Shoulder arthroplasty in patients 59 years of age and younger
Autor: | Mark T. Dillon, Ronald A. Navarro, Edward H. Yian, Maria C.S. Inacio, Mary F. Burke |
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Přispěvatelé: | Dillon, Mark T, Inacio, Maria CS, Burke, Mary F, Navarro, Ronald A, Yian, Edward H |
Rok vydání: | 2013 |
Předmět: |
Male
retrospective cohort design medicine.medical_specialty medicine.medical_treatment level III Osteoarthritis Arthroplasty Interquartile range medicine Humans Orthopedics and Sports Medicine In patient Range of Motion Articular hemiarthroplasty Retrospective Studies Shoulder Joint business.industry Age Factors Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery glenoid loosening Treatment Outcome medicine.anatomical_structure Female shoulder arthroplasty treatment study Shoulder joint Level iii business Shoulder replacement Follow-Up Studies |
Zdroj: | Journal of Shoulder and Elbow Surgery. 22:1338-1344 |
ISSN: | 1058-2746 |
Popis: | Background: While shoulder arthroplasty is a well established treatment for a variety of conditions about the shoulder, the results of shoulder replacement in younger patients are not as predictable. The purpose of this study is to examine the indications for shoulder arthroplasty in patients 59 years old and younger, and to analyze revision rates between younger and older patients. Methods: This is a retrospective cohort study of shoulder arthroplasties performed within a statewide integrated healthcare system between 2005 and 2010. Patients were stratified into 2 groups based on age at time of index replacement procedure: younger patients (� 59 years) and older patients (>59 years). Results: There were 2981 primary arthroplasties followed for a median time of 2.2 years (interquartile range, 1.0-3.8), 90 (3.0%) of which required revisions. After adjusting for procedure type and diagnosis, younger patients had a two times higher risk (95% CI 1.2-3.5, P ¼ .007) of revision than older patients. When looking at the risk of revision in younger and older patients separately, the risk of revision in hemiarthroplasty (RR ¼ 4.5 vs RR ¼ 1.7) and reverse total shoulder arthroplasty (RR ¼ 33.6 vs RR ¼ 3.0) compared to total shoulder arthroplasty were higher in younger patients compared to older patients. Conclusion: This study suggests patients 59 years and younger have an increased risk of revision at early follow-up. The higher risk of revision in younger patients receiving hemiarthroplasty may support the use of total shoulder arthroplasty in patients 59 years of age and younger. Level of evidence: Level III, Retrospective Cohort Design, Treatment Study. 2013 Journal of Shoulder and Elbow Surgery Board of Trustees. |
Databáze: | OpenAIRE |
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