This article is more than 5 years old. Information may no longer be current.
Preoperative motion cited as most predictive factor of postoperative range of motion after TSA
Recently published data indicated preoperative range of motion was the most predictive factor for postoperative range of motion in patients after total shoulder arthroplasty, and linked diabetes and high BMI with less postoperative internal rotation.
Researchers prospectively collected data for 230 patients with an intact rotator cuff who underwent total shoulder arthroplasty. Investigators followed patients for 1 year, with an average follow-up of 28 months. Patients’ range of motion (ROM) was measured with a goniometer and included forward flexion, abduction and external rotation. Investigators also analyzed preoperative ROM and most recent postoperative ROM, patients’ perceived preoperative ROM and most recent perceived postoperative ROM, age during surgery, BMI, individual comorbidities and total number of comorbidities.
Results showed preoperative ROM was predictive of postoperative ROM for forward flexion, abduction, external rotation and internal rotation. Investigators noted postoperative ROM was not associated with patients’ perceptions of preoperative motion. Postoperative ROM was negatively associated with both BMI and diabetes. Postoperative ROM was not predicted by the total number of comorbidities or individual comorbidities, according to researchers.‒ by Monica Jaramillo
Disclosures: Levy reports he is a consultant for and receives royalties from DJO Orthopaedics. Please see the full study for a list of all other author’s relevant financial disclosures.