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TSA in young patients led to high rate of return to sports
Recently published results showed patients aged 55 years or younger who underwent total shoulder arthroplasty experienced a high rate of return to sports.
Grant H. Garcia, MD, and colleagues collected patient-reported sports questionnaire, American Shoulder and Elbow Surgeons (ASES) and VAS scores from 59 patients with end-stage osteoarthritis (OA) and significant glenohumeral joint space narrowing treated with anatomic total shoulder arthroplasty (TSA). Overall, 80.3% of procedures were performed for a primary diagnosis of OA and 67.7% of patients underwent surgery to return to sports.
Results showed improvements in the average VAS score from 5.6 to 0.9 and in the ASES score from 39.3 to 88.4. Researchers noted four shoulders returned to the OR, but none for glenoid loosening.
Overall, 93.2% of patients were satisfied with their surgery. Results showed 96.4% of patients restarted at least one sport at an average of 6.7 months, with 82.4% of patients returning to a similar or higher level of sports; 90.3% of patients returning to high-demand sports; and 83.8% of patients returning to sports that required a high use of the upper extremities.
Researchers noted 97.2% of patients returned to fitness sports, 93.3% to golf, 87.5% to tennis, 77.7% to swimming, 75% to basketball and 66.7% to flag football. Researchers also found no significantly different rates of return to sports by BMI, sex, age, preoperative diagnosis, revision status or dominant extremity. – by Casey Tingle
Disclosures: The researchers report no relevant financial disclosures.