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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2025, Number 5

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Acta Ortop Mex 2025; 39 (5)

Shoulder arthroplasty in Mexico. Ten-year experience, multicenter study

Ntezes-Hidalgo I, Valero-González F, Encalada-Díaz M, Ramírez-Bocanegra A, Mejía-Terrazas G, Martín-Becerra J, Pareyon-Valero R, Palmieri-Bouchan R, Novoa-Boldo A, Guevara-Álvarez A, Salinas-Vela L, Reyes-Toledo S, Aguirre-Rodríguez V, Mondragón-Rodríguez A, Vargas-Rodríguez B, Inzunza-Enríquez G, Ramírez-Zamora J, Villanueva-Martínez S

Language: Spanish
References: 54
Page: 273-279
PDF size: 238.57 Kb.


ABSTRACT

Introduction: degenerative shoulder diseases have an estimated prevalence between 16 and 25% in the population over 65 years of age. Mexico lacks a system to document and analyze shoulder arthroplasty procedures. This study aimed to identify the clinical profile of patients undergoing shoulder arthroplasty in Mexico. Material and methods: observational, descriptive, and multicenter study conducted between 2014 and 2024. Clinical and demographic characteristics were collected, including comorbidities, surgical indication, Constant functional score, type of arthroplasty performed, type of prosthesis used, and average cost. Results: a total of 516 patients were included; 353 (68.41%) were female. The mean age was 70.09 ± 9.5 years. The right shoulder was affected in 321 (62.2%) cases, and right-hand dominance was present in 485 (93.9%) patients. The most common comorbidity was arterial hypertension (266 patients, 39.45%). The most frequent indication was rotator cuff tear arthropathy (208 patients, 40.31%). The Constant score improved by 46.54 points. The most commonly used arthroplasty was reverse in-lay (339 cases, 65.69%). The average cost per prosthesis was $170,000.00 MXN. Conclusion: in our country, the typical candidate for shoulder arthroplasty is a female patient between 60 and 80 years of age, with a diagnosis of rotator cuff tear arthropathy or osteoarthritis causing significant functional limitation of the affected limb.


REFERENCES

  1. Iannotti JP, Williams GR. Disorders of the shoulder: diagnosis & management. Philadelphia: Lippincott Williams & Wilkins; 2007, p. 740.

  2. Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998; 41(5): 778-99.

  3. Hermoso FE, Calvo E. Shoulder pain in the elderly. Aging Health. 2009; 5(5): 711-8.

  4. Yamamoto N, Szymski D, Voss A, Ishikawa H, Muraki T, Cunha RA, et al. Non-operative management of shoulder osteoarthritis: current concepts. J ISAKOS. 2023; 8(5): 289-95.

  5. Domínguez-Gasca LG, Chico-Carpizo F, Magaña-Reyes J, Domínguez-Carrillo LG, Domínguez-Gasca LG, Chico-Carpizo F, et al. Lesiones de hombro en la tercera edad y su repercusión funcional en escala de DASH. Acta Ortop Mex. 2018; 32(1): 13-6.

  6. Craig RS, Lawrence TM. Anatomic or reverse shoulder arthroplasty: indications and decision-making. Orthop Trauma. 2022; 36(3): 166-74.

  7. Khazzam M, Gee AO, Pearl M. Management of glenohumeral joint osteoarthritis. J Am Acad Orthop Surg. 2020; 28(19): 781-9.

  8. Cederqvist S, Flinkkila T, Sormaala M, Ylinen J, Kautiainen H, Irmola T, et al. Non-surgical and surgical treatments for rotator cuff disease: a pragmatic randomised clinical trial with 2-year follow-up after initial rehabilitation. Ann Rheum Dis. 2021; 80(6): 796-802.

  9. Dean RE, Holte AJ, Ray GS, Bell JE. Treatment of displaced intra-articular glenoid malunion deformity with reverse total shoulder arthroplasty guided by augmented reality-assisted computer navigation. JSES Rev Rep Tech. 2024; 4(3): 625-31.

  10. Killian ML, Cavinatto L, Galatz LM, Thomopoulos S. Recent advances in shoulder research. Arthritis Res Ther. 2012; 14(3): 214.

  11. Buck FM, Jost B, Hodler J. Shoulder arthroplasty. Eur Radiol. 2008; 18(12): 2937-48.

  12. Kennedy JS, Garrigues GE, Pozzi F, Zens MJ, Gaunt B, Phillips B, 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): 2149-62.

  13. Groh GI, Kirsch JM, Williams GR, Colley R, Levy JC, Serrano R, et al. The basic shoulder arthroplasty: simple shoulder replacement for the generalist. Instr Course Lect. 2021; 70: 37-54.

