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Comparative Study
. 2013 Jan;37(1):59-66.
doi: 10.1007/s00264-012-1722-3. Epub 2012 Dec 11.

Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses

Bjørg-Tilde S Fevang  1 , Stein H L Lygre, Glenn Bertelsen, Arne Skredderstuen, Leif I Havelin, Ove Furnes
Affiliations
Comparative Study

Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses

Bjørg-Tilde S Fevang et al. Int Orthop. 2013 Jan.

Abstract

Purpose: Functional results of reversed total prostheses (RTP) have-to a very limited degree-been compared with those of other shoulder prosthesis types. The aim of our study was to compare results of four different types of shoulder prostheses in terms of function, pain, and quality of life (QoL).

Methods: Questionnaires were completed by 859 patients with shoulder prostheses registered in the Norwegian Arthroplasty Register. Patients with osteoarthritis (OA), rheumatoid arthritis (RA), or fracture sequela (FS) were included. Symptoms and function were assessed using the Oxford Shoulder Score (OSS, scale 0-48), and the EuroQoL-5D (EQ-5D) was used to assess QoL.

Results: Best functional results were obtained using conventional total prostheses (TPs) and RTPs -mean OSS improvement 18 and 16 units, respectively, vs 11 with hemiprostheses (HPs). For patients with OA, TPs performed best; for those with RA and FS, RTPs performed best; and those with HPs had the worst results in all diagnostic groups. The greatest improvement in QoL was seen in patients with TPs and RTPs.

Conclusions: Conventional TPs provide the best improvement in pain, function and QoL in OA patients; RTPs are superior in patients with RA and FS.

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Figures

Fig. 1
Fig. 1
Inclusion of patients and patient characteristics
Fig. 2
Fig. 2
a Anatomical total prosthesis, b hemiprosthesis, c reverse total prosthesis, d resurfacing prosthesis
See this image and copyright information in PMC

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