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Related Experiment Videos

Does total shoulder arthroplasty improve patients' activity levels?

Keith M Baumgarten1, Peter S Chang2, Tasha M Dannenbring3

  • 1Orthopedic Institute, Sioux Falls, SD, USA; University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA.

Journal of Shoulder and Elbow Surgery
|May 29, 2018
PubMed
Summary

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Total shoulder arthroplasty (TSA) significantly improves quality of life and leads to small but meaningful increases in patient activity levels. Most patients can maintain their desired activities after surgery without worsening symptoms.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rehabilitation Science

Background:

  • Total shoulder arthroplasty (TSA) is known to reduce pain and enhance shoulder function.
  • The impact of TSA on patient activity levels, measured by the Shoulder Activity Level (SAL) survey, has not been previously studied.
  • Understanding post-operative activity changes is crucial for assessing the overall success of TSA.

Purpose of the Study:

  • To evaluate the effect of primary anatomic and reverse TSA on patient activity levels using the SAL.
  • To assess changes in other patient-reported outcomes, including quality of life and joint-specific function.
  • To determine if patients undergoing TSA can maintain or increase their activity levels post-surgery.

Main Methods:

  • Prospective collection of pre-operative and post-operative outcome scores for patients undergoing TSA.
Keywords:
Shoulderactivityanatomic total shoulder arthroplastyosteoarthritisoutcomesreverse total shoulder arthroplastyrotator cuff tear arthropathy

Related Experiment Videos

  • Utilized the Shoulder Activity Level (SAL), Western Ontario Osteoarthritis of the Shoulder Index (WOOS), American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE), and Simple Shoulder Test (SST).
  • Included patients undergoing primary anatomic or reverse TSA, with a minimum follow-up of 2 years.

    • Main Results:

    • Both anatomic and reverse TSA showed statistically significant improvements in WOOS, ASES, SST, and SANE scores.
    • Individually, SAL scores showed non-significant improvements for both anatomic (P=.07) and reverse TSA (P=.38).
    • Combined analysis of anatomic and reverse TSA demonstrated a statistically significant improvement in SAL scores (P=.006).

    Conclusions:

    • Total shoulder arthroplasty significantly improves disease-specific and joint-specific quality of life.
    • TSA leads to statistically significant improvements in overall patient activity levels when both anatomic and reverse procedures are considered together.
    • Patients undergoing TSA can generally maintain their activity levels post-operatively without exacerbating symptoms.