Scoping review: Evidence for long-term follow-up and monitoring in shoulder and elbow arthroplasty

Daniel Leslie James Morris*, Jaime Candal-Couto, Adam Charles Watts, Amar Rangan, Amol Tambe

*Corresponding author for this work

Research output: Contribution to journalArticle (journal)peer-review

2 Citations (Scopus)

Abstract

Aims: Long-term follow-up and monitoring of asymptomatic shoulder and elbow arthroplasty remains contentious, with a wide spectrum of non-evidence-based mechanisms used. This scoping review aims to outline related evidence, thereby informing research requirements. Methods: Studies relevant to shoulder and elbow arthroplasty follow-up, surveillance and time-related failure were included. The review included randomised controlled trials, systematic reviews and economic studies indexed in MEDLINE, Embase, Cochrane CDSR and Cochrane CENTRAL since 1 January 2012. In addition, all registry studies, follow-up studies, cohort studies and case reports indexed in MEDLINE since 1 January 2020 were included. The screening was undertaken by two reviewers. Key characteristics of each study were described, alongside a narrative review. Results: Twenty-one articles were included. We were unable to identify evidence that long-term follow-up and monitoring of asymptomatic shoulder and elbow arthroplasty identifies failure or leads to a revision that is of reduced patient morbidity and cost. In addition, no evidence was apparent to inform whether patients will self-present with a failing implant. Several surveillance mechanisms were identified. Conclusion: This scoping review highlights the paucity of evidence related to long-term follow-up and monitoring of shoulder and elbow arthroplasty, and the need for high-quality data to inform the development of evidence-based care pathways.

Original languageEnglish
Pages (from-to)593-601
Number of pages9
JournalShoulder and Elbow
Volume15
Issue number6
Early online date9 Feb 2023
DOIs
Publication statusPublished - 31 Dec 2023

Keywords

  • arthroplasty
  • elbow
  • follow-up
  • monitoring
  • Shoulder
  • surveillance

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