PMID- 37777045
OWN - NLM
STAT- MEDLINE
DCOM- 20240516
LR  - 20240516
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 33
IP  - 6
DP  - 2024 Jun
TI  - Minimum 10-year follow-up of anatomic total shoulder arthroplasty and 
      ream-and-run arthroplasty for primary glenohumeral osteoarthritis.
PG  - 1276-1284
LID - S1058-2746(23)00707-3 [pii]
LID - 10.1016/j.jse.2023.08.028 [doi]
AB  - BACKGROUND: Reports on long term outcomes and failures of shoulder arthroplasty 
      are uncommon. The purpose of this study is to present minimum 10-year outcomes in 
      consecutive patients undergoing ream-and-run and anatomic total shoulder 
      arthroplasty (TSA) for primary glenohumeral arthritis. METHODS: This study 
      analyzed consecutive patients who had undergone a ream-and-run or TSA with 
      minimum 10-year follow-up. Pain scores and Simple Shoulder Test (SST) values were 
      obtained preoperatively and at a minimum of 10 years postoperatively via e-mail 
      or mail-in response. Percentage of maximum possible improvement (%MPI) was also 
      calculated. RESULTS: Of 127 eligible patients, 63 (50%) responded to a 10-year 
      survey. This included 34 patients undergoing ream-and-run arthroplasty and 29 
      patients undergoing TSA. The ream-and-run patients were significantly younger 
      than the TSA patients (60 +/- 7 vs. 68 +/- 8, P < .001), predominantly male (97% vs. 
      41%, P < .001), and had a lower American Society of Anesthesiologists 
      classification (P = .018). In the ream-and-run group, the mean pain score 
      improved from a preoperative value of 6.5 +/- 1.9 to 0.9 +/- 1.3 (P < .001), and the 
      mean SST score improved from 5.4 +/- 2.4 to 10.3 +/- 2.1 at 10-year follow-up 
      (P < .001). Twenty-eight (82%) achieved an SST improvement above the minimally 
      clinically important difference (MCID) of 2.6. Four patients (12%) underwent 
      single-stage exchange to another hemiarthroplasty, whereas 1 (3%) required 
      manipulation under anesthesia. In the TSA group, the pain score improved from a 
      preoperative value of 6.6 +/- 2.2 to 1.2 +/- 2.3 (P < .001), and the SST score 
      improved from 3.8 +/- 2.6 to 8.9 +/- 2.6 at 10-year follow-up (P < .001). Of the 29 
      patients who underwent a TSA, 27 (93%) achieved an SST improvement above the MCID 
      of 1.6. No patient in the TSA group required reoperation. CONCLUSION: Although 
      the characteristics of the patients differ between the 2 groups, excellent 
      functional results can be obtained with the ream-and-run arthroplasty and TSA for 
      glenohumeral osteoarthritis.
CI  - Copyright (c) 2023 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Sharareh, Behnam
AU  - Sharareh B
AD  - Shoulder and Elbow Surgery, Ventura Orthopedics, Oxnard, CA, USA.
FAU - Whitson, Anastasia J
AU  - Whitson AJ
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, Seattle, WA, USA.
FAU - Matsen, Frederick A 3rd
AU  - Matsen FA 3rd
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, Seattle, WA, USA.
FAU - Hsu, Jason E
AU  - Hsu JE
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, Seattle, WA, USA. Electronic address: jehsu@uw.edu.
LA  - eng
PT  - Journal Article
DEP - 20230929
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - *Osteoarthritis/surgery
MH  - *Arthroplasty, Replacement, Shoulder/methods
MH  - Middle Aged
MH  - Aged
MH  - Follow-Up Studies
MH  - *Shoulder Joint/surgery
MH  - Treatment Outcome
MH  - Pain Measurement
MH  - Retrospective Studies
MH  - Time Factors
MH  - Range of Motion, Articular
OTO - NOTNLM
OT  - Glenohumeral arthritis
OT  - cuff-intact arthritis
OT  - hemiarthroplasty with concentric glenoid reaming
OT  - long-term follow-up
OT  - ream-and-run
OT  - shoulder arthroplasty
OT  - total shoulder arthroplasty
EDAT- 2023/10/01 04:44
MHDA- 2024/05/17 00:43
CRDT- 2023/09/30 19:15
PHST- 2022/12/19 00:00 [received]
PHST- 2023/08/29 00:00 [revised]
PHST- 2023/08/31 00:00 [accepted]
PHST- 2024/05/17 00:43 [medline]
PHST- 2023/10/01 04:44 [pubmed]
PHST- 2023/09/30 19:15 [entrez]
AID - S1058-2746(23)00707-3 [pii]
AID - 10.1016/j.jse.2023.08.028 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2024 Jun;33(6):1276-1284. doi: 10.1016/j.jse.2023.08.028. 
      Epub 2023 Sep 29.