Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series
Background: The modern anatomic shoulder implant has been available for five decades. Multiple short-to mid-term studies have reported favorable outcomes and predicted implant survival rates two decades post operatively. Yet, few studies have characterized the long-term (i.e., >20 years) clinical...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X22001370 |
| _version_ | 1797842432327417856 |
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| author | Christopher A. White Akiro Duey Bradford O. Parsons Evan L. Flatow Paul J. Cagle |
| author_facet | Christopher A. White Akiro Duey Bradford O. Parsons Evan L. Flatow Paul J. Cagle |
| author_sort | Christopher A. White |
| collection | DOAJ |
| description | Background: The modern anatomic shoulder implant has been available for five decades. Multiple short-to mid-term studies have reported favorable outcomes and predicted implant survival rates two decades post operatively. Yet, few studies have characterized the long-term (i.e., >20 years) clinical outcome expectations following shoulder replacement. Case details: In this case series, five patients underwent anatomic total shoulder arthroplasty for severe glenohumeral osteoarthritis with an average follow-up time of 25.4 years. The average postoperative Visual Analog Score, American Shoulder and Elbow Surgeon, and Simple Shoulder Test scores were 2.4/10.0, 61.7/100.0, and 7.0/12.0 respectively. Each patient saw improved range of motion outcomes that were at or below reported minimal clinically important differences. Glenoid loosening was present in two patients and humeral lucency was absent in all patients with available radiographic images (n = 4). One shoulder required revision to reverse shoulder arthroplasty due to painful glenoid loosening 20.0 years after their primary anatomic replacement. Implant survival was 80% at 20-years and the mean implant survival time was predicted to be 28.0 ± 1.8 years. Conclusion: Anatomic total shoulder arthroplasty is a viable option for end stage osteoarthritis at long-term follow-up. However, patient expectations need to be curtailed as clinical outcomes will become lower as the implant ages and, subsequently, revision surgery will grow increasingly probable. |
| first_indexed | 2024-04-09T16:47:48Z |
| format | Article |
| id | doaj.art-3fd189cfbea04138b55c94f59542f983 |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-04-09T16:47:48Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-3fd189cfbea04138b55c94f59542f9832023-04-22T06:24:19ZengElsevierJournal of Orthopaedic Reports2773-157X2023-06-0122100129Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case seriesChristopher A. White0Akiro Duey1Bradford O. Parsons2Evan L. Flatow3Paul J. Cagle4Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USADepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USADepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USADepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USACorresponding author. 425 West 59th Street, New York, NY, 10019, USA.; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USABackground: The modern anatomic shoulder implant has been available for five decades. Multiple short-to mid-term studies have reported favorable outcomes and predicted implant survival rates two decades post operatively. Yet, few studies have characterized the long-term (i.e., >20 years) clinical outcome expectations following shoulder replacement. Case details: In this case series, five patients underwent anatomic total shoulder arthroplasty for severe glenohumeral osteoarthritis with an average follow-up time of 25.4 years. The average postoperative Visual Analog Score, American Shoulder and Elbow Surgeon, and Simple Shoulder Test scores were 2.4/10.0, 61.7/100.0, and 7.0/12.0 respectively. Each patient saw improved range of motion outcomes that were at or below reported minimal clinically important differences. Glenoid loosening was present in two patients and humeral lucency was absent in all patients with available radiographic images (n = 4). One shoulder required revision to reverse shoulder arthroplasty due to painful glenoid loosening 20.0 years after their primary anatomic replacement. Implant survival was 80% at 20-years and the mean implant survival time was predicted to be 28.0 ± 1.8 years. Conclusion: Anatomic total shoulder arthroplasty is a viable option for end stage osteoarthritis at long-term follow-up. However, patient expectations need to be curtailed as clinical outcomes will become lower as the implant ages and, subsequently, revision surgery will grow increasingly probable.http://www.sciencedirect.com/science/article/pii/S2773157X22001370Shoulder arthroplastyAnatomicLong-termRange of motionPatient reported outcomesImplant survival |
| spellingShingle | Christopher A. White Akiro Duey Bradford O. Parsons Evan L. Flatow Paul J. Cagle Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series Journal of Orthopaedic Reports Shoulder arthroplasty Anatomic Long-term Range of motion Patient reported outcomes Implant survival |
| title | Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series |
| title_full | Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series |
| title_fullStr | Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series |
| title_full_unstemmed | Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series |
| title_short | Anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow-up: A case series |
| title_sort | anatomic total shoulder arthroplasty outcomes and implant survivability at greater than 22 years postoperative follow up a case series |
| topic | Shoulder arthroplasty Anatomic Long-term Range of motion Patient reported outcomes Implant survival |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X22001370 |
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