Previous Rotator Cuff Repair is Associated with Inferior Clinical Outcomes after Reverse Total Shoulder Arthroplasty

Shields, Edward; Koueiter, Denise M.; Maerz, Tristan; Schwark, Adam; Wiater, J. Michael

doi:10.1016/j.jse.2018.02.011

Cited by 7 publications

(10 citation statements)

References 22 publications

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“…These observations add on to current, yet limited, evidence showing prior arthroscopic surgery of the shoulder to be associated with inferior outcomes after index arthroplasty. [13][14][15] Furthermore, on the basis of our findings, it appears that allowing a 3-month delay between the arthroscopy and subsequent arthroplasty is effective in mitigating the risk of experiencing a prosthetic joint infection.…”

Section: Discussionmentioning

confidence: 61%

Undergoing an Arthroscopic Procedure Prior to Shoulder Arthroplasty is Associated With Greater Risk of Prosthetic Joint Infection

Malik

Morris

Bishop

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionmentioning

confidence: 61%

Undergoing an Arthroscopic Procedure Prior to Shoulder Arthroplasty is Associated With Greater Risk of Prosthetic Joint Infection

Malik

Morris

Bishop

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…A growing amount of literature continues to support the use of RTSA to treat patients who have previously undergone RCR with persistent pain and shoulder dysfunction. 13,26 Erickson et al 13 recently reported significant improvements in patientreported outcome measures at 2 years after RTSA in patients who had previously undergone RCR and concluded that a previous RCR does not appear to adversely affect the early outcome after RTSA. Therefore, when faced with a patient who has Medicare and whose RCR has clinically failed, it is likely becoming increasingly common to perform an RTSA compared with a revision RCR and thus important to study as an endpoint when examining RCR outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Staged, Bilateral Arthroscopic Primary Rotator Cuff Repair Timing and Postoperative Complications

Cancienne¹,

Denard²,

Garrigues

et al. 2021

Am J Sports Med

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Background: Although previous studies have reported acceptable clinical outcomes after simultaneous, single-stage bilateral and staged bilateral rotator cuff repair (RCR), few studies have been adequately powered to compare postoperative complication rates at various time intervals between procedures. Purpose: To examine the relationship between the timing of bilateral arthroscopic RCR and complications. Study Design: Descriptive epidemiology study. Methods: Patients from the Medicare data set within the PearlDiver database who underwent bilateral RCR between 2005 and 2014 were identified. These patients were then stratified by time between surgeries into cohorts: (1) single stage, (2) <3 months, (3) 3 to 6 months, (4) 6 to 9 months, (5) 9 months to 1 year, and (6) 1 to 2 years. Surgical and medical complications of these cohorts were compared with those of a control cohort of patients who underwent bilateral RCR >2 years apart using a regression analysis. Results: A total of 11,079 patients who underwent bilateral RCR were identified. Patients who underwent single-stage bilateral arthroscopic RCR experienced higher rates of revision RCR (odds ratio [OR], 2.1; P < .0001), reverse total shoulder arthroplasty (RTSA) (OR, 2.47; P < .0001), and postoperative infection (OR, 2.18; P = .007) in addition to higher rates of venous thromboembolism (VTE) (OR, 1.78; P = .031) and emergency department visits (OR, 1.51; P = .002) compared with the control group. Patients who underwent bilateral RCR with a <3-month interval had higher rates of revision surgery (OR, 1.56; P = .003), RTSA (OR, 1.89; P = .002), and lysis of adhesions (OR, 2.31; P < .0001) in addition to increased rates of VTE (OR, 1.92; P = .015) and emergency department visits (OR, 1.62; P < .0001) compared with the control group. There were no differences in any surgical or medical complications when surgeries were staged by ≥3 months compared with controls. Conclusion: Patients with Medicare undergoing single-stage and staged bilateral RCR who had the second repair within 3 months had significantly higher rates of multiple medical and surgical complications compared with patients waiting >2 years between procedures.

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“…13,14 The average ASES score following RSA had a larger standard deviation at both one and two years postoperatively. Additionally, our RSA population had a larger variation of primary diagnosis, which included massive rotator cuff tears, 18–20 and a higher proportion of patients that were receiving preoperative narcotics 21–24 —both of which are known contributors to lower outcome scores.…”

Section: Discussionmentioning

confidence: 99%

Reassessing the minimum two-year follow-up standard after total shoulder arthroplasty—Is one year sufficient?

et al. 2020

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Background US Food and Drug Administration Investigation Device Exemption studies and academic journals emphasize the importance of two-year follow-up data in reporting outcomes of total shoulder arthroplasty, but there is limited data evaluating appropriate follow-up length. We aim to evaluate change in postoperative outcomes and complications between one and two years following anatomic and reverse total shoulder arthroplasties. Methods We retrospectively identified 250 patients who underwent anatomic and reverse total shoulder arthroplasties between 2013 and 2016 from a single surgeon arthroplasty registry. Patients without both one- and two-year follow-up data were excluded. We compared American Shoulder and Elbow Surgeons (ASES) score, Visual Analog Scale for pain, and goniometer-measured range of motion. Results Patient-reported outcome measurements ( p > 0.05) did not change between one and two years postoperatively following both reverse ( n = 146) and anatomic ( n = 104) total shoulder arthroplasties. Range of motion increased slightly ( p < 0.05), but this change was not clinically relevant. There were no additional complications. Discussion Minimum two-year clinical follow-up may not be necessary for future shoulder arthroplasty Investigation Device Exemption and other peer-reviewed investigations. Patient-reported outcomes (ASES and pain score) and range of motion plateau at one year postoperatively without additional complications. One-year follow-up is an acceptable minimum follow-up length. Level of evidence Level III—retrospective analysis.

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Previous Rotator Cuff Repair is Associated with Inferior Clinical Outcomes after Reverse Total Shoulder Arthroplasty

Cited by 7 publications

References 22 publications

Undergoing an Arthroscopic Procedure Prior to Shoulder Arthroplasty is Associated With Greater Risk of Prosthetic Joint Infection

Undergoing an Arthroscopic Procedure Prior to Shoulder Arthroplasty is Associated With Greater Risk of Prosthetic Joint Infection

The Relationship of Staged, Bilateral Arthroscopic Primary Rotator Cuff Repair Timing and Postoperative Complications

Reassessing the minimum two-year follow-up standard after total shoulder arthroplasty—Is one year sufficient?

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