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Archives of Orthopaedic and Trauma Surgery

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01-01-2018 | Orthopaedic Surgery

Reverse shoulder arthroplasty in obese patients: analysis of functionality in the medium-term

Authors: Alberto Izquierdo-Fernández, José Carlos Minarro, Rocío Carpintero-Lluch, Ester María Estévez-Torres, Pedro Carpintero-Benítez

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2018

Abstract

Introduction

Obesity is an epidemic nowadays and this fact conditions results in orthopaedic surgery. Very few studies evaluates if obesity is a risk factor for reverse shoulder arthroplasty. The aim of this study is to confirm if there are differences with regard to the outcomes in patients undergoing reverse shoulder arthroplasty according to their body mass index (BMI).

Materials and methods

A total of 35 patients were enrolled in the study. Then divided into subpopulations according to their BMI and analyzed twice. First analysis set a division 30 of BMI and second set it in 35. ASES score, major complications, length of the hospital stay, radiolucent lines in components as well as scapular notching were assessed.

Results

No major complications were described in our patients. No differences were found related to hospital stay, radiolucent lines or scapular notching. However, in the second analysis (BMI < 35 and ≥ 35) statistical differences were found regarding ASES score. Poorer functional outcomes were described in the type-II obese and morbidly obese population.

Conclusion

Functional outcomes of reverse shoulder arthroplasty are worse in patients with a BMI over 35.

Böstman O (1994) Prevalence of obesity among patients admitted for elective orthopaedic surgery. Int J Obes Relat Metab Disord 18:709–713PubMed

Hill JO, Catenacci V, Wyatt HR (2005) Obesity: overview of an epidemic. Psychiatr Clin North Am 28:1–23. doi:10.1016/j.psc.2004.09.010 CrossRefPubMed

Jarrett C, Brown B, Schmidt C (2013) Reverse shoulder arthroplasty. Orthop Clin North Am 44:389–408CrossRefPubMed

Affonso J, Nicholson G, Frankle M et al (2012) Complications of the reverse prosthesis: prevention and treatment. Instr Course Lect 61:157–168PubMed

Gupta A, Chalmers P, Rahman Z et al (2014) Reverse total shoulder arthroplasty in patients of varying body mass index. J Shoulder Elb Surg 23:35–42CrossRef

Werner B, Burrus M, Browne J, Brockmeier S (2015) Superobesity (body mass index > 50 kg/m²) and complications after total shoulder arthroplasty: an incremental effect of increasing body mass index. J Shoulder Elb Surg 24:1868–1875CrossRef

Michener L, McClure P, Sennett B (2002) American shoulder and elbow surgeons standardized shoulder assessment form, patient self-report section: reliability, validity, and responsiveness. Shoulder Elb Surg 11:587–594CrossRef

Sirveaux F, Favard L, Oudet D et al (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Jt Surg Br 86:388–395CrossRef

Jazayeri R, Kwon Y (2011) Evolution of the reverse total shoulder prosthesis. Bull NYU Hosp Jt Dis 69:50–55PubMed

10.

Kim S, Wise B, Zhang Y, Szabo R (2011) Increasing incidence of shoulder arthroplasty in the United States. J Bone Jt Surg Am 21:2249–2254CrossRef

11.

Nam D, Kepler C, Neviaser A (2010) Reverse total shoulder arthroplasty: current concepts, results and component wear analysis. J Bone Jt Surg Am 92:23–35CrossRef

12.

Schwarzkopf R, Thompson SL, Adwar SJ et al (2012) Postoperative complication rates in the “super-obese” hip and knee arthroplasty population. J Arthroplast 27:397–401. doi:10.1016/j.arth.2011.04.017 CrossRef

13.

Pappou I, Virani N, Clark R et al (2014) Outcomes and costs of reverse shoulder arthroplasty in the morbidly obese: a case control study. J Bone Jt Surg Am 16:1169–1176CrossRef

14.

Linberg C, Sperling J, Schleck C, Cofield R (2009) Shoulder arthro-plasty in morbidly obese patients. J Shoulder Elb Surg 18:903–906CrossRef

15.

Silber J, Rosenbaum P, Kelz R et al (2012) Medical and financial risks associated with surgery in the elderly obese. Ann Surg 256:79–86CrossRefPubMedPubMedCentral

16.

Hattrup S (2007) Early complications with the delta reverse shoulder arthroplasty: influence of the learning curve. J Shoulder Elb Surg 16:e55CrossRef

17.

Statz J, Wagner E, Houdek M et al (2016) Outcomes of primary reverse shoulder arthroplasty in patients with morbid obesity. J Shoulder Elb Surg 25:e191–e198CrossRef

18.

Beck J, Irgit K, Andreychik C et al (2013) Reverse total shoulder arthroplasty in obese patients. J Hand Surg Am 38:965–970CrossRefPubMed

Title: Reverse shoulder arthroplasty in obese patients: analysis of functionality in the medium-term
Authors: Alberto Izquierdo-Fernández
José Carlos Minarro
Rocío Carpintero-Lluch
Ester María Estévez-Torres
Pedro Carpintero-Benítez
Publication date: 01-01-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2816-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reverse shoulder arthroplasty in obese patients: analysis of functionality in the medium-term

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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