Predictors of medium-term clinical outcomes after total shoulder arthroplasty

Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiograph...
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Autor*in:	Leschinger, Tim [verfasserIn] Raiss, Patric [verfasserIn] Loew, Markus [verfasserIn] Zeifang, Felix [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Total shoulder arthroplasty Primary osteoarthritis Predictors Clinical outcome Walch classification

Übergeordnetes Werk:	Enthalten in: Archives of orthopaedic and trauma surgery - Berlin : Springer, 1903, 137(2016), 2 vom: 07. Dez., Seite 187-193
Übergeordnetes Werk:	volume:137 ; year:2016 ; number:2 ; day:07 ; month:12 ; pages:187-193

Links:	Volltext

DOI / URN:	10.1007/s00402-016-2602-x

Katalog-ID:	SPR005025869

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520			\|a Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population.
650		4	\|a Total shoulder arthroplasty \|7 (dpeaa)DE-He213
650		4	\|a Primary osteoarthritis \|7 (dpeaa)DE-He213
650		4	\|a Predictors \|7 (dpeaa)DE-He213
650		4	\|a Clinical outcome \|7 (dpeaa)DE-He213
650		4	\|a Walch classification \|7 (dpeaa)DE-He213
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700	1		\|a Loew, Markus \|e verfasserin \|4 aut
700	1		\|a Zeifang, Felix \|e verfasserin \|4 aut
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matchkey_str	article:14343916:2016----::rdcosfeimemlnclucmsfettlh
hierarchy_sort_str	2016
bklnumber	44.65 44.83
publishDate	2016
allfields	10.1007/s00402-016-2602-x doi (DE-627)SPR005025869 (SPR)s00402-016-2602-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Leschinger, Tim verfasserin aut Predictors of medium-term clinical outcomes after total shoulder arthroplasty 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population. Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213 Raiss, Patric verfasserin aut Loew, Markus verfasserin aut Zeifang, Felix verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 137(2016), 2 vom: 07. Dez., Seite 187-193 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:137 year:2016 number:2 day:07 month:12 pages:187-193 https://dx.doi.org/10.1007/s00402-016-2602-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 137 2016 2 07 12 187-193
spelling	10.1007/s00402-016-2602-x doi (DE-627)SPR005025869 (SPR)s00402-016-2602-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Leschinger, Tim verfasserin aut Predictors of medium-term clinical outcomes after total shoulder arthroplasty 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population. Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213 Raiss, Patric verfasserin aut Loew, Markus verfasserin aut Zeifang, Felix verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 137(2016), 2 vom: 07. Dez., Seite 187-193 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:137 year:2016 number:2 day:07 month:12 pages:187-193 https://dx.doi.org/10.1007/s00402-016-2602-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 137 2016 2 07 12 187-193
allfields_unstemmed	10.1007/s00402-016-2602-x doi (DE-627)SPR005025869 (SPR)s00402-016-2602-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Leschinger, Tim verfasserin aut Predictors of medium-term clinical outcomes after total shoulder arthroplasty 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population. Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213 Raiss, Patric verfasserin aut Loew, Markus verfasserin aut Zeifang, Felix verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 137(2016), 2 vom: 07. Dez., Seite 187-193 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:137 year:2016 number:2 day:07 month:12 pages:187-193 https://dx.doi.org/10.1007/s00402-016-2602-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 137 2016 2 07 12 187-193
allfieldsGer	10.1007/s00402-016-2602-x doi (DE-627)SPR005025869 (SPR)s00402-016-2602-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Leschinger, Tim verfasserin aut Predictors of medium-term clinical outcomes after total shoulder arthroplasty 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population. Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213 Raiss, Patric verfasserin aut Loew, Markus verfasserin aut Zeifang, Felix verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 137(2016), 2 vom: 07. Dez., Seite 187-193 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:137 year:2016 number:2 day:07 month:12 pages:187-193 https://dx.doi.org/10.1007/s00402-016-2602-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 137 2016 2 07 12 187-193
allfieldsSound	10.1007/s00402-016-2602-x doi (DE-627)SPR005025869 (SPR)s00402-016-2602-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Leschinger, Tim verfasserin aut Predictors of medium-term clinical outcomes after total shoulder arthroplasty 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population. Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213 Raiss, Patric verfasserin aut Loew, Markus verfasserin aut Zeifang, Felix verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 137(2016), 2 vom: 07. Dez., Seite 187-193 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:137 year:2016 number:2 day:07 month:12 pages:187-193 https://dx.doi.org/10.1007/s00402-016-2602-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 137 2016 2 07 12 187-193
