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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Good function after shoulder arthroplasty
Bjørg-Tilde S Fevang1, Stein H L Lygre, Glenn Bertelsen
1Department of Rheumatology, Haukeland University Hospital, Norway. bjorg.tilde.svanes.fevang@helse-bergen.no
Acta Orthopaedica
|September 7, 2012
Summary
Shoulder arthroplasty improves function and pain for rheumatoid arthritis, osteoarthritis, and fracture sequela patients. While acute fracture patients saw initial declines, overall outcomes were comparable, with significant quality of life improvements across most groups.
Area of Science:
- Orthopedic surgery
- Rheumatology
- Arthroplasty outcomes
Background:
- Shoulder arthroplasty outcomes vary by diagnosis.
- Evaluating function, pain, and quality of life is crucial.
Purpose of the Study:
- To assess functional outcomes, pain reduction, and quality of life improvements following shoulder arthroplasty across four distinct diagnostic groups.
Main Methods:
- A cohort of 1,107 patients undergoing shoulder arthroplasty for rheumatoid arthritis (RA), osteoarthritis (OA), acute fracture (AF), or fracture sequela (FS) were surveyed.
- The Oxford shoulder score (OSS) and EQ-5D were used to measure outcomes before and after surgery.
- Data was collected via questionnaires administered in 2010 for surgeries performed between 1994-2008.
Main Results:
- Rheumatoid arthritis (RA) and osteoarthritis (OA) patients reported the greatest improvement in the Oxford shoulder score (OSS), averaging 16 units.
- Patients with fracture sequela (FS) showed a mean OSS improvement of 11 units.
- Acute fracture (AF) patients experienced a negative change in OSS (-11), yet achieved similar final outcomes to RA and OA groups. Quality of life improved for RA, OA, and FS patients.
Conclusions:
- Shoulder arthroplasty provides significant pain relief and functional improvement for patients with RA, OA, and FS.
- While AF patients had different initial results, overall outcomes were comparable.
- Shoulder arthropathy significantly impacts quality of life, which is substantially improved by shoulder replacement surgery.
