Younger patients report similar activity levels to older patients after reverse total shoulder arthroplasty

被引:17
作者
Walters, Jordan D. [1 ]
Barkoh, Kaku [1 ]
Smith, Richard A. [1 ]
Azar, Frederick M. [1 ]
Throckmorton, Thomas W. [1 ]
机构
[1] Univ Tennessee, Campbell Clin, Dept Orthopaed Surg & Biomed Engn, Memphis, TN USA
关键词
Reverse total shoulder arthroplasty; activities; patient-reported; survey; younger patients; older patients; ROTATOR CUFF TEAR; GLENOHUMERAL ARTHRITIS; MOTION; HEMIARTHROPLASTY; RELIABILITY; OUTCOMES; RANGE;
D O I
10.1016/j.jse.2016.01.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Younger patients who have undergone reverse total shoulder arthroplasty (RTSA) are believed to have higher activity levels that place higher stresses across the prosthesis, increasing the risk of failure, but there is little information to support or refute this supposition. The purposes of this study were to define the patient-reported activity levels of patients younger than 65 years and older than 65 years who underwent RTSA and to evaluate any differences between the groups. Methods: Forty-six patients who underwent primary RTSA answered a questionnaire regarding their activity levels. Data were categorized and tabulated according to pain, range of motion, strength, and activity level (low, medium, and high demand). Statistical analyses were performed using the Fisher exact test, chi(2) test, and independent t test. Differences with P < .05 were considered statistically significant. Results: Seventeen patients younger than 65 years (mean age, 57.7 years) and 29 patients older than 65 years (mean age, 75.2 years) were included. No significant differences were found for range of motion, strength, or number of activities; 47% of younger patients and 44% of older patients reported high-demand activities (P = .64); 24% of younger patients and 37% of older patients reported medium-demand use (P = .30). Patients younger than 65 years were more likely to require narcotic pain medication (P = .03) and to have disability (P = .0001). Conclusion: These data provide initial evidence that commonly held concerns about higher activity levels among younger patients placing excessive demands on the RTSA prosthesis may not be as important as currently thought. Rather, patients seem to self-regulate their activities to minimize pain and maximize essential functions after surgery. (C) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
引用
收藏
页码:1418 / 1424
页数:7
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