HTA - Sahlgrenska Universitetssjukhuset
HTA - Sahlgrenska Universitetssjukhuset HTA - Sahlgrenska Universitetssjukhuset
Appendix 1 - 6 12-10-20 between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Surgical revision Author, year Country Study design Number of patients (n) Edwards, 2003 Iannotti, 2003 Norris 2002 Levy, 2004 Lo, 2005 France USA Retrospective observational study Prospective observational study United Retrospective Kingdom observational study United Randomised, Kingdom controlled trial /Canada TSA: 601 HA: 89 TSA: 95 HA: 33 TSA: 42 HA: 37 TSA: 20 HA: 21 With drawals - dropouts 0 36 5 1 Total shoulder arhtroplasty Entire patient series 96 Entire patient series 6 4 1 (due to infection) 2(3) Result Hemiarthroplasty 0 2 (due to progressive glenoid arthrosis and pain -16 and 19 months postoperatively) ↓ TSA Comments Quality (may vary according to outcome) Only shoulders with the original prosthesis in place were included for follow-up, other prosthetic revisions were excluded. Shoulders converted from HA to TSA were not excluded, provided the original humeral stem was in place. Follow up: mean 43.3 months (24-110 months) Follow-up: mean 46 months (24-87 months) Follow up: TSA mean 7.6 years HA mean 4.4 years Follow up: 2 years Only patients with intact rotator cuff included Moderate Low Low Moderate
Appendix 1 - 6 12-10-20 between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Surgical revision Author, year Country Study design Number of patients (n) Orfaly, 2003 USA Prospective observational study TSA: 37 HA: 28 With drawals - dropouts 19 Total shoulder arhtroplasty Entire patient series 3 3(3) Result (due to hematoma; due to trauma 1 yr postop.; due to glenoid losening 7 yr postop.) Hemiarthroplasty Comments Quality (may vary according to outcome) Follow up: mean 4.3 years (2-8 years) One patient developed a hematoma and a detachment of the suscapularis tendon in the early postoperative period. One patient developed a separationof the anterior deltoid origin due to trauma 1 year after surgery. One patient developed symptomatic glenoid loosening 7 years after surgery. Low
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Appendix 1 - 6 12-10-20<br />
between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Surgical revision<br />
Author, year Country Study design Number<br />
of<br />
patients<br />
(n)<br />
Edwards, 2003<br />
Iannotti, 2003<br />
Norris 2002<br />
Levy, 2004<br />
Lo, 2005<br />
France<br />
USA<br />
Retrospective<br />
observational<br />
study<br />
Prospective<br />
observational<br />
study<br />
United Retrospective<br />
Kingdom observational<br />
study<br />
United Randomised,<br />
Kingdom controlled trial<br />
/Canada<br />
TSA: 601<br />
HA: 89<br />
TSA: 95<br />
HA: 33<br />
TSA: 42<br />
HA: 37<br />
TSA: 20<br />
HA: 21<br />
With<br />
drawals<br />
-<br />
dropouts<br />
0<br />
36<br />
5<br />
1<br />
Total shoulder<br />
arhtroplasty<br />
Entire patient series<br />
96<br />
Entire patient series<br />
6<br />
4<br />
1<br />
(due to infection)<br />
2(3)<br />
Result<br />
Hemiarthroplasty<br />
0<br />
2<br />
(due to progressive glenoid<br />
arthrosis and pain -16 and 19<br />
months postoperatively)<br />
↓<br />
TSA<br />
Comments Quality<br />
(may vary<br />
according to<br />
outcome)<br />
Only shoulders with the original<br />
prosthesis in place were included for<br />
follow-up, other prosthetic revisions<br />
were excluded.<br />
Shoulders converted from HA to<br />
TSA were not excluded, provided the<br />
original humeral stem was in place.<br />
Follow up:<br />
mean 43.3 months (24-110 months)<br />
Follow-up:<br />
mean 46 months (24-87 months)<br />
Follow up:<br />
TSA mean 7.6 years<br />
HA mean 4.4 years<br />
Follow up:<br />
2 years<br />
Only patients with intact rotator cuff<br />
included<br />
Moderate<br />
Low<br />
Low<br />
Moderate
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