PMID- 38032497
OWN - NLM
STAT- MEDLINE
DCOM- 20240301
LR  - 20240302
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 48
IP  - 3
DP  - 2024 Mar
TI  - Anatomic versus reverse total shoulder arthroplasty outcomes after prior 
      contralateral anatomic total shoulder arthroplasty in patients with bilateral 
      primary osteoarthritis with an intact rotator cuff.
PG  - 801-807
LID - 10.1007/s00264-023-06044-w [doi]
AB  - PURPOSE: We aimed to compare outcomes in patients that underwent bilateral 
      anatomic total shoulder arthroplasty (aTSA) vs. aTSA/ reverse total shoulder 
      arthroplasty (rTSA) for rotator cuff-intact glenohumeral osteoarthritis 
      (RCI-GHOA) to further elucidate the role of rTSA in this patient population. 
      METHODS: A single-institution prospectively collected shoulder arthroplasty 
      database was reviewed for patients undergoing bilateral total shoulder 
      arthroplasty (TSA) for RCI-GHOA with a primary aTSA and subsequent contralateral 
      aTSA or rTSA. Outcome scores (SPADI, SST, ASES, UCLA, Constant) and active range 
      of motion (abduction, forward elevation [FE], external and internal rotation [ER 
      and IR]) were evaluated. Clinically relevant benchmarks (minimal clinically 
      important difference [MCID], substantial clinical benefit [SCB], and patient 
      acceptable symptomatic state [PASS]) were evaluated against values in prior 
      literature. Incidence of surgical complications and revision rates were examined 
      in qualifying patients as well as those without <two year follow-up. RESULTS: Of 
      the 55 bilateral TSA patients with an intact rotator cuff, 46 underwent aTSA/aTSA 
      and 9 underwent aTSA/rTSA. At the time of the second TSA, patients undergoing 
      aTSA/rTSA were older (71 +/- 4 vs. 67 +/- 7, P = .032) and more commonly had 
      inflammatory arthritis (44% vs. 11%, P = .031). Mean time to the second TSA was 
      shorter for aTSA/aTSA (2.3 +/- 2.8 vs. 4.4 +/- 3.6 years, P < .001). Postoperative 
      outcomes were similar after the first aTSAs between groups with similar 
      proportions achieving the MCID, SCB, and PASS (all P > .05). The 2nd TSAs between 
      groups were similar preoperatively, but aTSA/rTSA had superior outcome scores, 
      overhead motion, and active abduction compared to patients that underwent 
      aTSA/aTSA. There were no differences in active ER and IR scores or complication 
      rates between groups. CONCLUSION: Patients with RCI-GHOA have excellent clinical 
      outcomes after either aTSA/aTSA or aTSA/rTSA.
CI  - (c) 2023. The Author(s) under exclusive licence to SICOT aisbl.
FAU - Turnbull, Lacie M
AU  - Turnbull LM
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
FAU - Hao, Kevin A
AU  - Hao KA
AD  - College of Medicine, University of Florida, Gainesville, FL, USA.
FAU - Bindi, Victoria E
AU  - Bindi VE
AD  - College of Medicine, University of Florida, Gainesville, FL, USA.
FAU - Wright, Jonathan O
AU  - Wright JO
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
FAU - Wright, Thomas W
AU  - Wright TW
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
FAU - Farmer, Kevin W
AU  - Farmer KW
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
FAU - Vasilopoulos, Terrie
AU  - Vasilopoulos T
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
AD  - Department of Anesthesiology, University of Florida, Gainesville, FL, USA.
FAU - Struk, Aimee M
AU  - Struk AM
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA.
FAU - Schoch, Bradley S
AU  - Schoch BS
AD  - Department of Orthopaedic Surgery, Mayo Clinic, Jacksonville, FL, USA.
FAU - King, Joseph J
AU  - King JJ
AD  - Department of Orthopaedic Surgery and Sports Medicine, Orthopaedics and Sports 
      Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL, 
      32611, USA. kingjj@ortho.ufl.edu.
LA  - eng
PT  - Journal Article
DEP - 20231130
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
MH  - Humans
MH  - *Arthroplasty, Replacement, Shoulder/adverse effects
MH  - Rotator Cuff/surgery
MH  - *Shoulder Joint/surgery
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - *Osteoarthritis/surgery/etiology
MH  - Range of Motion, Articular
OTO - NOTNLM
OT  - Clinical outcome
OT  - Inflammatory arthritis, Rotator cuff
OT  - Reverse shoulder arthroplasty
OT  - Shoulder replacement
EDAT- 2023/11/30 12:41
MHDA- 2024/03/01 06:43
CRDT- 2023/11/30 11:13
PHST- 2023/07/22 00:00 [received]
PHST- 2023/11/12 00:00 [accepted]
PHST- 2024/03/01 06:43 [medline]
PHST- 2023/11/30 12:41 [pubmed]
PHST- 2023/11/30 11:13 [entrez]
AID - 10.1007/s00264-023-06044-w [pii]
AID - 10.1007/s00264-023-06044-w [doi]
PST - ppublish
SO  - Int Orthop. 2024 Mar;48(3):801-807. doi: 10.1007/s00264-023-06044-w. Epub 2023 
      Nov 30.