Tags

Type your tag names separated by a space and hit enter

Complication rate and implant survival for reverse shoulder arthroplasty versus total shoulder arthroplasty: results during the initial 2 years.
J Shoulder Elbow Surg. 2016 Jun; 25(6):927-35.JS

Abstract

BACKGROUND

The use of reverse total shoulder arthroplasty (RTSA) has significantly increased in recent years. However, there is large variance in reported complication rates and sparse data on implant survival. This study used a statewide patient database to investigate complication rates and implant survival for RTSA.

METHODS

All patients undergoing RTSA or total shoulder arthroplasty (TSA) from 2011 to 2013 were identified within a statewide database. The complication and revision rates at 30 days, 90 days, 1 year, and 2 years postoperatively were determined. Potential risk factors for complications were analyzed with logistic regression, and Kaplan-Meier survival curves were used to compare implant failure.

RESULTS

During the 3-year period, 10,844 procedures (6,658 TSA; 4,186 RTSA) were found within the database. The all-cause complication rate at 90 days and 2 years postoperatively was significantly higher for RTSA (P < .001). RTSA patients had a significantly increased risk of infection (P < .05) and dislocation (P < .001) in the early and midterm postoperative course. Workers' compensation, male sex, preoperative anemia, and those aged younger than 65 years had a significantly higher risk for complications (P < .001). Although RTSA initially had a higher rate of implant failure than TSA during the early postoperative period, this rate equalized at approximately the 1-year mark.

CONCLUSION

RTSA patients had significantly higher complication rates compared with TSA patients, with identifiable risk factors for all-cause complications postoperatively and equivalent accepted implant failure at 2 years.

LEVEL OF EVIDENCE

Level III; Cross Sectional Design; Large Database Analysis.

Authors+Show Affiliations

Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.Keck School of Medicine at University of Southern California, Los Angeles, CA, USA. Electronic address: sivasund@usc.edu.Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

26796602

Citation

Villacis, Diego, et al. "Complication Rate and Implant Survival for Reverse Shoulder Arthroplasty Versus Total Shoulder Arthroplasty: Results During the Initial 2 Years." Journal of Shoulder and Elbow Surgery, vol. 25, no. 6, 2016, pp. 927-35.
Villacis D, Sivasundaram L, Pannell WC, et al. Complication rate and implant survival for reverse shoulder arthroplasty versus total shoulder arthroplasty: results during the initial 2 years. J Shoulder Elbow Surg. 2016;25(6):927-35.
Villacis, D., Sivasundaram, L., Pannell, W. C., Heckmann, N., Omid, R., & Hatch, G. F. (2016). Complication rate and implant survival for reverse shoulder arthroplasty versus total shoulder arthroplasty: results during the initial 2 years. Journal of Shoulder and Elbow Surgery, 25(6), 927-35. https://doi.org/10.1016/j.jse.2015.10.012
Villacis D, et al. Complication Rate and Implant Survival for Reverse Shoulder Arthroplasty Versus Total Shoulder Arthroplasty: Results During the Initial 2 Years. J Shoulder Elbow Surg. 2016;25(6):927-35. PubMed PMID: 26796602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complication rate and implant survival for reverse shoulder arthroplasty versus total shoulder arthroplasty: results during the initial 2 years. AU - Villacis,Diego, AU - Sivasundaram,Lakshmanan, AU - Pannell,William C, AU - Heckmann,Nathanael, AU - Omid,Reza, AU - Hatch,George F Rick,3rd Y1 - 2016/01/18/ PY - 2015/07/28/received PY - 2015/10/05/revised PY - 2015/10/18/accepted PY - 2016/1/23/entrez PY - 2016/1/23/pubmed PY - 2017/4/12/medline KW - arthroplasty KW - complications KW - database KW - shoulder KW - statewide SP - 927 EP - 35 JF - Journal of shoulder and elbow surgery JO - J Shoulder Elbow Surg VL - 25 IS - 6 N2 - BACKGROUND: The use of reverse total shoulder arthroplasty (RTSA) has significantly increased in recent years. However, there is large variance in reported complication rates and sparse data on implant survival. This study used a statewide patient database to investigate complication rates and implant survival for RTSA. METHODS: All patients undergoing RTSA or total shoulder arthroplasty (TSA) from 2011 to 2013 were identified within a statewide database. The complication and revision rates at 30 days, 90 days, 1 year, and 2 years postoperatively were determined. Potential risk factors for complications were analyzed with logistic regression, and Kaplan-Meier survival curves were used to compare implant failure. RESULTS: During the 3-year period, 10,844 procedures (6,658 TSA; 4,186 RTSA) were found within the database. The all-cause complication rate at 90 days and 2 years postoperatively was significantly higher for RTSA (P < .001). RTSA patients had a significantly increased risk of infection (P < .05) and dislocation (P < .001) in the early and midterm postoperative course. Workers' compensation, male sex, preoperative anemia, and those aged younger than 65 years had a significantly higher risk for complications (P < .001). Although RTSA initially had a higher rate of implant failure than TSA during the early postoperative period, this rate equalized at approximately the 1-year mark. CONCLUSION: RTSA patients had significantly higher complication rates compared with TSA patients, with identifiable risk factors for all-cause complications postoperatively and equivalent accepted implant failure at 2 years. LEVEL OF EVIDENCE: Level III; Cross Sectional Design; Large Database Analysis. SN - 1532-6500 UR - https://www.unboundmedicine.com/medline/citation/26796602/Complication_rate_and_implant_survival_for_reverse_shoulder_arthroplasty_versus_total_shoulder_arthroplasty:_results_during_the_initial_2_years_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1058-2746(15)00583-2 DB - PRIME DP - Unbound Medicine ER -