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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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