  14. Twomey-Kozak J, Hurley E, Levin J, Anakwenze O, Klifto C. Technological innovations in shoulder replacement: current concepts and the future of robotics in total shoulder arthroplasty. J Shoulder Elbow Surg. 2023; 32(10): 2161-71.

  15. Richard A, Judet R, Rene L. [Reconstruction of the humerus with acrylic prosthesis with special reference to fractures-luxations]. J Chir (Paris). 1952; 68(8-9): 537-47.

  16. Ross AC, Wilson JN, Scales JT. Endoprosthetic replacement of the proximal humerus. J Bone Joint Surg Br. 1987; 69(4): 656-61.

  17. MacAusland WR. Nylon prosthesis in lesions of the shoulder, elbow and finger. Am J Surg. 1953; 85(2): 164-73.

  18. Richard A. [Malformation of unknown origin of the right humeral head; loss of function; resection and acrylic prosthesis]. Mem Acad Chir (Paris). 1950; 76(28-29): 821-3.

  19. Krueger FJ. A vitallium replica arthroplasty on the shoulder; a case report of aseptic necrosis of the proximal end of the humerus. Surgery. 1951; 30(6): 1005-11.

  20. Reeves B, Jobbins B, Flowers F, Dowson D, Wright V. Some problems in the development of a total shoulder endoprosthesis. Ann Rheum Dis. 1972; 31(5): 425-6.

  21. Zilber S. Shoulder arthroplasty: historical considerations. Open Orthop J. 2017; 11: 1100-7.

  22. Schoch BS, King JJ, Zuckerman J, Wright TW, Roche C, Flurin PH. Anatomic versus reverse shoulder arthroplasty: a mid-term follow-up comparison. Shoulder Elbow. 2021; 13(5): 518-26.

  23. Gerber C, Canonica S, Catanzaro S, Ernstbrunner L. Longitudinal observational study of reverse total shoulder arthroplasty for irreparable rotator cuff dysfunction: results after 15 years. J Shoulder Elbow Surg. 2018; 27(5): 831-8.

  24. Rittmeister M, Kerschbaumer F. Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg. 2001; 10(1): 17-22.

  25. Australian Orthopaedic Association National Joint Replacement Registry. Demographics and outcomes of shoulder arthroplasty. Adelaide: AOA (año no especificado).

  26. Australian Orthopaedic Association National Joint Replacement Registry, Smith PN, Gill DRJ, McAuliffe MJ, et al. Hip, Knee & Shoulder Arthroplasty: 2023 Annual Report. Adelaide: Australian Orthopaedic Association; 2023.

  27. Australian Orthopaedic Association National Joint Replacement Registry, Lewis PL, Gill DRJ, McAuliffe MJ, et al. Hip, Knee and Shoulder Arthroplasty: 2024 Annual Report. Adelaide: Australian Orthopaedic Association; 2024.

  28. Netherlands Orthopaedic Association (NOV), LROI organization. LROI, 2023 Annual Report. Netherlands: NOV; 2023.

  29. Achakri H, Ben-Shlomo Y, Blom A, Boulton C, Bridgens J, Brittain R, et al. The National Joint Registry 20th Annual Report 2023. London: National Joint Registry; 2022.

  30. Page RS, Navarro RA, Salomonsson B. Establishing an international shoulder arthroplasty consortium. J Shoulder Elbow Surg. 2014; 23(8): 1081–2.

  31. Longo UG, Papalia R, Castagna A, De Salvatore S, Guerra E, Piergentili I, et al. Shoulder replacement: an epidemiological nationwide study from 2009 to 2019. BMC Musculoskelet Disord. 2022; 23(1): 889.

  32. Simcox T, Papalia AG, Passano B, Anil U, Lin C, Mitchell W, et al. Comparison of trends of inpatient charges among primary and revision shoulder arthroplasty over a decade: a regional database study. JSES Int. 2023; 7(6): 2492-9.

  33. Kochanek KD. Mortality in the United States, 2022. Natl Cent Health Stat. 2024; (492).

  34. Vollset SE, Ababneh HS, Abate YH, Abbafati C, Abbasgholizadeh R, Abbasian M, et al. Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021. Lancet. 2024; 403(10440): 2204-56.

  35. American Academy of Orthopaedic Surgeons (AAOS). Shoulder & Elbow Registry (SER): 2024 Annual Report. Rosemont, IL: AAOS; 2024.

  36. American Academy of Orthopaedic Surgeons (AAOS). Shoulder & Elbow Registry (SER): 2023 Annual Report. Rosemont, IL: AAOS; 2023.

