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Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis.

Rocco PapaliaMauro CiuffredaErika AlboChiara De AndreisLorenzo Alirio Diaz BalzaniAnna Maria AlifanoChiara FossatiAndrea MacalusoRiccardo BorzuolaAntonio De VincentisVincenzo Denaro
Published in: Journal of clinical medicine (2020)
The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76-0.88, p < 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80-0.99, p < 0.01) compared to RTSA (77%) (95% CI 0.69-0.85, p < 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant.
Keyphrases
  • patients undergoing
  • anterior cruciate ligament
  • postoperative pain
  • clinical trial
  • body composition
  • cross sectional
  • newly diagnosed