Complications And Reinterventions In Reverse Total Shoulder Arthroplasty: Report Of 854 Primary Cases

Kriechling, Philipp; Loucas, Rafael; Loucas, Marios; Fleischmann, M; Zaleski, Martin; Wieser, Karl

doi:10.1016/j.jse.2022.01.079

Cited by 2 publications

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“…The old principle of making a revision look like a primary procedure is a good one, and we must be wary of accelerating up the reconstruction ladder in any situation in arthroplasty surgery, with the risk of later consequences, be that when using long cementless stems and large cups in the hip, or with stems or constrained implants in the knee, or indeed with reverse shoulder arthroplasty, and constrained implants in other joints. 19,20 Arthroplasty continues to evolve. The technology for evaluating the position of implants is progressing at a dramatic rate.…”

Section: Bone Loss: Still Seeking Solutionsmentioning

confidence: 99%

Bone loss: still seeking solutions

Haddad

2022

The Bone & Joint Journal

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Section: Bone Loss: Still Seeking Solutionsmentioning

confidence: 99%

Bone loss: still seeking solutions

Haddad

2022

The Bone & Joint Journal

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“…the rates of reverse total shoulder arthroplasty (rtsa) for glenohumeral osteoarthritis and rotator cuff arthropathy have burgeoned since the 21st century. 1 in 2020, rtsa accounted for more than 80% of all primary shoulder arthroplasties performed in australia. 2 However, acquired glenoid bone loss and deformity is encountered in up to 40% of patients undergoing shoulder arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Management of glenoid bone loss in primary reverse shoulder arthroplasty

Wilcox

Campbell

Low

et al. 2022

The Bone & Joint Journal

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Aims Rates of reverse total shoulder arthroplasty (rTSA) continue to grow. Glenoid bone loss and deformity remains a technical challenge to the surgeon and may reduce improvements in patients’ outcomes. However, there is no consensus as to the optimal surgical technique to best reconstruct these patients’ anatomy. This review aims to compare the outcomes of glenoid bone grafting versus augmented glenoid prostheses in the management of glenoid bone loss in primary reverse total shoulder arthroplasty. Methods This systematic review and meta-analysis evaluated study-level data in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. We performed searches of Medline (Ovid), Embase (Ovid), and PubMed from their dates of inception to January 2022. From included studies, we analyzed data for preoperative and postoperative range of motion (ROM), patient-reported functional outcomes, and complication rates. Results A total of 13 studies (919 shoulders) were included in the analysis. The mean age of patients at initial evaluation was 72.2 years (42 to 87), with a mean follow-up time of 40.7 months (24 to 120). Nine studies with 292 rTSAs evaluated the use of bone graft and five studies with 627 rTSAs evaluated the use of augmented glenoid baseplates. One study was analyzed in both groups. Both techniques demonstrated improvement in patient-reported outcome measures and ROM assessment, with augmented prostheses outperforming bone grafting on improvements in the American Shoulder and Elbow Surgeons Score. There was a higher complication rate (8.9% vs 3.5%; p < 0.001) and revision rate among the bone grafting group compared with the patients who were treated with augmented prostheses (2.4% vs 0.6%; p = 0.022). Conclusion This review provides strong evidence that both bone graft and augmented glenoid baseplate techniques to address glenoid bone loss give excellent ROM and functional outcomes in primary rTSA. The use of augmented base plates may confer fewer complications and revisions. Cite this article: Bone Joint J 2022;104-B(12):1334–1342.

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Complications And Reinterventions In Reverse Total Shoulder Arthroplasty: Report Of 854 Primary Cases

Cited by 2 publications

References 0 publications

Bone loss: still seeking solutions

Bone loss: still seeking solutions

Management of glenoid bone loss in primary reverse shoulder arthroplasty

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