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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e429-e434
DOI: 10.1055/s-0044-1785661
Artigo Original
Ombro e Cotovelo

Anatomic Total Shoulder Arthroplasty Outcomes Were Not Negatively Affected by the COVID-19 Pandemic

Article in several languages: português | English
Andrew J. Stevens
1   Departamento de Ortopedia, Ohio State University College of Medicine, Columbus, Ohio, Estados Unidos
,
Akshar V. Patel
1   Departamento de Ortopedia, Ohio State University College of Medicine, Columbus, Ohio, Estados Unidos
,
David Gibbs
1   Departamento de Ortopedia, Ohio State University College of Medicine, Columbus, Ohio, Estados Unidos
,
Gregory Cvetanovich
2   Departamento de Ortopedia, Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, Estados Unidos
,
Julie Y. Bishop
1   Departamento de Ortopedia, Ohio State University College of Medicine, Columbus, Ohio, Estados Unidos
,
Ryan C. Rauck 
2   Departamento de Ortopedia, Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, Estados Unidos
› Author Affiliations

Financial Support The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
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Abstract

Objective To investigate whether patients undergoing anatomic total shoulder arthroplasty (ATSA) between January and March 2020 experienced different postoperative outcomes than patients in 2019. We hypothesized that patients in 2020 would have less access to physical therapy (PT) and experience different postoperative outcomes.

Methods Records from patients who received ATSA between January 1st, 2019, and March 17th, 2019, and January 1st, 2020, to March 17th, 2020, were analyzed. Patient data, including demographic information, range of motion (ROM), strength, and PT was collected and compared between the two groups. The 2020 patients were contacted by phone during October 2022 and patient-reported metrics were gathered.

Results The present study identified 24 patients in 2019 and 27 patients in 2020 who underwent ATSA during the specified time frame and had a minimum 1-year follow-up. Patients in 2019 experienced improvements in forward elevation (FE) ROM (125.4° to 146.7°; p = 0.008), external rotation (ER; 33.0° to 47.7°; p < 0.001), and internal rotation (IR; S1 to L4; p = 0.019). Patients in 2020 also experienced significant improvements in FE (120.2° to 141.1°; p = 0.009), ER (32.9° to 42.0°; p = 0.037), and IR (S1 to L3; p = 0.002). Patients in 2020 terminated PT earlier (2019: 125.8 days; 2020: 91.1 days; p = 0.046) and completed fewer sessions (2019: 21.4 sessions; 2020: 13.1 sessions; p = 0.003). At the final follow-up, patients in 2020 reported an average Visual Analogue Scale (VAS) pain score of 1.67 ± 1.1.

Conclusion Despite decreased PT, patients who underwent ATSA in 2020 had significant improvements in ROM and strength and were comparable to patients in 2019.

Keywords

arthroplasty, replacement - COVID-19 - postoperative period - shoulder

Work developed at the Department of Orthopedics, Ohio State University Wexner Medical Center, Columbus, OH, United States.




Publication History

Received: 29 June 2023

Accepted: 15 January 2024

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 Kennedy JS, Garrigues GE, Pozzi F. et al. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation for anatomic total shoulder arthroplasty. J Shoulder Elbow Surg 2020; 29 (10) 2149-2162
    CrossrefPubMedSearch in Google Scholar
  • 2 Best MJ, Aziz KT, Wilckens JH, McFarland EG, Srikumaran U. Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States. J Shoulder Elbow Surg 2021; 30 (05) 1159-1166
    CrossrefPubMedSearch in Google Scholar
  • 3 Edwards PK, Ebert JR, Littlewood C, Ackland T, Wang A. Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review. Shoulder Elbow 2020; 12 (02) 136-143
    CrossrefPubMedSearch in Google Scholar
  • 4 Khan AZ, Best MJ, Fedorka CJ. et al; Avant-Garde Health and Codman Shoulder Society Value Based Care Group. Impact of the COVID-19 pandemic on shoulder arthroplasty: surgical trends and postoperative care pathway analysis. J Shoulder Elbow Surg 2022; 31 (12) 2457-2464
    CrossrefPubMedSearch in Google Scholar
  • 5 Sabbagh R, Shah N, Jenkins S. et al. The COVID-19 pandemic and follow-up for shoulder surgery: The impact of a shift toward telemedicine on validated patient-reported outcomes. J Telemed Telecare 2023; 29 (06) 484-491
    CrossrefPubMedSearch in Google Scholar
  • 6 Seetharam A, Ghosh P, Prado R, Badman BL. Trends in outpatient shoulder arthroplasty during the COVID-19 (coronavirus disease 2019) era: increased proportion of outpatient cases with decrease in 90-day readmissions. J Shoulder Elbow Surg 2022; 31 (07) 1409-1415
    CrossrefPubMedSearch in Google Scholar
  • 7 Wickman JR, Lau BC, Scribani MB, Wittstein JR. Single Assessment Numeric Evaluation (SANE) correlates with American Shoulder and Elbow Surgeons score and Western Ontario Rotator Cuff index in patients undergoing arthroscopic rotator cuff repair. J Shoulder Elbow Surg 2020; 29 (02) 363-369
    CrossrefPubMedSearch in Google Scholar
  • 8 Boardman III ND, Cofield RH, Bengtson KA, Little R, Jones MC, Rowland CM. Rehabilitation after total shoulder arthroplasty. J Arthroplasty 2001; 16 (04) 483-486
    CrossrefPubMedSearch in Google Scholar
  • 9 Wang KC, Patel AV, White CA, Gross BD, Parsons BO, Cagle PJ. Effect of COVID-19 on Shoulder Arthroplasty at a Tertiary Care Medical Center in New York City. Rev Bras Ortop 2021; 58 (01) 121-126
    Search in Google Scholar
  • 10 Parisien RL, Shin M, Constant M. et al. Telehealth utilization in response to the novel coronavirus (COVID-19) pandemic in orthopaedic surgery. J Am Acad Orthop Surg 2020; 28 (11) e487-e492
    CrossrefPubMedSearch in Google Scholar
  • 11 Claes A, Mertens MG, Verborgt O, Baert I, Struyf F. Factors associated with better treatment outcome of physical therapy interventions after shoulder arthroplasty: A systematic review. Clin Rehabil 2022; 36 (10) 1369-1399
    CrossrefPubMedSearch in Google Scholar
  • 12 Gowd AK, Charles MD, Liu JN. et al. Single Assessment Numeric Evaluation (SANE) is a reliable metric to measure clinically significant improvements following shoulder arthroplasty. J Shoulder Elbow Surg 2019; 28 (11) 2238-2246
    CrossrefPubMedSearch in Google Scholar
  • 13 Chamberlain AM, Hung M, Chen W. et al. Determining the Patient Acceptable Symptomatic State for the ASES, SST, and VAS Pain After Total Shoulder Arthroplasty. J Shoulder Elb Arthroplast 2017; 1: 2471549217720042
    CrossrefSearch in Google Scholar
  • 14 Simovitch R, Flurin PH, Wright T, Zuckerman JD, Roche CP. Quantifying success after total shoulder arthroplasty: the minimal clinically important difference. J Shoulder Elbow Surg 2018; 27 (02) 298-305
    CrossrefPubMedSearch in Google Scholar