Clinical and radiological outcomes of a highly lateralized reverse shoulder arthroplasty in patients with a height of 160 cm or less versus a height of 170 cm or more

Q4 Medicine

Seminars in Arthroplasty Pub Date : 2024-09-26 DOI:10.1053/j.sart.2024.09.002

Mohamad K. Moussa MD, MSc, Maria Guillermina Bruchmann MD, Donald Tedah MD, Akil Prabhakar MD, Luis José Maria Suarez-Jimenez MD, Ahmad Nassar MD, Carlos Murillo-Nieto MD, Philippe Valenti MD

{"title":"Clinical and radiological outcomes of a highly lateralized reverse shoulder arthroplasty in patients with a height of 160 cm or less versus a height of 170 cm or more","authors":"Mohamad K. Moussa MD, MSc, Maria Guillermina Bruchmann MD, Donald Tedah MD, Akil Prabhakar MD, Luis José Maria Suarez-Jimenez MD, Ahmad Nassar MD, Carlos Murillo-Nieto MD, Philippe Valenti MD","doi":"10.1053/j.sart.2024.09.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>To evaluates the impact of patient height (less than 160 cm and greater than 170 cm) on outcomes of lateralized reverse total shoulder arthroplasty (rTSA).</div></div><div><h3>Method</h3><div>This retrospective case–control study of 31 lateralized rTSA patients, with follow-ups ranging from 12 to 28 months, was divided into 2 groups: 14 short-stature (≤160 cm) and 17 taller (≥170 cm) patients. Preoperative planning utilized e-ORTHO templating software (FH Orthopaedics, Mulhouse, France), ensuring uniform lateralization shoulder angle and distalization shoulder angles across groups. Primary outcomes included range of motion (ROM), while secondary outcomes comprised Constant Score (absolute/ponderate), subjective shoulder value (SSV), and visual analog scale (VAS). Discrepancies in scores between groups were evaluated for clinical relevance against minimal clinically important difference benchmarks. Incidences of scapular notching were also recorded.</div></div><div><h3>Results</h3><div>All the clinical parameters analyzed were improved postoperatively in both groups (<em>P</em> < .05). No significant difference was observed in postoperative ROM, ponderate Constant, and VAS between groups (<em>P</em> > .05) except for forward elevation which was higher in the taller group (142.9 ± 27.6 compared to 163.5 ± 11.1 <em>P</em> = .018). For SSV, the taller group had higher postoperative SSV (<em>P</em> = .037). However, the difference was less than the minimal clinically important difference for SSV (−5.97 [95% confidence interval: −10.17 to 1.76], <em>P</em> = .01) and thus was considered not clinically significant. No scapular notching was detected in either group.</div></div><div><h3>Conclusion</h3><div>When planned positioning angles are respected (lateralization shoulder angle, distalization shoulder angle), the benefits of highly lateralized rTSA are consistent regardless of patient stature. Both groups had comparable results across ROM, ponderate Constant, and VAS except for forward elevation which was higher in the taller group.</div></div>","PeriodicalId":39885,"journal":{"name":"Seminars in Arthroplasty","volume":"35 1","pages":"Pages 62-70"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Arthroplasty","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1045452724001019","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Background

To evaluates the impact of patient height (less than 160 cm and greater than 170 cm) on outcomes of lateralized reverse total shoulder arthroplasty (rTSA).

Method

This retrospective case–control study of 31 lateralized rTSA patients, with follow-ups ranging from 12 to 28 months, was divided into 2 groups: 14 short-stature (≤160 cm) and 17 taller (≥170 cm) patients. Preoperative planning utilized e-ORTHO templating software (FH Orthopaedics, Mulhouse, France), ensuring uniform lateralization shoulder angle and distalization shoulder angles across groups. Primary outcomes included range of motion (ROM), while secondary outcomes comprised Constant Score (absolute/ponderate), subjective shoulder value (SSV), and visual analog scale (VAS). Discrepancies in scores between groups were evaluated for clinical relevance against minimal clinically important difference benchmarks. Incidences of scapular notching were also recorded.

Results

All the clinical parameters analyzed were improved postoperatively in both groups (P < .05). No significant difference was observed in postoperative ROM, ponderate Constant, and VAS between groups (P > .05) except for forward elevation which was higher in the taller group (142.9 ± 27.6 compared to 163.5 ± 11.1 P = .018). For SSV, the taller group had higher postoperative SSV (P = .037). However, the difference was less than the minimal clinically important difference for SSV (−5.97 [95% confidence interval: −10.17 to 1.76], P = .01) and thus was considered not clinically significant. No scapular notching was detected in either group.

Conclusion

When planned positioning angles are respected (lateralization shoulder angle, distalization shoulder angle), the benefits of highly lateralized rTSA are consistent regardless of patient stature. Both groups had comparable results across ROM, ponderate Constant, and VAS except for forward elevation which was higher in the taller group.

查看原文本刊更多论文

高度侧位肩关节置换术对高度为160厘米或以下的患者的临床和影像学结果对比高度为170厘米或以上的患者

目的：评估患者身高（小于160 cm和大于170 cm）对侧位逆行全肩关节置换术（rTSA）结果的影响。方法对31例侧化rTSA患者进行回顾性病例对照研究，随访12 ~ 28个月，分为2组：矮个子（≤160 cm）患者14例，高个子（≥170 cm）患者17例。术前规划使用e-ORTHO模板软件（FH orthedics, Mulhouse, France），确保各组肩关节的侧方肩关节角和远方肩关节角一致。主要结果包括活动范围（ROM），次要结果包括恒定评分（绝对/分量）、主观肩值（SSV）和视觉模拟量表（VAS）。根据最小临床重要差异基准评估组间评分差异的临床相关性。同时也记录了肩胛骨切迹的发生率。结果两组患者术后各项临床指标均有改善(P <；. 05)。两组患者术后ROM、ponderate Constant、VAS无显著差异(P >；.05)，但较高组的前抬高较高（142.9±27.6比163.5±11.1 P = .018）。对于SSV，身高组术后SSV较高（P = 0.037）。然而，该差异小于SSV的最小临床重要差异（- 5.97[95%置信区间：- 10.17至1.76],P = 0.01），因此被认为无临床意义。两组均未见肩胛骨切迹。结论当考虑到计划的体位角度（侧肩角、远肩角）时，无论患者的身高如何，高度侧位rTSA的益处都是一致的。两组在ROM、ponderate Constant和VAS上的结果具有可比性，除了身高较高组的前抬高较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Seminars in Arthroplasty Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

104

期刊介绍： Each issue of Seminars in Arthroplasty provides a comprehensive, current overview of a single topic in arthroplasty. The journal addresses orthopedic surgeons, providing authoritative reviews with emphasis on new developments relevant to their practice.