  37. Farley KX, Wilson JM, Kumar A, Gottschalk MB, Daly C, Sanchez-Sotelo J, et al. Prevalence of shoulder arthroplasty in the United States and the increasing burden of revision shoulder arthroplasty. JBJS Open Access. 2021; 6(3): e20.00156.

  38. Erivan R, Chaput T, Villatte G, Ollivier M, Descamps S, Boisgard S. Ten-year epidemiological study in an orthopaedic and trauma surgery centre: are there risks involved in increasing scheduled arthroplasty volume without increasing resources? Orthop Traumatol Surg Res. 2018; 104(8): 1283-9.

  39. Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elbow Surg. 2010; 19(8): 1115-20.

  40. Valsamis EM, Pinedo-Villanueva R, Sayers A, Collins GS, Rees JL. Shoulder replacement surgery's rising demand, inequality of provision, and variation in outcomes: cohort study using Hospital Episode Statistics for England. BMC Med. 2023; 21(1): 406.

  41. Contreras-del Toro L, González-Damián J, Cruz-Medina E, Macías-Hernández SI. Lesiones de manguito rotador: estado actual de la literatura con enfoque en rehabilitación. Investig En Discapac. 2023; 9(1): 13-23.

  42. Klug A, Herrmann E, Fischer S, Hoffmann R, Gramlich Y. Projections of primary and revision shoulder arthroplasty until 2040: facing a massive rise in fracture-related procedures. J Clin Med. 2021; 10(21): 5123.

  43. Lübbeke A, Rees JL, Barea C, Combescure C, Carr AJ, Silman AJ. International variation in shoulder arthroplasty: incidence, indication, type of procedure, and outcomes evaluation in 9 countries. Acta Orthop. 2017; 88(6): 592-9.

  44. Cázares RO, González MAA. Prótesis reversa de hombro: experiencia de 15 casos. Acta Méd Grupo Ángeles. 2019; 17(4): 385-389.

  45. Pereira VC, Barreto J, Tomé S, Cunha J, Amaro J, Moreira J, et al. Clinical and functional results of reverse total shoulder arthroplasty and postoperative rehabilitation protocol. Cureus. 2022; 14(3): e23322.

  46. López-Muñoz R, Encalada-Díaz MI, Mondragón-Rodríguez T, Aguirre-Rodríguez VH, Valero-González FS. Artroplastía de hombro en el medio privado: análisis de las variables demográficas y de comorbilidad en una muestra de 120 pacientes. Acta Ortop Mex. 2015; 29(2): 82-7.

  47. Inagaki K, Ochiai N, Hashimoto E, Hattori F, Hiraoka Y, Ise S, et al. Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan. JSES Int. 2023; 7(4): 642-7.

  48. Valencia-Ramon EA, Pasache-Lozano R, Bishop AL, Johnston DG, Trenholm JAI. Analysis on revision rates of shoulder arthroplasty at a single referral center in Canada. Semin Arthroplasty JSES. 2023; 33(3): 535-41.

  49. Rojas JT, Jost B, Zipeto C, Budassi P, Zumstein MA. Glenoid component placement in reverse shoulder arthroplasty assisted with augmented reality through a head-mounted display leads to low deviation between planned and postoperative parameters. J Shoulder Elbow Surg. 2023; 32(12): e587-96.

  50. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR). 16th Annual Report. London: NJR; 2018.

  51. Doyle TR, Downey S, Hurley ET, Klifto C, Mullett H, Denard PJ, et al. Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up. JSES Rev Rep Tech. 2024; 4(1): 1-7.

  52. Arias-de la Torre J, Garcia X, Smith K, Romero-Tamarit A, Puigdomenech E, Muñoz-Ortiz L, et al. Safety and effectiveness of shoulder arthroplasties in Spain: a systematic review. J Clin Med. 2019; 8(12): 2063.

  53. Alcobía-Díaz B, Lópiz Y, García-Fernández C, Rizo De Álvaro B, Marco F. Patient-reported activities after reverse total shoulder arthroplasty in rotator cuff arthropathy patients. Rev Esp Cir Ortop Traumatol. 2017; 61(4): 273-80.

  54. Torrens C, Alentorn-Geli E, Mingo F, Gamba C, Santana F. Reverse shoulder arthroplasty for the treatment of acute complex proximal humeral fractures: influence of greater tuberosity healing on functional outcomes. J Orthop Surg. 2018; 26(1): 2309499018760132.



EVIDENCE LEVEL

III, estudio retrospectivo, observacional y descriptivo.




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