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Anatomic Total Shoulder Arthroplasty: Long-Term Clinical, Radiographic, and Patient-Reported Outcomes.

Akshar V Patel1, Christopher A White, Christoph A Schroen

  • 1From the Department of Surgery, Saint Barnabas Hospital, Bronx, NY (Patel), and the Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY (White, Schroen, Cirino, Ranson, Shukla, Galatz, Parsons, Flatow, and Cagle).

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Summary
This summary is machine-generated.

Anatomic total shoulder arthroplasty (aTSA) shows durable long-term results, significantly improving shoulder function and pain. Implant survivorship remains excellent, with 72% of aTSA implants functioning well at 20 years.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Musculoskeletal Research

Background:

  • Limited data exists on long-term outcomes of anatomic total shoulder arthroplasty (aTSA).
  • Previous studies primarily focused on short- to midterm results.
  • This study addresses the need for long-term outcome data in aTSA.

Purpose of the Study:

  • To evaluate the long-term clinical, functional, and radiographic outcomes of aTSA.
  • To assess implant survivorship and durability over an extended period.
  • To provide comprehensive data on patient results following aTSA.

Main Methods:

  • Retrospective review of patients undergoing aTSA with at least 10 years of follow-up.
  • Assessment of range of motion (ROM), American Shoulder and Elbow Surgeons (ASES) scores, Simple Shoulder Test (SST), and visual analog scale (VAS) pain scores.
  • Radiographic analysis included glenoid morphology, humeral offset, acromiohumeral interval, and humeral lucency; implant failure-free survival was tracked.

Main Results:

  • Seventy-eight patients (78 shoulders) with a mean follow-up of 15 years were analyzed.
  • Significant improvements were observed in ROM (e.g., forward elevation from 118.8° to 147.6°), ASES scores (34.8 to 72.6), SST scores (3.5 to 8.1), and VAS pain scores (6.4 to 2.3) (all P < 0.01).
  • Implant survivorship was 97% at 10 years and 72% at 20 years.

Conclusions:

  • Anatomic total shoulder arthroplasty (aTSA) yields sustained long-term improvements in shoulder function, ROM, and pain relief.
  • Implant survivorship data indicates excellent durability of aTSA up to 20 years postoperatively.
  • aTSA is a durable and effective treatment option for long-term shoulder restoration.