Trends in shoulder arthroplasty in Israel

Noam Rosen, Ofir Chechik, Yariv Goldstein, Oleg Dolkart*, Gavriel Mozes, Ofer Rak, Alison Dalich, Yossi Geron, Eran Maman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)275-278
Number of pages4
JournalIsrael Medical Association Journal
Issue number4
StatePublished - Apr 2019


  • Anatomic total shoulder arthroplasty (ATSA)
  • Anatomic total shoulder replacement (ATSR)
  • Rotator cuff arthropathy (RCA)
  • Shoulder arthroplasty


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