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Surgery for shoulder osteoarthritis.

Author: BuchbinderRachelle, McMakenKelly, SinghJasvinder A, SperlingJohn

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

A review of 7 studies involving 238 patients compared surgical techniques for osteoarthritis of the shoulder. Total shoulder arthroplasty showed an advantage in terms of shoulder function but no other clinical benefits compared to hemiarthroplasty. Further studies are needed to compare clinical outcomes of different surgical techniques and components, as well as to compare surgery to non-surgical treatment options.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Surgical treatment including shoulder arthroplasty is a treatment option for patients with advanced osteoarthritis of the shoulder who have failed conservative treatment. OBJECTIVES: To determine the benefit and harm of surgery in patients with osteoarthritis of the shoulder confirmed o...See full text at original site
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引用元：
https://doi.org/10.1002/14651858.CD008089.pub2

データ提供：米国国立医学図書館（NLM）

Surgery for shoulder osteoarthritis

This systematic review and meta-analysis evaluated the benefits and harms of surgical interventions for patients with advanced osteoarthritis of the shoulder who have failed conservative treatment. The analysis included seven studies involving 238 patients, comparing various surgical techniques, such as total shoulder arthroplasty (TSA) and hemiarthroplasty. The review found that TSA appears to offer an advantage in terms of shoulder function compared to hemiarthroplasty, although no statistically significant differences were observed for pain scores, quality of life, or adverse events. The review also noted a trend towards higher revision rates in hemiarthroplasty compared to TSA. However, the analysis lacked studies comparing surgical interventions to sham surgery, non-surgical modalities, or placebo. This highlights the need for further research to provide a comprehensive understanding of the benefits and risks of different surgical approaches for osteoarthritis of the shoulder.

Navigating shoulder osteoarthritis treatment: a surgical perspective

This systematic review highlights the importance of considering individual patient factors when making surgical decisions for shoulder osteoarthritis. While TSA may offer functional advantages, the review underscores the need for more research to compare surgical interventions to other treatment options, including non-surgical approaches.

Health implications and everyday applications

Patients with advanced shoulder osteoarthritis should discuss the potential benefits and risks of different surgical options with their orthopedic surgeon. The decision should be based on individual patient characteristics, goals, and preferences.

Dr.Camel's Conclusion

Treating shoulder osteoarthritis is like navigating a complex desert landscape, where choosing the right path can lead to lasting relief. This review provides valuable insights into the surgical options available for this condition, emphasizing the importance of personalized treatment plans and further research to optimize outcomes.

Date :
  1. Date Completed 2010-11-30
  2. Date Revised 2022-03-21
Further Info :

Pubmed ID

20927773

DOI: Digital Object Identifier

10.1002/14651858.CD008089.pub2

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PICO Info
in preparation
Languages

English

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