Journal article
Outcomes and complications of primary reverse shoulder arthroplasty with minimum of 2 years’ follow-up: a systematic review and meta-analysis
Journal of shoulder and elbow surgery, Vol.31(11), pp.e534-e544
11/2022
DOI: 10.1016/j.jse.2022.06.005
PMID: 35870805
Abstract
Primary reverse shoulder arthroplasty (rTSA) is an effective treatment option for reducing pain and improving function for patients with rotator cuff tear arthropathy, irreparable rotator cuff tears, glenoid deformity, and other challenging clinical scenarios, including fracture sequelae and revision shoulder arthroplasty. There has been a wide range of reported outcomes and postoperative complication rates reported in the literature. The purpose of this systematic review and meta-analysis is to provide an updated review of the clinical outcomes and complication rates following primary rTSA.
A systematic review and meta-analysis was performed to evaluate outcomes and complications following primary rTSA according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Demographics, range of motion, patient-reported outcome measures (American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form [ASES] and Constant scores), number of complications, and revisions were extracted, recorded, and analyzed from the included articles.
Of the 1415 studies screened, 52 studies met the inclusion criteria comprising a total of 5824 shoulders. The mean age at the time of surgery was 72 years (range: 34-93), and the mean follow-up was 3.9 years (range: 2-16). Patients demonstrated a mean improvement of 56° in active flexion, 50° in active abduction, and 14° in active external rotation. Regarding functional outcome scores, rTSA patients demonstrated a mean clinically significant improvement of 37 in Constant score (minimal clinically important difference [MCID] = 5.7) and ASES score (42.0; MCID = 13.6). The overall complication rate for rTSA was 9.4% and revision rate of 2.6%. Complications were further subdivided into major medical complications (0.07%), shoulder- or surgical-related complications (5.3%), and infections (1.2%). The most frequently reported shoulder- or surgical-related complications were scapular notching (14.4%), periprosthetic fracture (0.8%), glenoid loosening (0.7%), and prosthetic dislocation (0.7%).
Primary rTSA is a safe and reliable procedure with low complication, revision, infection, and scapular notching rates. Additionally, patients demonstrated clinically significant improvements in both range of motion and clinical outcome scores.
Details
- Title: Subtitle
- Outcomes and complications of primary reverse shoulder arthroplasty with minimum of 2 years’ follow-up: a systematic review and meta-analysis
- Creators
- Joseph W. Galvin - Madigan Army Medical CenterRyan Kim - Boston University School of MedicineAlexander Ment - University of ConnecticutJoseph Durso - Madigan Army Medical CenterPatrick M.N. Joslin - Boston University School of MedicineJacie L. Lemos - Stanford UniversityDavid Novikov - Boston University School of MedicineEmily J. Curry - Boston University School of MedicineMaxwell C. Alley - Boston University School of MedicineStephen A. Parada - Augusta UniversityJosef K. Eichinger - Medical University of South CarolinaXinning Li - Boston University School of Medicine
- Resource Type
- Journal article
- Publication Details
- Journal of shoulder and elbow surgery, Vol.31(11), pp.e534-e544
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jse.2022.06.005
- PMID
- 35870805
- ISSN
- 1058-2746
- eISSN
- 1532-6500
- Language
- English
- Date published
- 11/2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618525302771
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