Lee S, Sardar H, Horner NS, Al Mana L, Miller BS, Khan M, Alolabi B. Subscapularis-sparing approaches in shoulder arthroplasty: A systematic review.
J Orthop 2021;
24:165-172. [PMID:
33716422 DOI:
10.1016/j.jor.2021.02.034]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 01/18/2021] [Accepted: 02/21/2021] [Indexed: 11/15/2022] Open
Abstract
Background
Novel approaches for anatomic and reverse total shoulder arthroplasty (aTSA and rTSA) that spare the subscapularis (SSC) have recently been described. Outcomes for the SSC-sparing approach were evaluated through this systematic review.
Methods
Medline, Embase, PubMed, and CENTRAL were searched.
Results
From 2051 citations, 8 studies were included (aTSA group, n = 241; rTSA group, n = 68). SSC-sparing aTSA and rTSA were associated with significant postoperative improvements in shoulder function and range of motion at 12- to 24-month follow-up.
Conclusion
The SSC-sparing approach may provide a safe alternative for up to two years post-surgery. Evidence for long-term use remains inconclusive.
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