Optimizing follow-up after anatomic total shoulder arthroplasty

被引:21
作者
Schoch, Bradley [1 ]
Werthel, Jean David [2 ]
Schleck, Cathy D. [3 ]
Harmsen, William S. [3 ]
Sperling, John [2 ]
Sanchez-Sotelo, Joaquin [2 ]
Cofield, Robert H. [2 ]
机构
[1] Univ Florida, Dept Orthopaed & Rehabil, Gainesville, FL USA
[2] Mayo Clin, Dept Orthoped Surg, Rochester, MN USA
[3] Mayo Clin, Div Biomed Stat & Informat, Rochester, MN USA
关键词
total shoulder arthroplasty; follow-up; shoulder; lower extremity arthroplasty; TSA; anatomic total shoulder arthroplasty; REPLACEMENT; DEMAND; RELIABILITY;
D O I
10.1016/j.jse.2016.10.024
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: With increases in both total shoulder arthroplasty (TSA) volumes and patient life expectancies, the number of patients requiring follow-up after shoulder arthroplasty continues to grow exponentially. The purpose of this study is to establish a data-based follow-up schedule minimizing unnecessary patient and health care system costs without sacrificing patient care. Methods: Between January 1975 and January 2013, 2786 consecutive anatomic TSAs were performed at our institution. All shoulders undergoing reoperation/revision were reviewed to identify the common modes of failure and times to failure. Results: A total of 208 shoulders (7.5%) required reoperation. Early failure mechanisms included instability, rotator cuff tears, and infection, with 63% of these reoperations occurring within 2 years. Later failures included mechanical failures (including component loosening) and periprosthetic fractures, with no identifiable peak occurrence. After 2 years, TSA failed at an average rate 1.1% per year. Conclusions: TSA failure after 2 years is uncommon and triggers surgical intervention in approximately 1% of patients per year. Routine in-person surveillance of all patients on a scheduled basis may not be necessary and would increase patient and other health care costs. We recommend in-person visits to assess healing, direct rehabilitation, and manage soft tissue or infectious issues until 2 years, with planned, periodic patient contact by mail and radiographic evaluation of patients with poor or worsening outcomes thereafter, unless patient concerns arise or a newer implant design warrants closer clinical assessment. (C) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
引用
收藏
页码:997 / 1002
页数:6
相关论文
共 50 条
[41]   The influence of anatomic total shoulder arthroplasty using a subscapularis tenotomy on shoulder strength [J].
Baumgarten, Keith M. ;
Osborn, Roy ;
Schweinle, Will E., Jr. ;
Zens, Matthew J. .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2018, 27 (01) :82-89
[42]   Midterm results of anatomic total shoulder arthroplasty with a third-generation implant [J].
Levy, Jonathan C. ;
Berglund, Derek ;
Vakharia, Rushabh ;
Tahal, Dimitri S. ;
Mijc, Dragomir ;
Devito, Paul ;
Motisi, Matthew .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2019, 28 (04) :698-705
[43]   Stemless anatomic total shoulder arthroplasty: a systematic review and meta-analysis [J].
Liu, Eva Y. ;
Kord, Dorsa ;
Horner, Nolan S. ;
Leroux, Timothy ;
Alolabi, Bashar ;
Khan, Moin .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2020, 29 (09) :1928-1937
[44]   Glenoid bone grafting in primary anatomic total shoulder arthroplasty: a systematic review [J].
Zhang, Betty ;
Niroopan, Gavinn ;
Gohal, Chetan ;
Alolabi, Bashar ;
Leroux, Timothy ;
Khan, Moin .
SHOULDER & ELBOW, 2021, 13 (05) :509-517
[45]   Patient Perceptions Regarding Clinical Follow-Up After Total Joint Arthroplasty [J].
Frederick, Jeremy S. ;
Mounce, Samuel D. ;
Chapek, Jeffrey A. ;
Conley, Caitlin E. ;
Duncan, Stephen T. ;
Landy, David C. .
ARTHROPLASTY TODAY, 2025, 34
[46]   Assessment of Isokinetics and Range of Motion of the Shoulder in Patients after Reverse Shoulder Arthroplasty in the Late Follow-Up Period [J].
Ogrodzka-Ciechanowicz, Katarzyna ;
Kurzeja, Piotr ;
Sorysz, Tomasz .
JOURNAL OF CLINICAL MEDICINE, 2023, 12 (23)
[47]   Outcomes and survivorship of anatomic total shoulder arthroplasty: current concepts [J].
Italia, Kristine ;
Jomaa, Mohammad ;
Pareyon, Roberto ;
Hollman, Freek ;
Cutbush, Kenneth ;
Gupta, Ashish .
JOURNAL OF ISAKOS JOINT DISORDERS & ORTHOPAEDIC SPORTS MEDICINE, 2023, 8 (05) :284-288
[48]   Anatomic total shoulder arthroplasty in rheumatoid arthritis: A systematic review [J].
Haleem, Ahmed ;
Shanmugaraj, Ajaykumar ;
Horner, Nolan S. ;
Leroux, Timothy ;
Khan, Moin ;
Alolabi, Bashar .
SHOULDER & ELBOW, 2022, 14 (02) :142-149
[49]   Revision of Anatomic Total Shoulder Arthroplasty to Hemiarthroplasty: Does it work? [J].
Sheth, Mihir ;
Sholder, Daniel ;
Abboud, Joseph ;
Lazarus, Mark ;
Williams, Gerald ;
Namdari, Surena .
ARCHIVES OF BONE AND JOINT SURGERY-ABJS, 2020, 8 (02) :147-153
[50]   Reassessing the minimum two-year follow-up standard after total shoulder arthroplasty-Is one year sufficient? [J].
Mahendraraj, Kuhan A. ;
Carducci, Michael P. ;
Galvin, Joseph W. ;
Golenbock, Samuel W. ;
Grubhofer, Florian ;
Jawa, Andrew .
SHOULDER & ELBOW, 2021, 13 (05) :527-533