Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2023-09-01 DOI:10.5397/cise.2023.00409
Troy Li, Akiro H Duey, Christopher A White, Amit Pujari, Akshar V Patel, Bashar Zaidat, Christine S Williams, Alexis Williams, Carl M Cirino, Dave Shukla, Bradford O Parsons, Evan L Flatow, Paul J Cagle
{"title":"Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty.","authors":"Troy Li,&nbsp;Akiro H Duey,&nbsp;Christopher A White,&nbsp;Amit Pujari,&nbsp;Akshar V Patel,&nbsp;Bashar Zaidat,&nbsp;Christine S Williams,&nbsp;Alexis Williams,&nbsp;Carl M Cirino,&nbsp;Dave Shukla,&nbsp;Bradford O Parsons,&nbsp;Evan L Flatow,&nbsp;Paul J Cagle","doi":"10.5397/cise.2023.00409","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA.</p><p><strong>Methods: </strong>Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival.</p><p><strong>Results: </strong>At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure.</p><p><strong>Conclusions: </strong>When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/6c/cise-2023-00409.PMC10497918.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics in Shoulder and Elbow","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5397/cise.2023.00409","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA.

Methods: Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival.

Results: At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure.

Conclusions: When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
评估年龄对解剖性全肩关节置换术后远期功能结果的影响。
背景:在过去的十年中,解剖性全肩关节置换术(aTSA)的数量稳步增加。65岁以上的患者占绝大多数接受者,其结果已得到很好的记录;然而,患者在年轻时选择最终的手术治疗。我们的目的是报告年龄对aTSA后长期临床结果的影响。方法:对接受TSA的119例患者进行回顾性分析。收集术前和术后临床结果数据。采用线性回归分析(单因素和多因素)来评估临床结果与年龄的关系。Kaplan-Meier曲线和Cox回归分析评估种植体存活率。结果:在最后的随访中,与术前相比,接受aTSA的所有年龄的患者在所有主要结局指标上都有了显著和持续的改善。基于多变量分析,手术时的年龄是术后预后的重要预测因子。在整个研究过程中观察到良好的种植体存活率,Cox回归生存分析表明年龄和性别与种植体失败风险增加无关。结论:在控制性别和随访时间的情况下,年龄越大,患者报告的结果测量结果就越好。尽管存在这种差异,但我们注意到对活动范围或植入物存活没有显著影响。证据等级:四级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
期刊最新文献
The radiographic and clinical outcomes of stemless reverse total shoulder arthroplasty: a minimum 2-year follow-up study. Reconstruction of chronic long head of biceps tendon tears with gracilis allograft: report of two cases. Surgical management of biconcave glenoids: a scoping review. Surgical anatomical landmarks for arthroscopic repair of subscapularis tendon tears. Experiences and outcomes in shoulder replacements in a district general hospital over 19 years.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1