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:	Filippo Migliorini, Gianluca Vecchio, Alice Baroncini, Andrea Pintore, Francesco Oliva, Nicola Maffulli
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	shoulder arthroplasty hemiarthroplasty glenohumeral osteoarthritis Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/f68a4ca10fcd4cfca3db6cb49407aae7
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spelling	oai:doaj.org-article:f68a4ca10fcd4cfca3db6cb49407aae72021-11-11T15:10:59ZAnatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis10.3390/app1121101122076-3417https://doaj.org/article/f68a4ca10fcd4cfca3db6cb49407aae72021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/10112https://doaj.org/toc/2076-3417<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.Filippo MiglioriniGianluca VecchioAlice BaronciniAndrea PintoreFrancesco OlivaNicola MaffulliMDPI AGarticleshoulderarthroplastyhemiarthroplastyglenohumeral osteoarthritisTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10112, p 10112 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	shoulder arthroplasty hemiarthroplasty glenohumeral osteoarthritis Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	shoulder arthroplasty hemiarthroplasty glenohumeral osteoarthritis Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Filippo Migliorini Gianluca Vecchio Alice Baroncini Andrea Pintore Francesco Oliva Nicola Maffulli Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
description	<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.
format	article
author	Filippo Migliorini Gianluca Vecchio Alice Baroncini Andrea Pintore Francesco Oliva Nicola Maffulli
author_facet	Filippo Migliorini Gianluca Vecchio Alice Baroncini Andrea Pintore Francesco Oliva Nicola Maffulli
author_sort	Filippo Migliorini
title	Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
title_short	Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
title_full	Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
title_fullStr	Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
title_full_unstemmed	Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis
title_sort	anatomic total shoulder arthroplasty versus hemiarthroplasty for glenohumeral osteoarthritis: a systematic review and meta-analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f68a4ca10fcd4cfca3db6cb49407aae7
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Anatomic Total Shoulder Arthroplasty versus Hemiarthroplasty for Glenohumeral Osteoarthritis: A Systematic Review and Meta-Analysis

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