Capsulorrhaphy arthropathy is a condition in which arthritis follows a prior procedure for recurrent shoulder instability.
These authors sought to compare outcomes of anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA) for arthritis following prior shoulder stabilization (capsulorrhapy arthropathy) versus matched cohorts without previous stabilization surgery.
They conducted a retrospective cohort study that compared 36 aTSA and 32 rTSA patients with prior shoulder stabilization with 3-to-1 matched cohorts with no prior shoulder instability or surgery.
The functional outcomes were comparable for the two implant types.
The postoperative adverse events (AE) rate was 8.3% and 4.6% in the aTSA group and matched cohort, respectively.
The postoperative AE rate was 6.3% and 4.2% among the rTSA group and matched cohort, respectively.
The overall adverse event rate was not different between aTSA and rTSA.
Comment: This study does not demonstrate increased value to the patient from the use of the more expensive reverse total shoulder arthroplasty in the management of patients with capsulorrhaphy arthropathy.
For active individuals, we've found that the ream and run procedure (see this link) can be effective in the management of capsulorrhapy arthropathy while avoiding some of the types of adverse events seen in aTSA and rTSA (see this link and this link).
Follow on twitter: https://twitter.com/shoulderarth
Follow on facebook: https://www.facebook.com/frederick.matsen
Follow on LinkedIn: https://www.linkedin.com/in/rick-matsen-88b1a8133/
How you can support research in shoulder surgery Click on this link.
Here are some videos that are of shoulder interest
