Journal article
Reassessing the minimum two-year follow-up standard after total shoulder arthroplasty-Is one year sufficient?
Shoulder & elbow, Vol.13(5), pp.527-533
10/01/2021
DOI: 10.1177/1758573220922845
PMCID: PMC8512979
PMID: 34659486
Abstract
Background: US Food and Drug Administration Investigation Device Exemption studies and academic journals emphasize the importance of two-year follow-up data in reporting outcomes of total shoulder arthroplasty, but there is limited data evaluating appropriate follow-up length. We aim to evaluate change in postoperative outcomes and complications between one and two years following anatomic and reverse total shoulder arthroplasties.
Methods: We retrospectively identified 250 patients who underwent anatomic and reverse total shoulder arthroplasties between 2013 and 2016 from a single surgeon arthroplasty registry. Patients without both one- and two-year follow-up data were excluded. We compared American Shoulder and Elbow Surgeons (ASES) score, Visual Analog Scale for pain, and goniometer-measured range of motion.
Results: Patient-reported outcome measurements (p>0.05) did not change between one and two years postoperatively following both reverse (n = 146) and anatomic (n = 104) total shoulder arthroplasties. Range of motion increased slightly (p<0.05), but this change was not clinically relevant. There were no additional complications.
Discussion: Minimum two-year clinical follow-up may not be necessary for future shoulder arthroplasty Investigation Device Exemption and other peer-reviewed investigations. Patient-reported outcomes (ASES and pain score) and range of motion plateau at one year postoperatively without additional complications. One-year follow-up is an acceptable minimum follow-up length.
Details
- Title: Subtitle
- Reassessing the minimum two-year follow-up standard after total shoulder arthroplasty-Is one year sufficient?
- Creators
- Kuhan A. Mahendraraj - New England Baptist HospitalMichael P. Carducci - New England Baptist HospitalJoseph W. Galvin - Massachusetts General HospitalSamuel W. Golenbock - New England Baptist HospitalFlorian Grubhofer - Massachusetts General HospitalAndrew Jawa - New England Baptist Hospital
- Resource Type
- Journal article
- Publication Details
- Shoulder & elbow, Vol.13(5), pp.527-533
- Publisher
- Sage
- DOI
- 10.1177/1758573220922845
- PMID
- 34659486
- PMCID
- PMC8512979
- ISSN
- 1758-5732
- eISSN
- 1758-5740
- Number of pages
- 7
- Language
- English
- Date published
- 10/01/2021
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618523702771
Metrics
5 Record Views