Speed of recovery of the most commonly performed shoulder surgeries
Background: Shoulder surgery results in several months of rehabilitation, which is often underestimated by patients preoperatively. Currently, there is little written about this process of recovery. Information on this would help patients to anticipate the trajectory of their recovery. This would al...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638321001018 |
| _version_ | 1819108103702970368 |
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| author | Florian Grubhofer, MD Andres R. Muniz Martinez, MD Lukas Ernstbrunner, MD, PhD Jillian Haberli, BS Megan E. Selig, BS Karen Yi, PA-C Jon J.P. Warner, MD |
| author_facet | Florian Grubhofer, MD Andres R. Muniz Martinez, MD Lukas Ernstbrunner, MD, PhD Jillian Haberli, BS Megan E. Selig, BS Karen Yi, PA-C Jon J.P. Warner, MD |
| author_sort | Florian Grubhofer, MD |
| collection | DOAJ |
| description | Background: Shoulder surgery results in several months of rehabilitation, which is often underestimated by patients preoperatively. Currently, there is little written about this process of recovery. Information on this would help patients to anticipate the trajectory of their recovery. This would also provide a reference point allowing surgeons to compare a patient's progress in their recovery. The purpose of our study was to analyze and document the expected rate of recovery for the most common shoulder operations. Methods: A retrospective analysis of all patients who underwent total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (RTSA), arthroscopic rotator cuff repair (ARCR), and arthroscopic biceps tenodesis (BT) using prospectively collected data from the Surgical Outcomes System registry was performed. All patients included had a complete 2-year follow-up data set. The pain score (visual analog scale) was measured preoperatively at 2, 6, and 12 weeks and 6, 12, and 24 months. The American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) score were recorded preoperatively and after 6, 12, and 24 months. The speed of recovery, defined as the percentage of total improvement, for each procedure was assessed as the primary outcome parameter at all time points. Results: All shoulder interventions resulted in significant improvement of the pain, SANE, and ASES scores 2 years after shoulder surgery. The speed of recovery of all 3 scores was highest after TSA at all measured time points and slowest after ARCR and BT. Measured by the pain score, 90% and 82% of the total improvement after TSA and RTSA was completed after 6 weeks compared to 58% and 59% after ARCR and BT, respectively. Six months postoperatively the ASES recovery rate was significantly higher after arthroplasty (TSA 96% and RTSA 85%) compared to ARCR and BT (76% and 77%, respectively). The SANE score recovery rate was between 82% and 92% (TSA 92%, RTSA 89%, ARCR 87%, BT 82%) 6 months after surgery. After 1 year all patient groups reached 89% or more of the total improvement in all scores, except for the pain after ARCR (89%). Conclusion: The improvement in pain is fastest after TSA and slowest after ARCR and BT. After TSA and RTSA, >80% of the total pain reduction is achieved 6 weeks postoperatively, whereas after ARCR and BT, >80% of the pain reduction is achieved only 6 months postoperatively. At 12 months postoperatively, the differences in recovery curves were not significant. |
| first_indexed | 2024-12-22T03:04:37Z |
| format | Article |
| id | doaj.art-9e4f9d92e55840e48e79133378d53f2e |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-12-22T03:04:37Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-9e4f9d92e55840e48e79133378d53f2e2022-12-21T18:41:06ZengElsevierJSES International2666-63832021-07-0154776781Speed of recovery of the most commonly performed shoulder surgeriesFlorian Grubhofer, MD0Andres R. Muniz Martinez, MD1Lukas Ernstbrunner, MD, PhD2Jillian Haberli, BS3Megan E. Selig, BS4Karen Yi, PA-C5Jon J.P. Warner, MD6Massachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USA; Corresponding author: Florian Grubhofer, MD, Department of Orthopedic Surgery, Harvard Medical School, Fruit Street 55, Boston, MA 02114, USA.Massachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USABalgrist University Hospital, Department of Orthopedic Surgery, University of Zürich, Zürich, SwitzerlandMassachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USAMassachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USAMassachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USAMassachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USABackground: Shoulder surgery results in several months of rehabilitation, which is often underestimated by patients preoperatively. Currently, there is little written about this process of recovery. Information on this would help patients to anticipate the trajectory of their recovery. This would also provide a reference point allowing surgeons to compare a patient's progress in their recovery. The purpose of our study was to analyze and document the expected rate of recovery for the most common shoulder operations. Methods: A retrospective analysis of all patients who underwent total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (RTSA), arthroscopic rotator cuff repair (ARCR), and arthroscopic biceps tenodesis (BT) using prospectively collected data from the Surgical Outcomes System registry was performed. All patients included had a complete 2-year follow-up data set. The pain score (visual analog scale) was measured preoperatively at 2, 6, and 12 weeks and 6, 12, and 24 months. The American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) score were recorded preoperatively and after 6, 12, and 24 months. The speed of recovery, defined as the percentage of total improvement, for each procedure was assessed as the primary outcome parameter at all time points. Results: All shoulder interventions resulted in significant improvement of the pain, SANE, and ASES scores 2 years after shoulder surgery. The speed of recovery of all 3 scores was highest after TSA at all measured time points and slowest after ARCR and BT. Measured by the pain score, 90% and 82% of the total improvement after TSA and RTSA was completed after 6 weeks compared to 58% and 59% after ARCR and BT, respectively. Six months postoperatively the ASES recovery rate was significantly higher after arthroplasty (TSA 96% and RTSA 85%) compared to ARCR and BT (76% and 77%, respectively). The SANE score recovery rate was between 82% and 92% (TSA 92%, RTSA 89%, ARCR 87%, BT 82%) 6 months after surgery. After 1 year all patient groups reached 89% or more of the total improvement in all scores, except for the pain after ARCR (89%). Conclusion: The improvement in pain is fastest after TSA and slowest after ARCR and BT. After TSA and RTSA, >80% of the total pain reduction is achieved 6 weeks postoperatively, whereas after ARCR and BT, >80% of the pain reduction is achieved only 6 months postoperatively. At 12 months postoperatively, the differences in recovery curves were not significant.http://www.sciencedirect.com/science/article/pii/S2666638321001018Speed of recoveryShoulder surgeryReverse total shoulder arthroplastyTotal shoulder arthroplastyArthroscopic rotator cuff repairArthroscopic biceps tenodesis |
| spellingShingle | Florian Grubhofer, MD Andres R. Muniz Martinez, MD Lukas Ernstbrunner, MD, PhD Jillian Haberli, BS Megan E. Selig, BS Karen Yi, PA-C Jon J.P. Warner, MD Speed of recovery of the most commonly performed shoulder surgeries JSES International Speed of recovery Shoulder surgery Reverse total shoulder arthroplasty Total shoulder arthroplasty Arthroscopic rotator cuff repair Arthroscopic biceps tenodesis |
| title | Speed of recovery of the most commonly performed shoulder surgeries |
| title_full | Speed of recovery of the most commonly performed shoulder surgeries |
| title_fullStr | Speed of recovery of the most commonly performed shoulder surgeries |
| title_full_unstemmed | Speed of recovery of the most commonly performed shoulder surgeries |
| title_short | Speed of recovery of the most commonly performed shoulder surgeries |
| title_sort | speed of recovery of the most commonly performed shoulder surgeries |
| topic | Speed of recovery Shoulder surgery Reverse total shoulder arthroplasty Total shoulder arthroplasty Arthroscopic rotator cuff repair Arthroscopic biceps tenodesis |
| url | http://www.sciencedirect.com/science/article/pii/S2666638321001018 |
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