Previous Rotator Cuff Repair Is Associated With Inferior Clinical Outcomes After Reverse Total Shoulder Arthroplasty
Fuente
Este artículo es publicado originalmente en:
https://www.ncbi.nlm.nih.gov/pubmed/29051900
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637974/
http://journals.sagepub.com/doi/10.1177/2325967117730311
De:
Shields EJW1, Koueiter DM1, Maerz T2, Schwark A1, Wiater JM1.
Orthop J Sports Med. 2017 Oct 5;5(10):2325967117730311. doi: 10.1177/2325967117730311. eCollection 2017 Oct.
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Abstract
BACKGROUND:
Although recent evidence suggests that any prior shoulder surgery may cause inferior shoulder arthroplasty outcomes, there is no consensus on whether previous rotator cuff repair (RCR) is associated with inferior outcomes after reverse total shoulder arthroplasty (RTSA).
PURPOSE:
To retrospectively compare outcomes in patients who underwent RTSA with and without previous RCR.
CONCLUSION:
Patients with previous RCR attempts may experience fewer short-term gains in functional and subjective outcome scores after RTSA compared with patients with no history of shoulder surgery who undergo RTSA. However, the differences between groups were small and below the minimal clinically important differences for the outcome measures analyzed.
KEYWORDS:
functional outcomes; range of motion; reverse total shoulder arthroplasty; rotator cuff repair
Resumen
ANTECEDENTES:
Aunque la evidencia reciente sugiere que cualquier cirugía de hombro previa puede causar resultados inferiores de artroplastia de hombro, no hay consenso sobre si la reparación previa del manguito rotador (RCR) se asocia con resultados inferiores después de la artroplastia total de hombro reversa (RTSA).
PROPÓSITO:
Comparar retrospectivamente los resultados en pacientes sometidos a RTSA con y sin RCR previa.
CONCLUSIÓN:
Los pacientes con intentos previos de RCR pueden experimentar menos ganancias a corto plazo en los puntajes de resultado funcionales y subjetivos después de RTSA en comparación con los pacientes sin antecedentes de cirugía de hombro sometidos a RTSA. Sin embargo, las diferencias entre los grupos fueron pequeñas y por debajo de las mínimas diferencias clínicamente importantes para las medidas de resultado analizadas.
PALABRAS CLAVE:
resultados funcionales; Rango de movimiento; artroplastia total de hombro reversa; reparación del manguito de los rotadores
- PMID: 29051900 PMCID: PMC5637974 DOI: 10.1177/2325967117730311
