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Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis

The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitati...

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Autores principales: Papalia, Rocco, Ciuffreda, Mauro, Albo, Erika, De Andreis, Chiara, Diaz Balzani, Lorenzo Alirio, Alifano, Anna Maria, Fossati, Chiara, Macaluso, Andrea, Borzuola, Riccardo, De Vincentis, Antonio, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291255/
https://www.ncbi.nlm.nih.gov/pubmed/32456117
http://dx.doi.org/10.3390/jcm9051576
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author Papalia, Rocco
Ciuffreda, Mauro
Albo, Erika
De Andreis, Chiara
Diaz Balzani, Lorenzo Alirio
Alifano, Anna Maria
Fossati, Chiara
Macaluso, Andrea
Borzuola, Riccardo
De Vincentis, Antonio
Denaro, Vincenzo
author_facet Papalia, Rocco
Ciuffreda, Mauro
Albo, Erika
De Andreis, Chiara
Diaz Balzani, Lorenzo Alirio
Alifano, Anna Maria
Fossati, Chiara
Macaluso, Andrea
Borzuola, Riccardo
De Vincentis, Antonio
Denaro, Vincenzo
author_sort Papalia, Rocco
collection PubMed
description The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76–0.88, p < 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80–0.99, p < 0.01) compared to RTSA (77%) (95% CI 0.69–0.85, p < 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant.
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spelling pubmed-72912552020-06-17 Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis Papalia, Rocco Ciuffreda, Mauro Albo, Erika De Andreis, Chiara Diaz Balzani, Lorenzo Alirio Alifano, Anna Maria Fossati, Chiara Macaluso, Andrea Borzuola, Riccardo De Vincentis, Antonio Denaro, Vincenzo J Clin Med Review The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76–0.88, p < 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80–0.99, p < 0.01) compared to RTSA (77%) (95% CI 0.69–0.85, p < 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant. MDPI 2020-05-22 /pmc/articles/PMC7291255/ /pubmed/32456117 http://dx.doi.org/10.3390/jcm9051576 Text en © 2020 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
Papalia, Rocco
Ciuffreda, Mauro
Albo, Erika
De Andreis, Chiara
Diaz Balzani, Lorenzo Alirio
Alifano, Anna Maria
Fossati, Chiara
Macaluso, Andrea
Borzuola, Riccardo
De Vincentis, Antonio
Denaro, Vincenzo
Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title_full Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title_fullStr Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title_full_unstemmed Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title_short Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis
title_sort return to sport after anatomic and reverse total shoulder arthroplasty in elderly patients: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291255/
https://www.ncbi.nlm.nih.gov/pubmed/32456117
http://dx.doi.org/10.3390/jcm9051576
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