Sanaa Alsubheen
Western University, Canada
Title: Does diabetes affect functional outcomes after shoulder arthroplasty
Biography
Biography: Sanaa Alsubheen
Abstract
Does diabetes affect functional outcomes after shoulder arthroplasty
Sana'a A Alsubheen1, Tom J Overend, Joy C MacDermid1,2, and Kenneth J Faber 2
1Western University, Canada
2St. Joseph’s Health Care London, Canada
Background: Shoulder arthroplasty improves shoulder function in patients with severe arthritic changes. Diabetes is a known risk factor for postoperative complications. However, the impact of diabetes on functional outcomes after shoulder arthroplasty is uncertain.
Purpose: This prospective cohort assessed whether diabetes affects functional outcomes after shoulder arthroplasty.
Methods: Diabetic patients undergoing shoulder arthroplasty (n=140), were evaluated at baseline, at an early follow-up visit (between 3-6 months) and at the late follow-up visit (between 1-3 years). The American Shoulder and Elbow Surgeons (ASES) assessed shoulder function and the Short-Form-12 (SF-12) assessed physical health status. Shoulder goniometry and dynamometry were used to assess motion and strength.
Results: Despite significantly poorer ASES and SF-12 scores at baseline in diabetic patients, later scores were not different than those without diabetes. For patients with diabetes, ASES pain [7 (3) to 2 (2)], ASES function [5 (5) to 18 (6)], and physical health status [27 (6) to 38 (8)] scores improved significantly over time similar to patients without diabetes [ASES pain: 6 (3) to 2(2); ASES function: 8 (5) to 18 (8); physical health status: 31 (8) to 40 (12)]. However, all these scores remained below the normal values for both groups.
Conclusion: Patients with diabetes achieve a large benefit from shoulder arthroplasty, with follow-up outcomes similar to those without diabetes