Next Article in Journal
Plasma Vitamin C and Cancer Mortality in Kidney Transplant Recipients
Previous Article in Journal
Impact of Antiretroviral Therapy on the Risk of Recurrence in HIV-1 Infected Patients with Kaposi Sarcoma: A Multicenter Cohort Experience
Open AccessReview

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

1
King’s College London. Institute of Psychiatry, Psychology and Neuroscience (IoPPN), SE5 8AB London, UK
2
CIBER Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
3
Institute of Biomedicine (IBIOMED), University of Leon, 24071 León, Spain
4
Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain
5
Health Services Research on Chronic Patients Network (REDISSEC), 28029 Madrid, Spain
6
Health Services and Policy Research Group, University of Exeter Medical School, EX1 2LU Exeter, UK
7
Royal Devon and Exeter NHS Foundation Trust, EX2 5DW Exeter, UK
8
Hospital del Mar, Department of Orthopaedic Surgery and Trauma, 08003 Barcelona, Spain
9
Department of Orthopaedic Surgery and Trauma, Sant Rafael University Hospital, 08035 Barcelona, Spain
10
Department of Orthopaedic Surgery and Trauma, Santa María University Hospital, 25198 Lleida, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(12), 2063; https://doi.org/10.3390/jcm8122063
Received: 8 October 2019 / Revised: 13 November 2019 / Accepted: 21 November 2019 / Published: 23 November 2019
(This article belongs to the Section Orthopedics)
The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.
Keywords: shoulder; arthroplasty; safety; effectiveness; systematic review shoulder; arthroplasty; safety; effectiveness; systematic review
MDPI and ACS Style

Torre, J.-D.; Garcia, X.; Smith, K.; Romero-Tamarit, A.; Puigdomenech, E.; Muñoz-Ortiz, L.; Evans, J.P.; Martín, V.; Molina, A.J.; Torrens, C.; Pons-Cabrafiga, M.; Pallisó, F.; Valderas, J.M.; Espallargues, M. Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review. J. Clin. Med. 2019, 8, 2063.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop