Chronic glenohumeral dislocations treated with arthroplasty: a systematic review

Background: The aim of this systematic review was to summarize the clinical outcomes and associated predictors of outcomes for chronic glenohumeral dislocations treated with arthroplasty. Methods: A systematic literature search was performed with Embase, PubMed, CENTRAL, BIOSIS, and CINAHL databases...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jason B. Smoak, MD, Melissa A. Kluczynski, MS, Matthew DiPaola, MD, Joseph D. Zuckerman, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Level IV Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ca58c4e41f3b48958314766f84088ee5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ca58c4e41f3b48958314766f84088ee5
record_format	dspace
spelling	oai:doaj.org-article:ca58c4e41f3b48958314766f84088ee52021-11-22T04:31:44ZChronic glenohumeral dislocations treated with arthroplasty: a systematic review2666-639110.1016/j.xrrt.2021.06.001https://doaj.org/article/ca58c4e41f3b48958314766f84088ee52021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000584https://doaj.org/toc/2666-6391Background: The aim of this systematic review was to summarize the clinical outcomes and associated predictors of outcomes for chronic glenohumeral dislocations treated with arthroplasty. Methods: A systematic literature search was performed with Embase, PubMed, CENTRAL, BIOSIS, and CINAHL databases from the inception of these databases through January 1, 2021 to identify all articles that examined outcomes or predictors of outcomes of arthroplasty in patients with chronic glenohumeral dislocations. Studies that examined outcomes for patients with a chronic glenohumeral dislocation (≥3 weeks) treated with hemiarthroplasty, anatomic total shoulder arthroplasty, or reverse total shoulder arthroplasty were included. Those with acute or subacute dislocations (<3 weeks), fracture dislocations, and those treated with joint preserving treatment modalities were excluded. Results: We identified 195 articles; of which, 22 (201 patients/205 shoulders) met our inclusion criteria. A total of 14 studies reported outcomes of hemiarthroplasty, 10 studies reported outcomes of anatomic total shoulder arthroplasty, and 9 studies reported outcomes of reverse total shoulder arthroplasty. All studies documented clinical improvement after arthroplasty. Among 16 studies that measured range of motion, all 16 studies demonstrated improvement in range of motion postoperatively. Thirty-one reoperations (15%) were performed across all studies. Conclusion: We found improved clinical outcomes after arthroplasty for the treatment of chronic glenohumeral fewer dislocations at a long-term follow-up. Some evidence suggests that reverse total shoulder arthroplasty may have superior outcomes and less complications compared with hemiarthroplasty and anatomic total shoulder arthroplasty. There is insufficient evidence regarding the potential influence that duration of dislocation, direction of dislocation, addition of concomitant procedures, or humeral component retroversion have on outcomes.Jason B. Smoak, MDMelissa A. Kluczynski, MSMatthew DiPaola, MDJoseph D. Zuckerman, MDElsevierarticleLevel IVSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 335-343 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Level IV Surgery RD1-811
spellingShingle	Level IV Surgery RD1-811 Jason B. Smoak, MD Melissa A. Kluczynski, MS Matthew DiPaola, MD Joseph D. Zuckerman, MD Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
description	Background: The aim of this systematic review was to summarize the clinical outcomes and associated predictors of outcomes for chronic glenohumeral dislocations treated with arthroplasty. Methods: A systematic literature search was performed with Embase, PubMed, CENTRAL, BIOSIS, and CINAHL databases from the inception of these databases through January 1, 2021 to identify all articles that examined outcomes or predictors of outcomes of arthroplasty in patients with chronic glenohumeral dislocations. Studies that examined outcomes for patients with a chronic glenohumeral dislocation (≥3 weeks) treated with hemiarthroplasty, anatomic total shoulder arthroplasty, or reverse total shoulder arthroplasty were included. Those with acute or subacute dislocations (<3 weeks), fracture dislocations, and those treated with joint preserving treatment modalities were excluded. Results: We identified 195 articles; of which, 22 (201 patients/205 shoulders) met our inclusion criteria. A total of 14 studies reported outcomes of hemiarthroplasty, 10 studies reported outcomes of anatomic total shoulder arthroplasty, and 9 studies reported outcomes of reverse total shoulder arthroplasty. All studies documented clinical improvement after arthroplasty. Among 16 studies that measured range of motion, all 16 studies demonstrated improvement in range of motion postoperatively. Thirty-one reoperations (15%) were performed across all studies. Conclusion: We found improved clinical outcomes after arthroplasty for the treatment of chronic glenohumeral fewer dislocations at a long-term follow-up. Some evidence suggests that reverse total shoulder arthroplasty may have superior outcomes and less complications compared with hemiarthroplasty and anatomic total shoulder arthroplasty. There is insufficient evidence regarding the potential influence that duration of dislocation, direction of dislocation, addition of concomitant procedures, or humeral component retroversion have on outcomes.
format	article
author	Jason B. Smoak, MD Melissa A. Kluczynski, MS Matthew DiPaola, MD Joseph D. Zuckerman, MD
author_facet	Jason B. Smoak, MD Melissa A. Kluczynski, MS Matthew DiPaola, MD Joseph D. Zuckerman, MD
author_sort	Jason B. Smoak, MD
title	Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
title_short	Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
title_full	Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
title_fullStr	Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
title_full_unstemmed	Chronic glenohumeral dislocations treated with arthroplasty: a systematic review
title_sort	chronic glenohumeral dislocations treated with arthroplasty: a systematic review
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/ca58c4e41f3b48958314766f84088ee5
work_keys_str_mv	AT jasonbsmoakmd chronicglenohumeraldislocationstreatedwitharthroplastyasystematicreview AT melissaakluczynskims chronicglenohumeraldislocationstreatedwitharthroplastyasystematicreview AT matthewdipaolamd chronicglenohumeraldislocationstreatedwitharthroplastyasystematicreview AT josephdzuckermanmd chronicglenohumeraldislocationstreatedwitharthroplastyasystematicreview
_version_	1718418186610671616

Chronic glenohumeral dislocations treated with arthroplasty: a systematic review

Ejemplares similares