1Kamran Chaudhary, 2Hassan Raza, 3Mohib Ali, 4Ayesha Bano, 5Mobeen Ali, 6Ahsan Ul haq
1PIMS
2PIMS
3PIMS
4PIMS
5PIMS
6Associate Professor, Orthopaedic Surgery, Mohterma Benazir Bhutto Shaheed Medical College Mirpur Azad Kashmir, docahsanulhaq@gmail.com
Abstract
Background: Total Shoulder Arthroplasty (TSA) is known to be one of the popular surgeries that are performed for managing severe diseases of the shoulder joint. The characteristic of the humeral component implemented in TSA greatly affects the postoperative results, however, development and choice of the design remain issues among the orthopaedic surgeons.
Aim: The purpose of this paper is to set up the criteria to use the appropriate humeral component design in primary anatomic TSA for the betterment of patients’ outcomes and the greater uniformity in the surgical procedure.
Method: This study employed the Delphi method, parallel focuses consensus panel discussion, and a review of past literature. Specialists in the field of orthopaedic surgery must have had years of TSA surgery
involved in the study and patients’ records. On data gathering, questionnaires, interviews, and imaging were used. This is due to the consensus of experts’ knowledge, and statistical confirmation of the formulated criteria. The ethical clearance was sought, and approval was obtained, consent was also obtained from the participants, and it was made very clear that their information would remain confidential and would be protected.
Results: The patients total was 500, and their age range spanned from 45 to 85 years with equal distribution of males and females. The humeral components utilized were monoblock in 35% of the patients, modular in 45% of the patients, and stemless in 20% of the patients. Survey revealed that component selection was carried out based on the following patient factors in which the surgeons had an almost perfect consensus of 85-90%. The statistical analysis supported the criteria that vital requirements for a successful strategy were met; more profound results were proven as related to the proper utilization of components. The AUC concurred with the existing guidelines but gave more specifics, which showed where the need for enhancement was.
Conclusion: The derived AUC for choosing the humeral component in TSA offer practical recommendations for orthopaedic surgeons, improving the accuracy of the operation and its impact on the patient’s well-being. Therefore, the study is a useful contribution towards orthopaedic surgery with a passionate call for more research and practice of standard principles.
