%0 Journal Article
%T Experiences and outcomes in shoulder replacements in a district general hospital over 19 years.
%A Dekker AP
%A Hind J
%A Ashwood N
%J Clin Shoulder Elb
%V 0
%N 0
%D 2024 Jul 11
%M 38988175
暂无%R 10.5397/cise.2023.01137
%X <B>UNASSIGNED: </B>This study aimed to evaluate the changing experiences of shoulder surgeons working in a district general hospital.<BR><B>UNASSIGNED: </B>A consecutive series of 395 shoulders (225 male, 170 female) over a 19-year period (2000-2019) with a minimum follow-up of 2 years were analyzed. Outcome measures were length of stay, operating time, satisfaction visual analog score (VAS), pain VAS, Oxford Shoulder Score (OSS), Constant-Murley score, range of movement, complications, and implant survival.<BR><B>UNASSIGNED: </B>The incidence of a diagnosis of osteoarthritis as the surgical indication increased over time. The number of cases by surgeon per year increased from three cases in 2,000 to a peak of 33 in 2011. Up to seven implant manufacturers were used. The incidence of hemiarthroplasties decreased, and more numerous reverse polarity and anatomic arthroplasties were performed (P<0.001). More glenoid and humeral components were cemented and more short-stem implants were used in later years (P<0.001). Length of stay was a median of 1 day with a trend towards daytime surgery in recent years. Patients were satisfied (VAS 8/10) and OSS improved by 8 points on average throughout the observation period.<BR><B>UNASSIGNED: </B>Despite frequent introductions of new implants, patient outcome, satisfaction, and complication rates remained good. There appears to be a need for large-scale, generalizable studies to understand why technological advancements leading to changes in implants do not influence clinical outcomes. Level of evidence: III.