language	English
source	Enthalten in Archives of orthopaedic and trauma surgery 137(2016), 2 vom: 07. Dez., Seite 187-193 volume:137 year:2016 number:2 day:07 month:12 pages:187-193
sourceStr	Enthalten in Archives of orthopaedic and trauma surgery 137(2016), 2 vom: 07. Dez., Seite 187-193 volume:137 year:2016 number:2 day:07 month:12 pages:187-193
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Total shoulder arthroplasty Primary osteoarthritis Predictors Clinical outcome Walch classification
dewey-raw	610
isfreeaccess_bool	false
container_title	Archives of orthopaedic and trauma surgery
authorswithroles_txt_mv	Leschinger, Tim @@aut@@ Raiss, Patric @@aut@@ Loew, Markus @@aut@@ Zeifang, Felix @@aut@@
publishDateDaySort_date	2016-12-07T00:00:00Z
hierarchy_top_id	253390087
dewey-sort	3610
id	SPR005025869
language_de	englisch
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Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. 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author	Leschinger, Tim
spellingShingle	Leschinger, Tim ddc 610 bkl 44.65 bkl 44.83 misc Total shoulder arthroplasty misc Primary osteoarthritis misc Predictors misc Clinical outcome misc Walch classification Predictors of medium-term clinical outcomes after total shoulder arthroplasty
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topic_title	610 ASE 44.65 bkl 44.83 bkl Predictors of medium-term clinical outcomes after total shoulder arthroplasty Total shoulder arthroplasty (dpeaa)DE-He213 Primary osteoarthritis (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Clinical outcome (dpeaa)DE-He213 Walch classification (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 bkl 44.83 misc Total shoulder arthroplasty misc Primary osteoarthritis misc Predictors misc Clinical outcome misc Walch classification
topic_unstemmed	ddc 610 bkl 44.65 bkl 44.83 misc Total shoulder arthroplasty misc Primary osteoarthritis misc Predictors misc Clinical outcome misc Walch classification
topic_browse	ddc 610 bkl 44.65 bkl 44.83 misc Total shoulder arthroplasty misc Primary osteoarthritis misc Predictors misc Clinical outcome misc Walch classification
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title	Predictors of medium-term clinical outcomes after total shoulder arthroplasty
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title_full	Predictors of medium-term clinical outcomes after total shoulder arthroplasty
author_sort	Leschinger, Tim
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author_browse	Leschinger, Tim Raiss, Patric Loew, Markus Zeifang, Felix
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title_sort	predictors of medium-term clinical outcomes after total shoulder arthroplasty
title_auth	Predictors of medium-term clinical outcomes after total shoulder arthroplasty
abstract	Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population.
abstractGer	Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population.
abstract_unstemmed	Purpose The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). The Walch classification of glenoid wear had a significant negative effect (r = −0.32, p < 0.001). The other predictors showed no significant influence on the Constant score (p > 0.05). Conclusion A higher Walch classification is a negative predictor for the postoperative clinical function. The proven significant negative effect on outcomes in total shoulder arthroplasty emphasizes the importance of the preoperative evaluation of humeral head subluxation and glenoid erosion, which are associated with less favorable postoperative results. The measured internal patient variables gave no negative predictions on the medium-term clinical outcomes in the study population.
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container_issue	2
title_short	Predictors of medium-term clinical outcomes after total shoulder arthroplasty
url	https://dx.doi.org/10.1007/s00402-016-2602-x
remote_bool	true
author2	Raiss, Patric Loew, Markus Zeifang, Felix
author2Str	Raiss, Patric Loew, Markus Zeifang, Felix
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isOA_txt	false
hochschulschrift_bool	false
doi_str	10.1007/s00402-016-2602-x
up_date	2024-07-03T13:32:26.912Z
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Materials and methods In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37–83 years) to measure their influence on the clinical outcome by use of the Constant score. The average length of follow-up was 6 years (range 3–12 years). Radiographs and a computed tomography (CT) of the shoulders were obtained preoperatively for evaluating the acromiohumeral distance, the lateral glenohumeral offset and the morphology of the glenoid, which was classified according to the method by Walch (type-A1 to type-C glenoids). Results The mean Constant score improved from its preoperative value of 25 points (range 6–54 points) to 65 points (range 10–86 points) postoperatively (p < 0.001). The mean age- and sex-normalized Constant score was similarly improved from 34 points (range 8–78 points) preoperatively to 90 points (range 14–130 points) at the time of follow-up (p < 0.001). 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Predictors of medium-term clinical outcomes after total shoulder arthroplasty

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