Outcomes and Survivorship of Anatomic Total Shoulder Arthroplasty: Current concepts review.
Shoulder surgery and the equipment utilized are continuously evolving, highlighting the importance of staying informed about advancements in the field. This insightful article delves into the "state of the art" in shoulder replacement, drawing data from international and domestic registries. This comprehensive review sheds light on recent trends in shoulder replacement component use and design, offering a valuable overview of hardware and patient factors impacting outcomes in shoulder replacement surgery.
First Author Bio:
Dr. Kristine Italia, an esteemed professional, enhanced her expertise in shoulder sub-speciality training during her tenure at the Brisbane Shoulder Fellowship from June 2018 to August 2019. Under the mentorship of Prof (Adj) Kenneth Cutbush and Prof (Adj) Ashish Gupta, Kristine contributed significantly to various clinical and biomechanical research projects. She continues to play an active role within the Queensland Unit for Advanced Shoulder Research (QUASR), further solidifying her dedication to advancing shoulder surgery practices.
Abstract:
Total shoulder arthroplasty (TSA) has been the gold standard of care for end-stage glenohumeral arthritis. Outcomes are varied and have been affected by both patient and implant characteristics. Patient factors, such as age, preoperative diagnosis, and preoperative glenoid morphology, can affect the outcomes after TSA. Similarly, the different glenoid and humeral component designs significantly affect the survivorship of TSA. Significant evolution has occurred in the design of the glenoid component with the aim of decreasing the glenoid-sided causes of failure in TSA. On the other hand, focus on the humeral component has been increasing as well, with a trend towards using shorter humeral stems. This article aims to look at the outcomes of TSA as affected by the various patient characteristics and design options for the glenoid and the humeral components. This review also aims to compare survivorship data from global literature and the Australian joint replacement registry and to provide insights into the implant combination that may provide the best patient outcome.
Kristine Italia, Ashish Gupta, Dr Mohammad Jomaa, Roberto Pareyon, Freek Hollman, Tristan Shuker
QUASR, ARC Training Centre for Joint Biomechanics , St Andrew's War Memorial Hospital, QUT (Queensland University of Technology), The University of Queensland