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Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of a...

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Autores principales: Arias-de la Torre, Jorge, Garcia, Xavier, Smith, Kayla, Romero-Tamarit, Arantxa, Puigdomenech, Elisa, Muñoz-Ortiz, Laura, Evans, Jonathan P., Martín, Vicente, Molina, Antonio J., Torrens, Carles, Pons-Cabrafiga, Miquel, Pallisó, Francesc, Valderas, Jose María, Espallargues, Mireia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947222/
https://www.ncbi.nlm.nih.gov/pubmed/31771221
http://dx.doi.org/10.3390/jcm8122063
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author Arias-de la Torre, Jorge
Garcia, Xavier
Smith, Kayla
Romero-Tamarit, Arantxa
Puigdomenech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carles
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas, Jose María
Espallargues, Mireia
author_facet Arias-de la Torre, Jorge
Garcia, Xavier
Smith, Kayla
Romero-Tamarit, Arantxa
Puigdomenech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carles
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas, Jose María
Espallargues, Mireia
author_sort Arias-de la Torre, Jorge
collection PubMed
description The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.
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spelling pubmed-69472222020-01-13 Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review Arias-de la Torre, Jorge Garcia, Xavier Smith, Kayla Romero-Tamarit, Arantxa Puigdomenech, Elisa Muñoz-Ortiz, Laura Evans, Jonathan P. Martín, Vicente Molina, Antonio J. Torrens, Carles Pons-Cabrafiga, Miquel Pallisó, Francesc Valderas, Jose María Espallargues, Mireia J Clin Med Review The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement. MDPI 2019-11-23 /pmc/articles/PMC6947222/ /pubmed/31771221 http://dx.doi.org/10.3390/jcm8122063 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Arias-de la Torre, Jorge
Garcia, Xavier
Smith, Kayla
Romero-Tamarit, Arantxa
Puigdomenech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carles
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas, Jose María
Espallargues, Mireia
Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_full Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_fullStr Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_full_unstemmed Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_short Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_sort safety and effectiveness of shoulder arthroplasties in spain: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947222/
https://www.ncbi.nlm.nih.gov/pubmed/31771221
http://dx.doi.org/10.3390/jcm8122063
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