Monday , July 26 2021

What are the risks at the shoulder?



Scientists warn of "uncontrolled enlargement" of surgical intervention in young and old patients.


One of the effects of arthritis may include: a arm replacement operation, According to a recent study published in The British Medical Journal, risks this kind of interference is higher than previously thought.

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What happens after the first operation

Scientists show that every fourth male aged 55 to 59 years is at risk of a new surgical procedure, especially during the first five years later operation.

In addition, the risks of serious events like heart attacks or blood clots Within 90 days of surgery, they are much higher than previous estimates, especially over 85 years of age.

Scientists argue that these dangers should be clearer for patients before moving forward with the surgery decision and warn againstexpansion without controlFrom a shoulder replacement operation in younger and older patients.

Figures The number of shoulder replacements is expanding rapidly. In adults over 50 years, surgery has increased more than 5.6 times, from 1,018 cases in 1998 to 5,691 in 2016. Despite this growth, no study has reported so far the risk of a new operation.

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How the new conclusions were reached

The team of researchers based at Oxford University has used mortality and hospitalization records to calculate "accurate risk assessments of serious adverse events and the risk of revision surgery".

The study includes a little more 58,000 procedures have been carried out for nearly 52,000 adults in England between April 1998 and April 2017. The rate of serious adverse events was calculated 30 and 90 days post-operative and included large blood clots, myocardial infarction, infections and cerebrovascular attacks.

The risk of revision by age and sex is estimated at 3, 5, 10 and 15 years after surgery and during the patient's life.

More results are needed: a special focus on young people

This is an observational study and as such can not establish the cause and the researchers it can not be excluded that some unchanged factors may have affected the resultsBut they say these risks are higher than previously thought, and for some they could outweigh the potential benefits.

In addition, the authors note that younger patients, especially men, should be aware of a greater chance of premature disintegration when replacing the shoulder and the need for a more complicated operation. They suggest that all patients should be advised about the risks of serious adverse events.

Source: Well-being


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