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Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis

  • Orthopaedic Surgery
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Abstract

Introduction

The use of total shoulder arthroplasty (TSA) to treat primary glenohumeral osteoarthritis (GHOA) is increasing. Factors influencing patient satisfaction after surgery have not been well documented. The aim of this study was to determine demographic, radiologic, and surgical, factors predictive for satisfaction after TSA for GHOA.

Materials and Methods

Between 2005 and 2012, 95 shoulders undergoing TSA for GHOA by a single surgeon were eligible for inclusion in the study. Age, gender, previous surgeries, American Society of Anesthesiologists (ASA) score, and Walch glenoid morphology were analyzed as satisfaction predictors. Patients with Walch glenoid type C were excluded.

Results

Data on 80/92(87 %) shoulders were available at a mean of 3 years (range 2–9). Three complications (3 %) and 2 failures (2 %) occurred. The outcome scores collected significantly improved from preoperative values (p < 0.05). Median patient satisfaction was 10/10. Gender, age, previous surgery, ASA score, and Walch morphology were not associated with patient satisfaction.

Conclusions

TSA provided excellent results for patients with idiopathic GHOA with low complication and failure rates. Outcomes after TSA for type B glenoid morphology with posterior subluxation were similar to outcomes after TSA for centered type A morphology. Overall patient satisfaction was high and was not influenced by the demographic, anatomic, and surgical variables investigated.

Level of Evidence: III, Therapeutic study, Retrospective Cohort Study

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    Authors and Affiliations

    1. Center for Outcomes-based Orthopaedic Research, Steadman Philippon Research Institute, 181 West Meadow Drive Suite 1000, Vail, CO, 81657, USA

      Maximilian Petri, Simon A. Euler, Grant J. Dornan, Joshua A. Greenspoon, Marilee P. Horan, J. Christoph Katthagen & Peter J. Millett

    2. The Steadman Clinic, 181 West Meadow Drive, Vail, CO, 81657, USA

      Maximilian Petri, Simon A. Euler & Peter J. Millett

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    1. Maximilian Petri
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    Correspondence to Peter J. Millett.

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    Conflict of interest

    This research was supported by the Steadman Philippon Research Institute. The Institute receives research support from the following entities: Smith & Nephew Endoscopy, Inc.; Arthrex, Inc.; Siemens Medical Solutions USA, Inc.; Ossur Americas, Inc.; Opedix, Inc. This work was not supported directly by outside funding or grants. Dr. Peter J. Millett has received from Arthrex something of value (exceeding the equivalent of US$500) not related to this manuscript or research. He is a consultant and receives payments from Arthrex and has stock options in GameReady and Vumedi. Dr. Maximilian Petri, Dr. Simon Euler and Dr. J. Christoph Katthagen have had their research position at the Steadman Philippon Research institute funded by Arthrex. The other authors receive support from the Steadman Philippon Research Institute.

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    M. Petri and S. A. Euler contributed equally to this study.

    Institutional Review Board Approval: Vail Valley Medical Center.

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    Petri, M., Euler, S.A., Dornan, G.J. et al. Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis. Arch Orthop Trauma Surg 136, 755–762 (2016). https://doi.org/10.1007/s00402-016-2452-6

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