Early outcomes and complications of obese patients undergoing shoulder arthroplasty: A meta-analysis
| Autor: | Ashley Klein, R. Frank Henn rd, Julio J. Jauregui, S. Ashfaq Hasan, Edward Raff, Mohit N. Gilotra |
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| Rok vydání: | 2019 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.medical_treatment Significant difference MEDLINE Reverse shoulder medicine.disease Arthroplasty Obesity 03 medical and health sciences 0302 clinical medicine Primary Shoulder Arthroplasty Meta-analysis Internal medicine medicine Orthopedics and Sports Medicine 030212 general & internal medicine Complication business Cadaveric spasm |
| Zdroj: | J Clin Orthop Trauma |
| ISSN: | 0976-5662 |
| Popis: | OBJECTIVE: The prevalence of obesity and shoulder arthroplasty have both been increasing in the United States. Although lower extremity arthroplasty literature suggests higher complication rates in these patients, there is a paucity of studies evaluating the outcome of shoulder arthroplasty in obese patients. Our purpose was to perform a meta-analysis to determine clinical outcomes and complications of these patients. METHODS: Following the PRISMA guidelines, the MEDLINE (PubMed), Embase, and Ovid libraries were used to perform a comprehensive literature review to compare complications and outcomes following shoulder arthroplasty between obese and non-obese patients. Our initial search returned 143 publications. Our inclusion criteria included full-text reports, minimum follow-up of 1 year, minimum of 10 patients, no cadaveric or biomechanical studies, only studies published in English, studies involving obese patients undergoing either anatomic or reverse shoulder arthroplasty. A total of 13 studies met the inclusion criteria. These studies were then evaluating using a methodological index for non-randomized studies (MINORS) score. Ultimately, 6 studies met our criteria and were included in the final analysis. RESULTS: A total of 978 patients were identified from the 6 studies. Patients with a BMI 30 kg/m(2) had a complications rate of 6.5% and ASES increased from 34.4 to 76.2. Patients with a BMI >40 kg/m(2) ASES increased from 29.5 to 68.6. The postoperative ASES score of 68.6 for patients with a BMI >40 kg/m(2) was significantly lower than the ASES score of 76.8 in patients with a BMI 40 kg/m(2). CONCLUSION: No significant difference was observed in number of complications and follow-up ASES scores following shoulder arthroplasty between obese and non-obese patients. Morbidly obese patients (BMI > 40 kg/m(2)) have a significantly lower ASES follow-up score than non-morbidly obese patients; however, this difference may not be clinically significant. Future studies are needed to investigate outcomes and complications associated with morbidly obese patients undergoing shoulder arthroplasty. |
| Databáze: | OpenAIRE |
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