دورية أكاديمية
أعرض في EDS

Glenoid retroversion does not impact clinical outcomes or implant survivorship after total shoulder arthroplasty with minimal, noncorrective reaming.

التفاصيل البيبلوغرافية
العنوان: Glenoid retroversion does not impact clinical outcomes or implant survivorship after total shoulder arthroplasty with minimal, noncorrective reaming.
المؤلفون: Dekker TJ; The Steadman Clinic, Vail, CO, USA., Grantham WJ; The Steadman Clinic, Vail, CO, USA., Lacheta L; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Goldenberg BT; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Dey Hazra RO; The Steadman Clinic, Vail, CO, USA.; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Rakowski DR; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Dornan GJ; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Horan MP; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA., Millett PJ; The Steadman Clinic, Vail, CO, USA.; Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO, USA.
المصدر: JSES international [JSES Int] 2022 Mar 18; Vol. 6 (4), pp. 596-603. Date of Electronic Publication: 2022 Mar 18 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 101763461 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6383 (Electronic) Linking ISSN: 26666383 NLM ISO Abbreviation: JSES Int Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier, Inc., [2020]-
مستخلص: Hypothesis: Both clinical outcomes and early rates of failure will not be associated with glenoid retroversion.
Methods: All patients who underwent an anatomic total shoulder arthroplasty with minimal, noncorrective reaming between 2006 and 2016 with minimum 2-year follow-up were reviewed. Measurements for retroversion, inclination, and posterior subluxation were obtained from magnetic resonance imaging or computerized tomography. A regression analysis was performed to assess the association between retroversion, inclination and subluxation, and their effect on patient reported outcomes (PROs). Clinical failures and complications were reported.
Results: One hundred fifty-one anatomic total shoulder arthroplasties (90% follow-up) with a mean follow-up of 4.6 years (range, 2-12 years) were assessed. The mean preoperative retroversion was 15.6° (range, 0.2-42.1), the mean posterior subluxation was 15.1% (range, -3.6 to 44.1%), and the mean glenoid inclination was 13.9° (range, -11.3 to 44.3). All median outcome scores improved significantly from pre- to post-operatively ( P  < .001). The median satisfaction was 10/10 (1st quartile = 7 and 3rd quartile = 10). Linear regression analysis found no significant association between retroversion and any postoperative PRO. A total of 5 (3.3%) failures occurred due to glenoid implant loosening (3 patients) and Cutibacterium acnes infection (2 patients) with no association between failure causation and increased retroversion or inclination. No correlation could be found between the Walch classification and postoperative PROs.
Conclusion: Anatomic total shoulder replacement with minimal and noncorrective glenoid reaming demonstrates reliable increases in patient satisfaction and clinical outcomes at a mean of 4.6-year follow-up in patients with up to 40° of native retroversion. Higher values of retroversion were not associated with early deterioration of clinical outcomes, revisions, or failures. Long-term studies are needed to see if survivorship and outcomes hold up over time.
(© 2022 The Author(s).)
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فهرسة مساهمة: Keywords: Glenoid retroversion; Implant survivorship; Patient-reported outcomes; Total shoulder arthroplasty
تواريخ الأحداث: Date Created: 20220711 Latest Revision: 20220716
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9264025
DOI: 10.1016/j.jseint.2022.02.011
PMID: 35813138
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-6383
DOI:10.1016/j.jseint.2022.02.011