Anatomic Total Shoulder Arthroplasty Versus Reverse Total Shoulder Arthroplasty in Patients Aged Over 70 Without a Full-Thickness Rotator Cuff Tear: A Systematic Review and Meta-Analysis
| Autor: | Christos G. Dragonas , MD, MRCS, Georgios Mamarelis , MD, FRCS, Cameron Dott , MBBS, FRCS, Saima Waseem , MBBS, Abhijit Bajracharya , MBBS, MRCS, Dimitra Leivadiotou , MD, FRCS |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Shoulder and Elbow Arthroplasty, Vol 7 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2471-5492 24715492 |
| DOI: | 10.1177/24715492231206685 |
| Popis: | Introduction This systematic review and meta-analysis compared the revision rates, complications, and outcomes in anatomic total shoulder arthroplasty (aTSA) and reverse TSA (rTSA) performed for primary glenohumeral osteoarthritis in patients aged over 70 years without a full-thickness rotator cuff tear. Materials and Methods We performed a systematic literature search identifying comparative studies meeting the above patient criteria and published from January 2010 to May 2022 from 3 databases: MEDLINE, EMBASE, and Cochrane Library. We performed the systematic review in accordance with PRISMA guidelines and the study was prospectively registered on PROSPERO. Results From the 1798 studies identified from the initial literature search, 4 met our inclusion criteria. Two thousand seven hundred thirty-one shoulder arthroplasties (1472 aTSA and 1259 rTSA) were evaluated with a minimum follow up of 2 years. A statistically significant lower revision rate was observed in rTSA compared to aTSA (odds ratio [OR] 0.50, 95% confidence interval [CI]: 0.30, 0.84, p |
| Databáze: | Directory of Open Access Journals |
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