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
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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.

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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。
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CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
期刊最新文献
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