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Total Shoulder Arthroplasty (Technical Note and Results)

February 01, 2014

Contributors: Gonzalo Samitier Solis, MD; Aimee Struck, MEd, MBA, ATC; Thomas W Wright, MD; Thomas W Wright, MD

Background: Total shoulder arthroplasty (TSA) is the treatment of choice for most shoulder osteoarthritis (OA) when the rotator cuff is intact and functional. This detailed video demonstrates the surgical technique used at University of FL to address this complex and common pathology. More than 2 years of follow-up results and a description of our staged rehabilitation program complement the video.

Methods: The records of patients with a shoulder OA diagnosis who had received a TSA were reviewed (a minimum of 2 years' follow-up was required). Active shoulder elevation, external rotation, internal rotation, Constant, and Shoulder Pain and Disability Index (SPADI) scores were obtained. Demographic data and complications rate also were available.

Results: We identified 117 TSAs with a minimum of 2 years' follow-up. The mean follow-up was 2.79 years and the mean age was 67 years. SPADI scores improved from 80 (preoperative) to 23 (postoperative). Constant score improved from 37 to 64. Active elevation and external rotation was significantly better. The complication rate was 16,24%, half of them because of rotator cuff failure.

Conclusions: TSA in OA is associated with excellent results regarding pain relief, function, and range of motion. Complication rates at 2-year follow-up can be improved using the reverse TSA system when rotator cuff functionality is in doubt.

Results for "Total Shoulder Arthroplasty"

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