| Autor: |
Matthew G. Alben, DO, Neil Gambhir, DO, Matthew T. Kingery, MD, Robert Halpern, DO, Aidan G. Papalia, MBA, Young W. Kwon, MD, PhD, Joseph D. Zuckerman, MD, Mandeep S. Virk, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
JSES International, Vol 7, Iss 6, Pp 2486-2491 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2666-6383 |
| DOI: |
10.1016/j.jseint.2023.07.015 |
| Popis: |
Background: The purpose of our study was to compare the outcomes and complications after a two- vs. six-week duration of sling immobilization following reverse total shoulder arthroplasty (rTSA). Methods: We conducted a retrospective review from our institutional database on 960 patients treated by primary rTSA between 2011 and 2021. Patients were separated into two cohorts of postoperative sling immobilization (a two-week and six-week group). Multivariate analysis was conducted to evaluate what factors were associated with patients experiencing either a postoperative complication or requiring reoperation. Results: A total of 276 patients were instructed to keep their operative arm in a sling for six weeks postoperatively, and 684 patients discontinued use at two weeks. There was no difference in postoperative complication rate (15.0% vs. 12.0%, P = .21), dislocation rate (P = .79), acromion stress fractures (P = .06), implant loosening (P = .15), and periprosthetic joint infections (P = .48) between the six- and two-week sling cohorts. In the immediate 90-day postoperative time period, no difference was seen in the reoperation rates (P = .73). Discussion: Shorter duration of sling immobilization (two weeks) does not incur additional risk of complications compared to standard duration (six weeks) of sling immobilization following rTSA. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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