March 31, 2015
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Return to play after TSA linked to sports participation in 5-year preoperative period

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Return to play in patients who underwent total shoulder arthroplasty was found to be associated with the level of sports participation in the 5-year period leading up to surgery, according to recently published study data.

Researchers evaluated 170 total shoulder arthroplasties (TSAs) in 154 patients who underwent TSA for primary glenohumeral arthritis between May 1997 and July 2007. Patients were divided into two cohorts based on whether they had (group 1) or had not (group 2) participated in sports within a 5-year span before surgery. Through the use of patient surveys, the primary outcomes evaluated were return to play (RTP) and return to work for patients not retired at a mean follow-up of 6.2 years.

The 57 patients in group 1 who participated in sports up until the time of surgery were able to return to play successfully, whereas three additional patients began participating in sports postoperatively. No patients in group 2 participated in sports postoperatively, according to the researchers.

Overall, 14% of patients across both cohorts cited TSA as the reason for their retirement, whereas another 19.5% cited TSA as necessitating a change in occupation. In both cohorts, 14% were still working at final follow-up, according to the researchers. – by Christian Ingram

Disclosure: This study was supported by the noncommercial research foundation Deutsche Arthrose-Hilfe eV.