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01.01.2013 | Original Paper

Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses

verfasst von: Bjørg-Tilde S. Fevang, Stein H. L. Lygre, Glenn Bertelsen, Arne Skredderstuen, Leif I. Havelin, Ove Furnes

Erschienen in: International Orthopaedics | Ausgabe 1/2013

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Abstract

Purpose

Functional results of reversed total prostheses (RTP) have—to a very limited degree—been compared with those of other shoulder prosthesis types. The aim of our study was to compare results of four different types of shoulder prostheses in terms of function, pain, and quality of life (QoL).

Methods

Questionnaires were completed by 859 patients with shoulder prostheses registered in the Norwegian Arthroplasty Register. Patients with osteoarthritis (OA), rheumatoid arthritis (RA), or fracture sequela (FS) were included. Symptoms and function were assessed using the Oxford Shoulder Score (OSS, scale 0–48), and the EuroQoL-5D (EQ-5D) was used to assess QoL.

Results

Best functional results were obtained using conventional total prostheses (TPs) and RTPs —mean OSS improvement 18 and 16 units, respectively, vs 11 with hemiprostheses (HPs). For patients with OA, TPs performed best; for those with RA and FS, RTPs performed best; and those with HPs had the worst results in all diagnostic groups. The greatest improvement in QoL was seen in patients with TPs and RTPs.

Conclusions

Conventional TPs provide the best improvement in pain, function and QoL in OA patients; RTPs are superior in patients with RA and FS.

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Titel: Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses
verfasst von: Bjørg-Tilde S. Fevang
Stein H. L. Lygre
Glenn Bertelsen
Arne Skredderstuen
Leif I. Havelin
Ove Furnes
Publikationsdatum: 01.01.2013
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 1/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1722-3

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Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses