Pre-operative and intra-operative factors related to shoulder arthroplasty outcomes

Jonathan A Donigan; W Anthony Frisella; Daniel Haase; Lori Dolan; Brian Wolf

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Pre-operative and intra-operative factors related to shoulder arthroplasty outcomes

Journal article

Open access

Peer reviewed

Pre-operative and intra-operative factors related to shoulder arthroplasty outcomes

Jonathan A Donigan, W Anthony Frisella, Daniel Haase, Lori Dolan and Brian Wolf

The Iowa orthopaedic journal, Vol.29, pp.60-66

2009

PMCID: PMC2723694

PMID: 19742087

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723694/View

Published (Version of record) Open Access

Abstract

The purpose of this study was to analyze pre-operative and intra-operative factors that affect the outcome of shoulder arthroplasty. We undertook a retrospective review of all shoulder arthroplasties performed at our institution between 1986 and 2003. Patients were contacted and outcomes were assessed using the Simple Shoulder Test and the Western Ontario Osteoarthritis of the Shoulder Index questionnaires. One hundred six patients (126 shoulders) participated in the study. The average length of follow-up was 6 years 9 months (range 2 to 20 years). Revision arthroplasty surgery and female gender were associated with worse outcomes. Age, the number of medical comorbidities, obesity, pre-operative range of motion, prior non-arthroplasty surgery, smoking, and alcohol abuse did not correlate with outcome. Patients who had shoulder arthroplasty for osteoarthritis had better outcome scores than those with rheumatoid arthritis. For intra-operative variables, significantly worse outcomes were found both with the use of hemiarthroplasty and in patients with a rotator cuff tear identified at the time of surgery. These findings may help to optimize patient and surgery selection in shoulder arthroplasty and assist in preoperative patient counseling.

Quality of Life

Arthritis, Rheumatoid - surgery

Intraoperative Period

Multivariate Analysis

Osteoarthritis - surgery

Reoperation

Follow-Up Studies

Outcome Assessment (Health Care)

Humans

Male

Treatment Outcome

Rotator Cuff Injuries

Shoulder Joint - surgery

Health Surveys

Sex Factors

Female

Retrospective Studies

Arthroplasty - methods

Cohort Studies

Preoperative Period

Details

Title: Subtitle: Pre-operative and intra-operative factors related to shoulder arthroplasty outcomes
Creators: Jonathan A Donigan - Department of Orthopaedics and Rehabilitation University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA
W Anthony Frisella
Daniel Haase
Lori Dolan
Brian Wolf
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.29, pp.60-66
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 19742087
PMCID: PMC2723694
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2009
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984040244502771

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