PMID- 33914650
OWN - NLM
STAT- MEDLINE
DCOM- 20210628
LR  - 20210628
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 7
DP  - 2021 Jun
TI  - Total Shoulder Arthroplasty After Previous Arthroscopic Surgery for Glenohumeral 
      Osteoarthritis: A Case-Control Matched Cohort Study.
PG  - 1839-1846
LID - 10.1177/03635465211006479 [doi]
AB  - BACKGROUND: When comprehensive arthroscopic management (CAM) for glenohumeral 
      osteoarthritis fails, total shoulder arthroplasty (TSA) may be needed, and it 
      remains unknown whether previous CAM adversely affects outcomes after subsequent 
      TSA. PURPOSE: To compare the outcomes of patients with glenohumeral 
      osteoarthritis who underwent TSA as a primary procedure with those who underwent 
      TSA after CAM (CAM-TSA). STUDY DESIGN: Cohort study; Level of evidence, 3. 
      METHODS: Patients younger than 70 years who underwent primary TSA or CAM-TSA and 
      were at least 2 years postoperative were included. A total of 21 patients who 
      underwent CAM-TSA were matched to 42 patients who underwent primary TSA by age, 
      sex, and grade of osteoarthritis. Intraoperative blood loss and surgical time 
      were assessed. Patient-reported outcome (PRO) scores were collected 
      preoperatively and at final follow-up including the American Shoulder and Elbow 
      Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE), shortened 
      version of Disabilities of the Arm, Shoulder and Hand (QuickDASH), 12-Item Short 
      Form Health Survey Physical Component Summary (SF-12 PCS), visual analog scale, 
      and patient satisfaction. Revision arthroplasty was defined as failure. RESULTS: 
      Of 63 patients, 56 of them (19 CAM-TSA and 37 primary TSA; 88.9%) were available 
      for follow-up. There were 16 female (28.6%) and 40 male (71.4%) patients with a 
      mean age of 57.8 years (range, 38.8-66.7 years). There were no significant 
      differences in intraoperative blood loss (P > .999) or surgical time (P = .127) 
      between the groups. There were 4 patients (7.1%) who had failure, and failure 
      rates did not differ significantly between the CAM-TSA (5.3%; n = 1) and primary 
      TSA (8.1%; n = 3) groups (P > .999). Additionally, 2 patients underwent revision 
      arthroplasty because of trauma. A total of 50 patients who did not experience 
      failure (17 CAM-TSA and 33 primary TSA) completed PRO measures at a mean 
      follow-up of 4.8 years (range, 2.0-11.5 years), with no significant difference 
      between the CAM-TSA (4.4 years [range, 2.1-10.5 years]) and primary TSA (5.0 
      years [range, 2.0-11.5 years]) groups (P = .164). Both groups improved 
      significantly from preoperatively to postoperatively in all PRO scores (P < .05). 
      No significant differences in any median PRO scores between the CAM-TSA and 
      primary TSA groups, respectively, were seen at final follow-up: ASES: 89.9 
      (interquartile range [IQR], 74.9-96.6) versus 94.1 (IQR, 74.9-98.3) (P = .545); 
      SANE: 84.0 (IQR, 74.0-94.0) versus 91.5 (IQR, 75.3-99.0) (P = .246); QuickDASH: 
      9.0 (IQR, 3.4-27.3) versus 9.0 (IQR, 5.1-18.1) (P = .921); SF-12 PCS: 53.8 (IQR, 
      50.1-57.1) versus 49.3 (IQR, 41.2-56.5) (P = .065); and patient satisfaction: 9.5 
      (IQR, 7.3-10.0) versus 9.0 (IQR, 5.3-10.0) (P = .308). CONCLUSION: Patients with 
      severe glenohumeral osteoarthritis who failed previous CAM benefited similarly 
      from TSA compared with patients who opted directly for TSA.
FAU - Nolte, Philip-C
AU  - Nolte PC
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - Clinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen, 
      University of Heidelberg, Ludwigshafen, Germany.
FAU - Elrick, Bryant P
AU  - Elrick BP
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
FAU - Arner, Justin W
AU  - Arner JW
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - The Steadman Clinic, Vail, Colorado, USA.
FAU - Ridley, T J
AU  - Ridley TJ
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - The Steadman Clinic, Vail, Colorado, USA.
FAU - Woolson, Thomas E
AU  - Woolson TE
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
FAU - Tross, Anna-K
AU  - Tross AK
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, 
      Heidelberg, Germany.
FAU - Midtgaard, Kaare S
AU  - Midtgaard KS
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
AD  - Norwegian Armed Forces Joint Medical Services, Sessvollmoen, Norway.
FAU - Millett, Peter J
AU  - Millett PJ
AUID- ORCID: 0000-0002-8298-3746
AD  - Steadman Philippon Research Institute, Vail, Colorado, USA.
AD  - The Steadman Clinic, Vail, Colorado, USA.
LA  - eng
PT  - Journal Article
DEP - 20210429
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Arthroplasty, Replacement, Shoulder
MH  - Arthroscopy
MH  - Case-Control Studies
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Osteoarthritis/surgery
MH  - Retrospective Studies
MH  - *Shoulder Joint/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - axillary nerve release
OT  - glenohumeral osteoarthritis
OT  - intraoperative blood loss
OT  - patient-reported outcome scores
OT  - shoulder
OT  - surgery time
EDAT- 2021/04/30 06:00
MHDA- 2021/06/29 06:00
CRDT- 2021/04/29 17:19
PHST- 2021/04/30 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2021/04/29 17:19 [entrez]
AID - 10.1177/03635465211006479 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Jun;49(7):1839-1846. doi: 10.1177/03635465211006479. Epub 
      2021 Apr 29.