Osteoporosis and the risk of complications after shoulder arthroplasty

11 months ago 45

Osteoporosis is a common condition characterized by low bone mineral density. It has been estimated that 50% of women and 20% of men aged 50 years and older will sustain an osteoporotic fracture in their lifetime. Many patients having...

Osteoporosis is a common condition characterized by low bone mineral density. It has been estimated that 50% of women and 20% of men aged 50 years and older will sustain an osteoporotic fracture in their lifetime. Many patients having shoulder arthroplasty have concurrent osteoporosis.

The authors of Osteoporosis and Implant-Related Complications After Anatomic and Reverse Total Shoulder Arthroplasty sought to determine the effects of osteoporosis on shoulder arthroplasty outcomes and the risk of prosthetic-related complications.

Using a national database, they determined the complication rates for patients with osteoporosis who underwent anatomic and reverse total shoulder arthroplasty. 

They found that the prevalence of osteoporosis at the time of surgery was 14.3% for anatomic total shoulder patients and 26.2% of reverse total shoulder patients. 

Anatomic total shoulder patients with osteoporosis experienced significantly higher rates of periprosthetic fracture and revision shoulder arthroplasty within 2 years of surgery compared with matched controls without osteoporosis. 

Reverse total shoulder patients with osteoporosis also had significantly higher rates of periprosthetic fracture and revision shoulder arthroplasty within 2 years of surgery compared with matched controls.

They concluded that osteoporosis represents a significant independent risk factor for periprosthetic fracture and revision shoulder arthroplasty within 2 years of surgery, regardless of the type of implant.

This study does not clarify whether treatment for osteoporosis is effective in reducing the risk of shoulder arthroplasty complications.

Plain x-rays can reveal the diagnosis of osteoporosis (see this link).

Osteoporosis is a common risk factor for patients having shoulder arthroplasty (see this link)

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).

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