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Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review
Purpose To answer the question whether bilateral reverse total shoulder arthroplasty (RTSA) is a safe and effective treatment which results in satisfactory clinical and functional outcomes with low complications rates. A second question to be answered was: what is the quality of the evidence of the...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253605/ https://www.ncbi.nlm.nih.gov/pubmed/34235384 http://dx.doi.org/10.1055/s-0041-1730974 |
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author | Malahias, Michael-Alexander Brilakis, Emmanouil Chytas, Dimitrios Gerogiannis, Dimitrios Avramidis, Grigorios Antonogiannakis, Emmanouil |
author_facet | Malahias, Michael-Alexander Brilakis, Emmanouil Chytas, Dimitrios Gerogiannis, Dimitrios Avramidis, Grigorios Antonogiannakis, Emmanouil |
author_sort | Malahias, Michael-Alexander |
collection | PubMed |
description | Purpose To answer the question whether bilateral reverse total shoulder arthroplasty (RTSA) is a safe and effective treatment which results in satisfactory clinical and functional outcomes with low complications rates. A second question to be answered was: what is the quality of the evidence of the already published studies which investigate the use of bilateral RTSA? Methods Two reviewers independently conducted a systematic search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms “reverse” AND “total” AND “shoulder” AND “arthroplasty” AND “clinical.” Descriptive statistics were used to summarize the data. Results From the 394 initial studies we finally selected and assessed 6 clinical studies which were eligible to our inclusion–exclusion criteria. The aforementioned studies included in total 203 patients (69% females; mean age range: 67.1–75 years; mean follow-up range: 12–61 months). From those, 168 patients underwent staged bilateral RTSA (mean duration between first and second operation range: 8–21.6 months) and the rest of them a unilateral RTSA as controlled treatment. Almost all mean clinical and functional scores, which were used to assess the therapeutic value of bilateral RTSA, depicted significant postoperative improvement in comparison with the mean preoperative values. The modified Coleman methodology score, which was used to assess the quality of the studies, ranged from a minimum of 36/100 to a maximum of 55/100. Conclusion Despite the lack of high-quality evidence, staged bilateral RTSA seems to be a safe and effective procedure for patients with cuff tear arthropathy, which results in significantly improved clinical and functional outcomes and low reoperations' rates. Level of Evidence Systematic review of level III-IV therapeutic studies. |
format | Online Article Text |
id | pubmed-8253605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-82536052021-07-06 Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review Malahias, Michael-Alexander Brilakis, Emmanouil Chytas, Dimitrios Gerogiannis, Dimitrios Avramidis, Grigorios Antonogiannakis, Emmanouil Joints Purpose To answer the question whether bilateral reverse total shoulder arthroplasty (RTSA) is a safe and effective treatment which results in satisfactory clinical and functional outcomes with low complications rates. A second question to be answered was: what is the quality of the evidence of the already published studies which investigate the use of bilateral RTSA? Methods Two reviewers independently conducted a systematic search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms “reverse” AND “total” AND “shoulder” AND “arthroplasty” AND “clinical.” Descriptive statistics were used to summarize the data. Results From the 394 initial studies we finally selected and assessed 6 clinical studies which were eligible to our inclusion–exclusion criteria. The aforementioned studies included in total 203 patients (69% females; mean age range: 67.1–75 years; mean follow-up range: 12–61 months). From those, 168 patients underwent staged bilateral RTSA (mean duration between first and second operation range: 8–21.6 months) and the rest of them a unilateral RTSA as controlled treatment. Almost all mean clinical and functional scores, which were used to assess the therapeutic value of bilateral RTSA, depicted significant postoperative improvement in comparison with the mean preoperative values. The modified Coleman methodology score, which was used to assess the quality of the studies, ranged from a minimum of 36/100 to a maximum of 55/100. Conclusion Despite the lack of high-quality evidence, staged bilateral RTSA seems to be a safe and effective procedure for patients with cuff tear arthropathy, which results in significantly improved clinical and functional outcomes and low reoperations' rates. Level of Evidence Systematic review of level III-IV therapeutic studies. Georg Thieme Verlag KG 2021-06-18 /pmc/articles/PMC8253605/ /pubmed/34235384 http://dx.doi.org/10.1055/s-0041-1730974 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Malahias, Michael-Alexander Brilakis, Emmanouil Chytas, Dimitrios Gerogiannis, Dimitrios Avramidis, Grigorios Antonogiannakis, Emmanouil Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title | Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title_full | Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title_fullStr | Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title_full_unstemmed | Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title_short | Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review |
title_sort | functional outcomes of bilateral reverse total shoulder arthroplasty: a systematic review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253605/ https://www.ncbi.nlm.nih.gov/pubmed/34235384 http://dx.doi.org/10.1055/s-0041-1730974 |
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