These authors randomized 36 patients undergoing anatomic total shoulder arthroplasty for osteoarthritis were randomized to a neutral rotation sling
versus an internal rotation sling.
The slings were worn at all times for the first 6 weeks except during showering, hygienic care, changing clothes, and physical therapy.
The primary outcomes assessed included the Disabilities of the Arm, Shoulder and Hand score;Western Ontario Osteoarthritis of the Shoulder score; Single Assessment Numeric Evaluation score; visual analog scale (VAS) scores for pain and satisfaction; compliance ratings; and radiographic and range-of-motion measurements. Primary outcomes were assessed at baseline and postoperatively at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year.
There was no statistically significant difference between groups for overall satisfaction
Comment: This report did not demonstrate the value of the more expensive sling in terms of increased patient self-assessed comfort and function resulting from the use of the more expensive sling.
The slings were worn at all times for the first 6 weeks except during showering, hygienic care, changing clothes, and physical therapy.
The primary outcomes assessed included the Disabilities of the Arm, Shoulder and Hand score;Western Ontario Osteoarthritis of the Shoulder score; Single Assessment Numeric Evaluation score; visual analog scale (VAS) scores for pain and satisfaction; compliance ratings; and radiographic and range-of-motion measurements. Primary outcomes were assessed at baseline and postoperatively at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year.
While there were some measurable differences in postoperative external rotation and adduction, there were no significant differences in the primary outcome patient-reported comfort and function at any time point.
There was no statistically significant difference between groups for overall satisfaction
Comment: This report did not demonstrate the value of the more expensive sling in terms of increased patient self-assessed comfort and function resulting from the use of the more expensive sling.
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