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Archives of Orthopaedic and Trauma Surgery

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01-06-2016 | Orthopaedic Surgery

Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis

Authors: Maximilian Petri, Simon A. Euler, Grant J. Dornan, Joshua A. Greenspoon, Marilee P. Horan, J. Christoph Katthagen, Peter J. Millett

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2016

Abstract

Introduction

The use of total shoulder arthroplasty (TSA) to treat primary glenohumeral osteoarthritis (GHOA) is increasing. Factors influencing patient satisfaction after surgery have not been well documented. The aim of this study was to determine demographic, radiologic, and surgical, factors predictive for satisfaction after TSA for GHOA.

Materials and Methods

Between 2005 and 2012, 95 shoulders undergoing TSA for GHOA by a single surgeon were eligible for inclusion in the study. Age, gender, previous surgeries, American Society of Anesthesiologists (ASA) score, and Walch glenoid morphology were analyzed as satisfaction predictors. Patients with Walch glenoid type C were excluded.

Results

Data on 80/92(87 %) shoulders were available at a mean of 3 years (range 2–9). Three complications (3 %) and 2 failures (2 %) occurred. The outcome scores collected significantly improved from preoperative values (p < 0.05). Median patient satisfaction was 10/10. Gender, age, previous surgery, ASA score, and Walch morphology were not associated with patient satisfaction.

Conclusions

TSA provided excellent results for patients with idiopathic GHOA with low complication and failure rates. Outcomes after TSA for type B glenoid morphology with posterior subluxation were similar to outcomes after TSA for centered type A morphology. Overall patient satisfaction was high and was not influenced by the demographic, anatomic, and surgical variables investigated.

Level of Evidence: III, Therapeutic study, Retrospective Cohort Study

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Title: Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis
Authors: Maximilian Petri
Simon A. Euler
Grant J. Dornan
Joshua A. Greenspoon
Marilee P. Horan
J. Christoph Katthagen
Peter J. Millett
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2452-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis

Abstract

Introduction

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusions

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