Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitati...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/5/1576 |
| _version_ | 1797567223057874944 |
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| author | Rocco Papalia Mauro Ciuffreda Erika Albo Chiara De Andreis Lorenzo Alirio Diaz Balzani Anna Maria Alifano Chiara Fossati Andrea Macaluso Riccardo Borzuola Antonio De Vincentis Vincenzo Denaro |
| author_facet | Rocco Papalia Mauro Ciuffreda Erika Albo Chiara De Andreis Lorenzo Alirio Diaz Balzani Anna Maria Alifano Chiara Fossati Andrea Macaluso Riccardo Borzuola Antonio De Vincentis Vincenzo Denaro |
| author_sort | Rocco Papalia |
| collection | DOAJ |
| description | The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76–0.88, <i>p</i> < 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80–0.99, <i>p</i> < 0.01) compared to RTSA (77%) (95% CI 0.69–0.85, <i>p</i> < 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant. |
| first_indexed | 2024-03-10T19:38:37Z |
| format | Article |
| id | doaj.art-62c3e8743d064dd7a3957e302c653e30 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T19:38:37Z |
| publishDate | 2020-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-62c3e8743d064dd7a3957e302c653e302023-11-20T01:28:14ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0195157610.3390/jcm9051576Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-AnalysisRocco Papalia0Mauro Ciuffreda1Erika Albo2Chiara De Andreis3Lorenzo Alirio Diaz Balzani4Anna Maria Alifano5Chiara Fossati6Andrea Macaluso7Riccardo Borzuola8Antonio De Vincentis9Vincenzo Denaro10Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, ItalyDepartment of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, ItalyDepartment of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, ItalyThe aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76–0.88, <i>p</i> < 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80–0.99, <i>p</i> < 0.01) compared to RTSA (77%) (95% CI 0.69–0.85, <i>p</i> < 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant.https://www.mdpi.com/2077-0383/9/5/1576shoulderarthroplastyreplacementreturn to sportelderlysystematic review |
| spellingShingle | Rocco Papalia Mauro Ciuffreda Erika Albo Chiara De Andreis Lorenzo Alirio Diaz Balzani Anna Maria Alifano Chiara Fossati Andrea Macaluso Riccardo Borzuola Antonio De Vincentis Vincenzo Denaro Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis Journal of Clinical Medicine shoulder arthroplasty replacement return to sport elderly systematic review |
| title | Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis |
| title_full | Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis |
| title_fullStr | Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis |
| title_short | Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis |
| title_sort | return to sport after anatomic and reverse total shoulder arthroplasty in elderly patients a systematic review and meta analysis |
| topic | shoulder arthroplasty replacement return to sport elderly systematic review |
| url | https://www.mdpi.com/2077-0383/9/5/1576 |
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