Quantifying success after first revision reverse total shoulder arthroplasty: the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state

Hao, Kevin A.; Hones, Keegan M.; O’Keefe, Daniel S.; Saengchote, Supreeya A.; Burns, Mark A.; Wright, Jonathan O.; Wright, Thomas W.; Farmer, Kevin W.; Struk, Aimee M.; Simovitch, Ryan W.; Schoch, Bradley S.; King, Joseph J.

doi:10.1016/j.jse.2023.03.032

Cited by 10 publications

(1 citation statement)

References 32 publications

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“…The main strength of the present study is that this assumption has been proven subjectively through the SSV score and objectively through the Constant score. Moreover, Hao et al [26] recently established that the minimal clinical important difference for Constant score after aseptic revision is 12.6 points. In the present study, the PJI group showed an improvement of 24 points.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Two-Stage Exchange Arthroplasty for Periprosthetic Reverse Shoulder Arthroplasty Infection Provides Comparable Functional Outcomes to Primary Reverse Shoulder Arthroplasty

Saccomanno,

Lädermann,

Collin

2024

JCM

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This study aimed to compare functional outcomes after two-stage revision reverse shoulder arthroplasty (RSA) for periprosthetic joint infection (PJI) with the results of primary RSA. Patients affected by PJI and treated by means of two-stage revision RSA were 1:1 matched with a group of patients who were treated electively with RSA without developing any complications. Out of 1477 RSAs performed between 2009 and 2021, 16 patients developed a PJI. Each matched cohort comprised 16 patients (3 females, 13 males). The mean age was 69.13 ± 5.43 years old in the PJI group and 70.28 ± 5.04 (p = 0.543) in the matched cohort. The mean follow-up was 41.23 ± 26.9 months in the PJI group and 28.5 ± 20.2 (p = 0.142) in the matched group. Only one patient showed recurrent PJI five years after revision RSA. Comparison between the PJI patients and matched patients did not show any significant differences at the latest follow-up, nor for subjective shoulder value (SSV) (p = 0.101) or Constant score (p = 0.134). Two-stage exchange RSA for PJI allows for appropriate control of the disease and good functional outcomes. Comparison with an age- and sex-matched cohort of uninfected patients showed no significant differences, thus confirming the idea that revision surgeries may lead to satisfactory functional outcomes, as expected after primary surgery.

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Section: Strengths and Limitationsmentioning

confidence: 99%