Purpose
We compare clinical outcomes of primary reverse total shoulder arthroplasty (RTSA)
in patients 65 years old or younger with a matched control group of patients 70 years
old or older.
Methods
Forty-three patients (17 men and 26 women) 65 years old or younger were retrospectively
identified. The mean age was 60 years and average follow-up was 4.0 years. The most
common surgical indication was rotator cuff arthropathy. Patients were sex- and diagnosis-matched
to control patients 70 years old or older with a mean follow-up of 4.1 years. Active
range of motion (ROM) and functional outcomes in the 2 groups were evaluated before
and after surgery.
Results
Patients 65 years old or younger had significantly lower preoperative functional scores;
preoperative ROM, however, was similar in the 2 groups. Both groups significantly
improved in postoperative ROM and functional scores (with no difference in Shoulder
Pain and Disability Index [SPADI]-130, Simple Shoulder Test [SST], University of California–Los
Angeles [UCLA], and Constant scores); however, the younger cohort had lower functional
scores; American Shoulder and Elbow Surgeons (ASES) and 12-Item Short Form Health
Survey (SF-12) were significantly lower after surgery. The change in ROM and outcome
measures before to after surgery was similar between groups. Similar complications
and notching rates were seen between the groups at final follow-up.
Conclusions
An RTSA in patients 65 years old or younger improves ROM comparably with patients
70 years old or older. Younger patients have lower functional scores before and after
surgery. An RTSA in younger patients improves pain and function but is associated
with worse perceived outcomes.
Type of study and level of evidence
Therapeutic III.
Key words
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Article info
Publication history
Accepted:
November 13,
2018
Received:
July 3,
2017
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2019 by the American Society for Surgery of the Hand. All rights reserved.
