean follow-up of 13 years (8 to 17), we reviewed 21 patients (12 men, nine women, 21 shoulders) with a mean age of 55 years (37 to 60). The Constant-Murley score (CS) with its subgroups and subjective satisfaction were measured. Radiological signs of implant loosening were analysed. Results: Two shoulders (two patients) were revised and in two shoulders of two different patients, revision surgery was recommended. The mean CS increased from 23.3 (10 to 45) pre-operatively to 56.5 (26 to 81; p < 0.0001), but with a decrease in CS from 62.8 (38 to 93) to 56.5 (26 to 81) between medium- and long-term follow-up (p = 0.01). Without revision surgery, 18 patients (95%) rated their result as good or very good.The mean radiolucent line score for the glenoid components increased from 1.8 (0 to 6) to 8.2 (2 to 18) between medium- and long-term follow-up (p < 0.001). Conclusion: TSA in young and middle-aged patients leads to improvement in clinical function and a relatively high satisfaction rate. However, clinical or radiological glenoid loosening worsens in the long term. Further studies are needed to optimise the treatment options in this patient population.