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Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies
BACKGROUND: Total shoulder arthroplasty has been effective in treating primary glenohumeral arthritis surgically. However, the subscapularis (SSC) tendon must be released as part of the surgery's conventional approach, which could lead to postoperative problems and later tendon failure. Using a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426602/ https://www.ncbi.nlm.nih.gov/pubmed/37588428 http://dx.doi.org/10.1016/j.xrrt.2022.12.007 |
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author | Daher, Mohammad Ghoul, Ali Fares, Mohamad Y. Abboud, Joseph El Hassan, Bassem |
author_facet | Daher, Mohammad Ghoul, Ali Fares, Mohamad Y. Abboud, Joseph El Hassan, Bassem |
author_sort | Daher, Mohammad |
collection | PubMed |
description | BACKGROUND: Total shoulder arthroplasty has been effective in treating primary glenohumeral arthritis surgically. However, the subscapularis (SSC) tendon must be released as part of the surgery's conventional approach, which could lead to postoperative problems and later tendon failure. Using a procedure that spares the tendon, Lafosse et al reported improved postoperative SSC performance. This meta-analysis will compare this approach to the standard one. METHODS: PubMed, Cochrane, and Google Scholar (pages 1-20) were searched till October 2022. The clinical outcomes consisted of the postoperative pain, adverse events, and range of motion. RESULTS: Only 3 studies were included in this meta-analysis. The subscapularis sparing approach tended to have better postoperative internal rotation (P = .06) and shoulder elevation (P = .1); however, the results were marginally statistically insignificant. CONCLUSION: This is the first meta-analysis to compare the subscapularis sparing to the standard approach in total shoulder arthroplasty. Showing better postoperative range of motion (elevation and internal rotation), the SSC approach might be considered as a good substitute to the standard one. However, it is limited by the potentially limited exposure making it harder to use in muscular and obese patients. More randomized clinical trials are needed to reach more significant results and establish clearer indications of this approach. |
format | Online Article Text |
id | pubmed-10426602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104266022023-08-16 Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies Daher, Mohammad Ghoul, Ali Fares, Mohamad Y. Abboud, Joseph El Hassan, Bassem JSES Rev Rep Tech Full Length Articles and Reviews BACKGROUND: Total shoulder arthroplasty has been effective in treating primary glenohumeral arthritis surgically. However, the subscapularis (SSC) tendon must be released as part of the surgery's conventional approach, which could lead to postoperative problems and later tendon failure. Using a procedure that spares the tendon, Lafosse et al reported improved postoperative SSC performance. This meta-analysis will compare this approach to the standard one. METHODS: PubMed, Cochrane, and Google Scholar (pages 1-20) were searched till October 2022. The clinical outcomes consisted of the postoperative pain, adverse events, and range of motion. RESULTS: Only 3 studies were included in this meta-analysis. The subscapularis sparing approach tended to have better postoperative internal rotation (P = .06) and shoulder elevation (P = .1); however, the results were marginally statistically insignificant. CONCLUSION: This is the first meta-analysis to compare the subscapularis sparing to the standard approach in total shoulder arthroplasty. Showing better postoperative range of motion (elevation and internal rotation), the SSC approach might be considered as a good substitute to the standard one. However, it is limited by the potentially limited exposure making it harder to use in muscular and obese patients. More randomized clinical trials are needed to reach more significant results and establish clearer indications of this approach. Elsevier 2023-01-31 /pmc/articles/PMC10426602/ /pubmed/37588428 http://dx.doi.org/10.1016/j.xrrt.2022.12.007 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Full Length Articles and Reviews Daher, Mohammad Ghoul, Ali Fares, Mohamad Y. Abboud, Joseph El Hassan, Bassem Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title | Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title_full | Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title_fullStr | Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title_full_unstemmed | Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title_short | Subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
title_sort | subscapular sparing approach for total shoulder arthroplasty: a systematic review and meta-analysis of comparative studies |
topic | Full Length Articles and Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426602/ https://www.ncbi.nlm.nih.gov/pubmed/37588428 http://dx.doi.org/10.1016/j.xrrt.2022.12.007 |
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