Primary Total Shoulder Arthroplasty is Superior to Hemiarthroplasty for the Treatment of Glenohumeral Arthritis: Analysis of 5-year Outcomes in a Large Surgical Database
| Autor: | Jason Long, Kunal Varshenya, Kier Blevins, Julia Ralph, Anna Bryniarski, Caroline Park, Lucy Meyer, Brian Lau |
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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: | 10.1177/24715492231207482 |
| Popis: | Background Total shoulder arthroplasty (TSA) is the preferred treatment for glenohumeral arthritis refractory to nonoperative measures. However, some surgeons have argued for a role for hemiarthroplasty (HA) in the setting of a smooth glenoid that articulates appropriately with the humeral head. The purpose of this study is to evaluate long-term revision rates and short-term postoperative complications in patients undergoing either HA or TSA for glenohumeral arthritis. Methods A retrospective review of patients who underwent HA and TSA was conducted using a commercially available national database. Demographics, postoperative complications, risk factors, revision rates, and costs were analyzed using 2 sample t -tests, chi-squared tests, and multivariate logistic regressions. Results Patients were stratified by operation: (1) HA (n = 1615) or 2) TSA (n = 7845). Patients undergoing primary TSA had higher rates of prior ipsilateral rotator cuff repair and corticosteroid injections. At 2 years, patients who underwent HA, 3.0% of patients had revision surgery, compared to 1.6% of patients who underwent TSA ( P = .002); at 5 years, 3.7% of the HA cohort ( P |
| Databáze: | Directory of Open Access Journals |
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