Imperial College London
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Mr Peter Reilly

Faculty of Engineering, Department of Bioengineering

Visiting Reader
 
 
 
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Contact

 

p.reilly

 
 
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Location

 

Department of OrthopaedicsNorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Davies:2023:10.1177/17585732221075037,
author = {Davies, A and Lloyd, T and Sabharwal, S and Liddle, AD and Reilly, P},
doi = {10.1177/17585732221075037},
journal = {Shoulder & Elbow},
pages = {4--14},
title = {Anatomical shoulder replacements in young patients: a systematic review and meta-analysis},
url = {http://dx.doi.org/10.1177/17585732221075037},
volume = {15},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - IntroductionIncreasing numbers of young patients receive shoulder replacements. Greater information on outcomes is needed to inform implant choice. The aim of this study was to investigate the survivorship and clinical effectiveness of hemiarthroplasty and anatomical total shoulder arthroplasty (TSA) in patients younger than 65 years.MethodA systematic review was performed of MEDLINE, EMBASE, CENTRAL, The Cochrane Database of Systematic Reviews and National Joint Registry reports. The primary outcomes were implant survival and change in perioperative shoulder scores.ResultsMeta-analysis of implant survivorship was performed of six studies reporting on 416 patients. Implant survival was 86.1% (72.1,100) at 10 years for hemiarthroplasty and 82.3% (64.6,100) for TSA. 20 year survival was 80.0% for hemiarthroplasty (72.5,87.4) and 75.0% (56.9,93.1) for TSA. Ten studies were included in the meta-analysis of shoulder scores, multiple instruments were used. The standardised mean difference between pre-operative and post-operative shoulder scores was 2.15 (1.95, 2.35) for TSA at 4.2–4.9 years, and 2.72 (1.98,3.47) for hemiarthroplasty at 3.8–6 years.ConclusionOver 80% of shoulder replacements last more than 10 years, and 75% last more than 20 years. Significant improvements in shoulder scores are shown at all time points.
AU  - Davies,A
AU  - Lloyd,T
AU  - Sabharwal,S
AU  - Liddle,AD
AU  - Reilly,P
DO  - 10.1177/17585732221075037
EP  - 14
PY  - 2023///
SN  - 1758-5732
SP  - 4
TI  - Anatomical shoulder replacements in young patients: a systematic review and meta-analysis
T2  - Shoulder & Elbow
UR  - http://dx.doi.org/10.1177/17585732221075037
UR  - https://journals.sagepub.com/doi/10.1177/17585732221075037
UR  - http://hdl.handle.net/10044/1/101511
VL  - 15
ER  -
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