These authors sought to determine the effect of previous non-arthroplasty surgery prior to primary anatomic shoulder arthroplasty. They conducted a review 640 patients undergoing anatomic shoulder arthroplasty (345 total shoulders and 295 ream-and-run arthroplasties). Of these patients, 183 (29%) had previous non-arthroplasty surgery.
They found that among patients undergoing total shoulder arthroplasty, previous non-arthroplasty surgery was associated with a significantly lower 2-year Simple Shoulder Test (SST) scores, percentages of maximum possible improvement (MPI), and Single Assessment Numeric Evaluation (SANE) scores (P <.001) and higher rates of reoperation.
In patients undergoing ream-and-run arthroplasty, previous non-arthroplasty surgery was associated with insignificantly lower 2-year SST scores, percentages of MPI, and SANE scores and higher reoperation rates.
Prior fracture surgery carried a higher risk of reoperation than other types of prior surgery (e.g. rotator cuff repair and instability surgery).
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Comment: This study shows that good clinical outcomes can be achieved with the ream and run procedure and with total shoulder arthroplasty, even in shoulders that have had prior surgery.
Comment: This study shows that good clinical outcomes can be achieved with the ream and run procedure and with total shoulder arthroplasty, even in shoulders that have had prior surgery.
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To see a YouTube video on how the ream and run is done, click on this link.
To see a YouTube of our technique for total shoulder arthroplasty, click on this link.
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How you can support research in shoulder surgery Click on this link.
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
To see a YouTube video on how the ream and run is done, click on this link.
To see a YouTube of our technique for total shoulder arthroplasty, click on this link.
===
How you can support research in shoulder surgery Click on this link.
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
