Trends in outcomes following aseptic revision shoulder arthroplasty.

Autor: Stauffer TP; School of Medicine, Duke University Hospital, Duke University, 40 Duke Medicine Circle, Durham, NC, 27710, USA. taylor.stauffer@duke.edu., Goltz DE; Division of Orthopedic Surgery, Duke University, Durham, NC, USA., Wickman JR; Division of Orthopedic Surgery, Duke University, Durham, NC, USA., Levin JM; Division of Orthopedic Surgery, Duke University, Durham, NC, USA., Lassiter TE; Division of Orthopedic Surgery, Duke University, Durham, NC, USA., Anakwenze OA; Division of Orthopedic Surgery, Duke University, Durham, NC, USA., Klifto CS; Division of Orthopedic Surgery, Duke University, Durham, NC, USA.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 Oct; Vol. 33 (7), pp. 3025-3031. Date of Electronic Publication: 2023 Mar 25.
DOI: 10.1007/s00590-023-03524-y
Abstrakt: Purpose: As the incidence of anatomic and reverse total shoulder arthroplasty (TSA, RSA) increases, revision procedures will also increase with a corresponding need for counseling patients regarding outcomes. We hypothesized that different revision categories would have different complication profiles depending on both the indication as well as the nature of the prior hardware.
Methods: A retrospective review of 1773 cases performed at a single tertiary health system utilized case postings and diagnoses to identify revision shoulder arthroplasty cases. Revisions were classified based on the prior hardware present, with basic demographics and other perioperative and postoperative outcomes recorded within the limits of available follow-up.
Results: 166 surgical cases involving revision of prior shoulder arthroplasty metal hardware were identified with an average follow-up of 1.0 years. Immediate perioperative outcomes of revision cases were similar relative to the companion cohort of 1607 primary cases. 137 cases (83%) required no further revision surgery, while 19 cases (11%) underwent aseptic revision, and 10 cases (6%) were revised for periprosthetic infection. RSA hardware revised to another RSA had the highest repeat revision rate relative to the other revision categories (32% vs < 14%).
Conclusions: Revision of reverse shoulder arthroplasty to a repeat reverse has the highest rate of subsequent all-cause revision, and these repeat revisions often occurred for periprosthetic infection. Despite a relatively high long-term complication rate following revision shoulder arthroplasty, immediate perioperative outcomes remain similar to primary cases, providing some preliminary evidence for policymakers considering inclusion in future value-based care models.
Level of Evidence: Level III Treatment Study.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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