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HTA - Sahlgrenska Universitetssjukhuset

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Appendix 1 - 4<br />

Comparison between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Mobility<br />

12-01-11<br />

Author, year Country Study design Number With<br />

Result Comments Quality<br />

of drawals<br />

(may vary<br />

patients -<br />

according to<br />

(n) dropouts<br />

outcome)<br />

Total shoulder Hemiarthroplasty<br />

arhtroplasty (TSA)<br />

(HA)<br />

Gartsman, 2000<br />

USA<br />

Randomised,<br />

controlled trial<br />

TSA: 27<br />

HA: 24<br />

4<br />

Active elevation:<br />

Baseline: 86°<br />

Follow-up: 128°<br />

No statistical difference<br />

between groups<br />

Active external rotation:<br />

Baseline: 36°<br />

Follow-up: 61°<br />

No statistical difference<br />

between groups<br />

UCLAS-score i i :<br />

Baseline: 2.6<br />

Follow-up: 4.2<br />

No statistical difference<br />

between groups<br />

1 (4)<br />

Active forward flexion:<br />

Baseline: 89°<br />

Follow-up: 127°<br />

Active external rotation:<br />

Baseline: 34°<br />

Follow-up: 61°<br />

UCLAS-score:<br />

Baseline: 2.4<br />

Follow-up: 4.1<br />

Follow-up:<br />

mean 34 months<br />

Only patients with intact rotator cuff<br />

were included<br />

For both TSA and HA the difference in<br />

UCLAS-score between preoperative and<br />

follow-up status was statistically<br />

significant (p < 0.001)<br />

Moderate

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