Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
<b>Purpose:</b> Both anatomic total shoulder arthroplasty (TSA) and shoulder hemiarthroplasty (SHA) are used for the management of end-stage glenohumeral osteoarthritis (GHOA). The present study compared TSA and SHA in terms of clinical outcome and complication rate. <b>Methods:<...
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| Autores principales: | , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
MDPI AG
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/f68a4ca10fcd4cfca3db6cb49407aae7 |
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| Sumario: | <b>Purpose:</b> Both anatomic total shoulder arthroplasty (TSA) and shoulder hemiarthroplasty (SHA) are used for the management of end-stage glenohumeral osteoarthritis (GHOA). The present study compared TSA and SHA in terms of clinical outcome and complication rate. <b>Methods:</b> This meta-analysis followed the PRISMA guidelines. In October 2021, the following databases were accessed: Web of Science, Google Scholar, Pubmed, Scopus. All clinical trials comparing anatomical TSA versus SHA for GHOA were considered. <b>Results:</b> Data from 11,027 procedures were retrieved. The mean length of the follow-up was 81.8 (16 to 223.20) months. The mean age of the patients was 61.4 ± 8.6 years, and 56.0% (5731 of 10,228 patients) were women. At last follow-up, the age-adjusted constant score was greater following TSA (<i>p</i> < 0.0001), as were active elevation (<i>p</i> < 0.0001), flexion (<i>p</i> < 0.0001), abduction (<i>p</i> < 0.0001), and American Shoulder and Elbow Surgeons Shoulder Score (<i>p</i> < 0.0001). Postoperative pain (<i>p</i> < 0.0001) and revision rate (<i>p</i> = 0.02) were lower in the TSA group. <b>Conclusions:</b> Anatomic TSA performed better than SHA in patients with GHOA. |
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