Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of a...

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Autores: Arias-de la Torre, Jorge, Garcia, Xavier, Smith, Kayla, Romero Tamarit, Arantxa, Puigdomènech, Elisa, Muñoz-Ortiz, Laura, Evans, Jonathan P., Martín, Vicente, Molina, Antonio J., Torrens, Carlos, Pons-Cabrafiga, Miquel, Pallisó, Francesc, Valderas Martínez, José María, Espallargues, Mireia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/46758
Acceso en línea:http://hdl.handle.net/10230/46758
http://dx.doi.org/10.3390/jcm8122063
Access Level:acceso abierto
Palabra clave:Arthroplasty
Effectiveness
Safety
Shoulder
Systematic review
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spelling Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic ReviewArias-de la Torre, JorgeGarcia, XavierSmith, KaylaRomero Tamarit, ArantxaPuigdomènech, ElisaMuñoz-Ortiz, LauraEvans, Jonathan P.Martín, VicenteMolina, Antonio J.Torrens, CarlosPons-Cabrafiga, MiquelPallisó, FrancescValderas Martínez, José MaríaEspallargues, MireiaArthroplastyEffectivenessSafetyShoulderSystematic reviewThe effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant-Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.MDPI202120212019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/46758http://dx.doi.org/10.3390/jcm8122063reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésCopyright © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/467582026-06-12T07:21:37Z
dc.title.none.fl_str_mv Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
spellingShingle Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
Arias-de la Torre, Jorge
Arthroplasty
Effectiveness
Safety
Shoulder
Systematic review
title_short Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_full Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_fullStr Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_full_unstemmed Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
title_sort Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review
dc.creator.none.fl_str_mv Arias-de la Torre, Jorge
Garcia, Xavier
Smith, Kayla
Romero Tamarit, Arantxa
Puigdomènech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carlos
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas Martínez, José María
Espallargues, Mireia
author Arias-de la Torre, Jorge
author_facet Arias-de la Torre, Jorge
Garcia, Xavier
Smith, Kayla
Romero Tamarit, Arantxa
Puigdomènech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carlos
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas Martínez, José María
Espallargues, Mireia
author_role author
author2 Garcia, Xavier
Smith, Kayla
Romero Tamarit, Arantxa
Puigdomènech, Elisa
Muñoz-Ortiz, Laura
Evans, Jonathan P.
Martín, Vicente
Molina, Antonio J.
Torrens, Carlos
Pons-Cabrafiga, Miquel
Pallisó, Francesc
Valderas Martínez, José María
Espallargues, Mireia
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Arthroplasty
Effectiveness
Safety
Shoulder
Systematic review
topic Arthroplasty
Effectiveness
Safety
Shoulder
Systematic review
description The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant-Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.
publishDate 2019
dc.date.none.fl_str_mv 2019
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/46758
http://dx.doi.org/10.3390/jcm8122063
url http://hdl.handle.net/10230/46758
http://dx.doi.org/10.3390/jcm8122063
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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