Alfonso Maria Romano1, Francesco Oliva2, Guglielmo Nastrucci1, Pasquale Casillo3, Angelo Di Giunta4, Massimiliano Susanna5, Francesco Ascione3. 1. Orthopedic Division, Campolongo Hospital, Salerno, Italy. 2. Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Rome, Italy. 3. I Orthopedic and Traumatology Unit, Università della Campania "L. Vanvitelli", Napoli, Italy. 4. Orthopaedic Division of Policlinico "G.B. Morgagni", Catania, Italy. 5. Orthopedic and Traumatology Unit, San Donà di Piave Hospital, Venezia, Italy.
Abstract
BACKGROUND: Rehabilitation after Reverse Shoulder Arthroplasty (RSA) is still object of discussion with no based evidence guidelines. The aim of this study was to test a personalized rehabilitation protocol for three different patients groups according to clinical and intraoperative parameters that can affect final outcomes after RSA. PATIENTS AND METHODS: We retrospectively evaluated a consecutive series of 112 patients who underwent to RSA between 2013 and 2015. The average follow-up was 29.2 months. A preoperative and postoperative clinical and radiographic assessment was performed. According to clinical, radiographic and intraoperative parameters, we selected three groups dedicating each one a specific level of post surgical care. RESULTS: A statistically significant improvement was achieved from preoperative evaluation, regarding all analysed parameters. Notable improvements were reported in high care group: elevation improved of 63.9° despite of Group A 55.5° and Group B 54.5° and it resulted statistically significant (p< 0.05). Costant Score increased of 35.9%, despite of Group A and Group B respectively 40.6% and 34.8% (p> 0.05). CONCLUSION: Our study shows that a personalized rehabilitation protocol can be effective improving clinical outcomes and decreasing complications rate, particularly in difficult management patients. LEVEL OF EVIDENCE: Therapeutic Level IV.
BACKGROUND: Rehabilitation after Reverse Shoulder Arthroplasty (RSA) is still object of discussion with no based evidence guidelines. The aim of this study was to test a personalized rehabilitation protocol for three different patients groups according to clinical and intraoperative parameters that can affect final outcomes after RSA. PATIENTS AND METHODS: We retrospectively evaluated a consecutive series of 112 patients who underwent to RSA between 2013 and 2015. The average follow-up was 29.2 months. A preoperative and postoperative clinical and radiographic assessment was performed. According to clinical, radiographic and intraoperative parameters, we selected three groups dedicating each one a specific level of post surgical care. RESULTS: A statistically significant improvement was achieved from preoperative evaluation, regarding all analysed parameters. Notable improvements were reported in high care group: elevation improved of 63.9° despite of Group A 55.5° and Group B 54.5° and it resulted statistically significant (p< 0.05). Costant Score increased of 35.9%, despite of Group A and Group B respectively 40.6% and 34.8% (p> 0.05). CONCLUSION: Our study shows that a personalized rehabilitation protocol can be effective improving clinical outcomes and decreasing complications rate, particularly in difficult management patients. LEVEL OF EVIDENCE: Therapeutic Level IV.
Authors: T Bradley Edwards; Matthew D Williams; Joanne E Labriola; Hussein A Elkousy; Gary M Gartsman; Daniel P O'Connor Journal: J Shoulder Elbow Surg Date: 2009-03-17 Impact factor: 3.019
Authors: Bryan Wall; Laurent Nové-Josserand; Daniel P O'Connor; T Bradley Edwards; Gilles Walch Journal: J Bone Joint Surg Am Date: 2007-07 Impact factor: 5.284
Authors: Helen Razmjou; Varda van Osnabrugge; Mark Anunciacion; Andrea Nunn; Darren Drosdowech; Ania Roszkowski; Analia Szafirowicz; Dragana Boljanovic; Amy Wainwright; Diane Nam Journal: J Shoulder Elb Arthroplast Date: 2021-07-01
Authors: Francesco Ascione; Alfredo Schiavone Panni; Adriano Braile; Katia Corona; Giuseppe Toro; Nicola Capuano; Alfonso M Romano Journal: J Orthop Traumatol Date: 2021-07-08