Health-related quality of life and functionality after reverse shoulder arthroplasty

Background Modern semiconstrained reverse shoulder arthroplasty (RSA) has shown a great improvement in function and range of motion (ROM) in different etiologies, including revision surgery, sequelae of fractures, or tumors. Few studies have evaluated RSA for primary glenohumeral osteoarthritis, mas...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2013-12, Vol.22 (12), p.1639-1649
Main Authors: Castricini, Roberto, MD, Gasparini, Giorgio, MD, Di Luggo, Francesco, MD, De Benedetto, Massimo, MD, De Gori, Marco, MD, Galasso, Olimpio, MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement
Constant-Murley score
cuff tear arthropathy
Female
Humans
Male
massive rotator cuff tear
Middle Aged
Orthopedics
Osteoarthritis - surgery
outcome predictors
primary glenohumeral osteoarthritis
Prospective Studies
Quality of Life
Range of Motion, Articular
Recovery of Function
Reverse shoulder arthroplasty
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture
SF-36
Shoulder Joint - surgery
Tendon Injuries - surgery
Treatment Outcome
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Summary:Background Modern semiconstrained reverse shoulder arthroplasty (RSA) has shown a great improvement in function and range of motion (ROM) in different etiologies, including revision surgery, sequelae of fractures, or tumors. Few studies have evaluated RSA for primary glenohumeral osteoarthritis, massive rotator cuff tear, or cuff tear arthropathy excluding any other shoulder disease, and data on patients’ quality of life after this surgery are lacking. Methods In this prospective cohort study, 80 patients were evaluated after an RSA for either primary osteoarthritis, massive rotator cuff tear, or cuff tear arthropathy with the Constant-Murley score (CMS), ROM, and Short Form Health Survey (SF-36). A radiologic assessment was performed preoperatively and postoperatively in 62 of these patients. Results At a mean 5-year follow-up, the cumulative survival rate was 97.3% and significant improvements in the CMS and ROM were observed when compared with the baseline values. The CMS was 93.2% of the sex- and age-matched normal values. The postoperative SF-36 scores showed no significant differences compared with normative data. Younger patients and subjects with worse preoperative conditions achieved the greatest benefit after RSA. The length of follow-up was found to be associated with the severity of scapular notching. Conclusions This study introduces new predictors for surgical outcomes, and it shows that patients who had undergone RSA a mean of 5 years earlier exhibit similar functionality and health-related quality of life with respect to healthy controls. Physicians should consider these results when discussing the outcomes of this surgery with patients.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2013.01.020