{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:10:25Z","timestamp":1793761825153,"version":"4.6.1"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"7","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:p> This study was performed to review the safety and outcome of total shoulder replacements in patients who are \u2265 80 years of age. A total of 50 total shoulder replacements in 44 patients at a mean age of 82 years (80 to 89) were studied. Their health and shoulder status, the operation and post-operative course were analysed, including pain, movement, patient satisfaction, medical and surgical complications, radiographs, the need for revision surgery, and implant and patient survival. A total of 27 patients had an ASA classification of III or IV and medical abnormalities were common. Of the 13 shoulders with bony deficiency of the glenoid, nine required grafting. The duration of hospital stay was prolonged and blood transfusions were common. There were no peri-operative deaths. The mean follow-up was for 5.5 years (2 to 12). Pain was significantly reduced (p &lt; 0.001) and movement improved in active elevation and both external and internal rotation (p &lt; 0.001). Using the Neer scale for assessing outcome, 40 (80%) shoulders had an excellent or satisfactory result. There were medical or surgical complications in 17 cases. Four shoulders developed radiological evidence of loosened glenoid components, and three of these had a poor outcome. Three other shoulders required revision, two for instability. By the time of this review 39 of the patients had died from unrelated causes at a mean of 7.5 years (0.8 to 16.4) after surgery. <\/jats:p><jats:p> Total shoulder replacement is a relatively effective treatment in this elderly group of patients. However, there is a requirement for more intense patient care in the peri-operative period, and non-fatal medical or surgical complications are common. Most of these elderly patients will have a comfortable functional shoulder for the rest of their lives. <\/jats:p>","DOI":"10.1302\/0301-620x.92b7.23671","type":"journal-article","created":{"date-parts":[[2010,6,30]],"date-time":"2010-06-30T23:29:28Z","timestamp":1277940568000},"page":"970-974","source":"Crossref","is-referenced-by-count":67,"title":["Total shoulder replacement for osteoarthritis in patients 80 years of age and older"],"prefix":"10.1302","volume":"92-B","author":[{"given":"A. M.","family":"Foruria","sequence":"first","affiliation":[{"name":"Shoulder and Elbow, Reconstructive Surgery Unit, Fundacion Jimenez Diaz-Capio, Avda Reyes Catolicos 2, 28040, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. W.","family":"Sperling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street, Southwest, Rochester, Minnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. K.","family":"Ankem","sequence":"additional","affiliation":[{"name":"Harvard University, 175 Cambridge Street, Su 400, Boston, Massachusetts 02114, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. S.","family":"Oh","sequence":"additional","affiliation":[{"name":"Harvard University, 175 Cambridge Street, Su 400, Boston, Massachusetts 02114, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. H.","family":"Cofield","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street, Southwest, Rochester, Minnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Cofield RH, Hattrup SJ, Sanchez-Sotelo J, Steinmann SP. Shoulder arthroplasty for arthritis. In: Morrey BF, ed. Joint replacement arthroplasty. Vol. 1, Third ed. Rochester: Churchill Livingstone, 2003:438\u201349."},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B11.18850"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.09.005"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Sperling JW, Cofield RH, Rowland CM. Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less: long-term results. J Bone Joint Surg [Am] 1998;80-A:464\u201373.","DOI":"10.2106\/00004623-199804000-00002"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B6.20387"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.02.009"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B4.16604"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.121146"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.01.006"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.02.135"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2000.109384"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-197810000-00001"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.02.009"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.03.006"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.08.005"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg [Am] 2000;82-A:26\u201334.","DOI":"10.2106\/00004623-200001000-00004"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Sperling JW, Cofield RH. Pulmonary embolism following shoulder arthroplasty. J Bone Joint Surg [Am] 2002;84-A:1939\u201341.","DOI":"10.2106\/00004623-200211000-00005"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Bryant D, Litchfield R, Sandow M, et al. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder: a systematic review and meta-analysis. J Bone Joint Surg [Am] 2005;87-A:1947\u201356.","DOI":"10.2106\/JBJS.D.02854"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(02)86804-5"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(03)00269-9"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Edwards TB, Boulahia A, Kempf JF, et al. The influence of rotator cuff disease on the results of shoulder arthroplasty for primary osteoarthritis: results of a multicenter study. J Bone Joint Surg [Am] 2002;84-A:2240\u20138.","DOI":"10.2106\/00004623-200212000-00018"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.03.001"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B2.18161"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B7.23671","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.92B7.23671","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B7.23671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T17:55:32Z","timestamp":1629136532000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.92B7.23671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,7]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["10.1302\/0301-620X.92B7.23671"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.92b7.23671","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,7]]}}}