TY - JOUR
T1 - Trends in shoulder arthroplasty in Israel
AU - Rosen, Noam
AU - Chechik, Ofir
AU - Goldstein, Yariv
AU - Dolkart, Oleg
AU - Mozes, Gavriel
AU - Rak, Ofer
AU - Dalich, Alison
AU - Geron, Yossi
AU - Maman, Eran
N1 - Publisher Copyright:
© 2019, Israel Medical Association. All rights reserved.
PY - 2019/4
Y1 - 2019/4
N2 - Background: The number of patients undergoing shoulder arthroplasty is increasing yearly. Objectives: To evaluate the results of a consecutive series of patients who underwent shoulder replacement for a variety of indications in a single medical center in Israel. Methods: All shoulder arthroplasty performed in our institution between 2006 and 2015 were retrospectively reviewed. The functional outcomes and satisfaction of 180 shoulder arthroplasties were evaluated for objective and subjective parameters using the American Shoulder and Elbow Surgeons Shoulder Score (ASES), the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure, and the Short Form Health Survey (SF-12). Results: The indications for surgery were osteoarthritis (n=35), rotator cuff arthropathy (n=32), fractures (n=99), and other reasons (n=14). The mean follow-up was 52 months. The scores improved markedly among the patients who underwent surgery later in the study period. The mean DASH score before 2012 was 48.8 and improved to 37.2 after 2013. The respective ASES also improved from 54.2 to 68.6. The use of hemiarthroplasty decreased from 85% to 33% as of 2013, while the use of total shoulder arthroplasty increased. Conclusions: Shoulder arthroplasty represents an effective treatment modality with satisfactory functional outcomes. Our current study demonstrates a shift from hemiarthroplasty to total shoulder arthroplasty, with the number of procedures increasing yearly. Surgeon experience and the expanding volume of operations had a direct positive effect on the functional outcomes of shoulder arthroplasties.
AB - Background: The number of patients undergoing shoulder arthroplasty is increasing yearly. Objectives: To evaluate the results of a consecutive series of patients who underwent shoulder replacement for a variety of indications in a single medical center in Israel. Methods: All shoulder arthroplasty performed in our institution between 2006 and 2015 were retrospectively reviewed. The functional outcomes and satisfaction of 180 shoulder arthroplasties were evaluated for objective and subjective parameters using the American Shoulder and Elbow Surgeons Shoulder Score (ASES), the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure, and the Short Form Health Survey (SF-12). Results: The indications for surgery were osteoarthritis (n=35), rotator cuff arthropathy (n=32), fractures (n=99), and other reasons (n=14). The mean follow-up was 52 months. The scores improved markedly among the patients who underwent surgery later in the study period. The mean DASH score before 2012 was 48.8 and improved to 37.2 after 2013. The respective ASES also improved from 54.2 to 68.6. The use of hemiarthroplasty decreased from 85% to 33% as of 2013, while the use of total shoulder arthroplasty increased. Conclusions: Shoulder arthroplasty represents an effective treatment modality with satisfactory functional outcomes. Our current study demonstrates a shift from hemiarthroplasty to total shoulder arthroplasty, with the number of procedures increasing yearly. Surgeon experience and the expanding volume of operations had a direct positive effect on the functional outcomes of shoulder arthroplasties.
KW - Anatomic total shoulder arthroplasty (ATSA)
KW - Anatomic total shoulder replacement (ATSR)
KW - Rotator cuff arthropathy (RCA)
KW - Shoulder arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85065422278&partnerID=8YFLogxK
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C2 - 31032571
AN - SCOPUS:85065422278
SN - 1565-1088
VL - 21
SP - 275
EP - 278
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 4
ER -