Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Guy, Cameron R.; Schoch, Bradley S.; Frantz, Robert P.; Wright, Thomas W.; Struk, Aimee M.; Farmer, Kevin W.; King, Joseph J.

doi:10.1016/j.jseint.2021.11.012

Cited by 11 publications

(6 citation statements)

References 57 publications

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“…While minimally invasive arthroscopic procedures have become commonplace for many shoulder surgeries, including rotator cuff repairs, remplissage, and bony resections, the demand for shoulder arthroplasty has been increasing in recent years and is projected to increase ninefold between 2011 and 2030 [7] . Furthermore, rTSA is expected to be used in an increasing proportion of shoulder arthroplasties compared to hemiarthroplasty [7,8] . In addition to its indications in glenohumeral disease with rotator cuff insufficiency, rTSA has also been shown to be an effective treatment for less common etiologies of shoulder disease, including chronic glenohumeral instability and chronic locked shoulder dislocation [9,10] .…”

Section: Introductionmentioning

confidence: 99%

Indications for reverse total shoulder arthroplasty in chronic locked shoulder dislocation: A case report and review of literature

Pasquinelly¹,

Williams²,

Sohn³

2023

Int. J. Case Rep. Orthop.

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Reverse total shoulder arthroplasty (rTSA) is typically indicated for severe glenohumeral disease with concomitant rotator cuff insufficiency, though sparse evidence suggests positive outcomes with its use in chronic shoulder dislocation as well. We present the case of a 51-year-old male with a chronic locked anterior glenohumeral dislocation for 7 months and associated rotator cuff tear, massive engaging Hill Sachs lesion, and Bankart lesion. Several attempts at both arthroscopic and open joint repair failed, and the patient was ultimately successfully treated with rTSA. The chronicity of this patient's dislocation and severity of concomitant articular defects put him at high risk of failing native joint repair, and while these operations were still attempted, the operative surgeon would recommend rTSA first if presented with this case again. The authors believe this case lends support to the use of rTSA as a primary operative intervention in patients with chronic locked glenohumeral dislocation, though further prospective research is needed to better support this recommendation.

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Section: Introductionmentioning

confidence: 99%

Indications for reverse total shoulder arthroplasty in chronic locked shoulder dislocation: A case report and review of literature

Pasquinelly¹,

Williams²,

Sohn³

2023

Int. J. Case Rep. Orthop.

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“…1 The North American literature on shoulder arthroplasty is isolated to some areas in the USA, organized by either healthcare insurance providers or at a single centre. 3,[16][17][18][19][20] Given the lack of overall recent long-term registry literature in shoulder arthroplasty, in addition to the paucity of any Canadian data, the aim of this study is to evaluate the change in incidence rate of shoulder arthroplasty, the use of shoulder arthroplasty for specific indications, and the surgeon volume trends associated with these procedures, between the inception of the database (January 2003) and 2021 in the Maritime Province of Nova Scotia, Canada.…”

Section: Introductionmentioning

confidence: 99%

Trends in prevalence and implant types in the Nova Scotia Joint Database Registry between 2005 and 2021

et al. 2023

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AimsThe aim of this study is to evaluate the change in incidence rate of shoulder arthroplasty, indications, and surgeon volume trends associated with these procedures between January 2003 and April 2021 in the province of Nova Scotia, Canada.MethodsA total of 1,545 patients between 2005 and 2021 were analyzed. Patients operated on between 2003 and 2004 were excluded due to a lack of electronic records. Overall, 84.1% of the surgeries (n = 1,299) were performed by two fellowship-trained upper limb surgeons, with the remainder performed by one of the 14 orthopaedic surgeons working in the province.ResultsTotal shoulder arthroplasty (TSA) was the most frequent procedure (32.17%; n = 497), followed by stemmed hemiarthroplasty (SHA) (27.7%; n = 428). The most frequent indication for primary shoulder arthroplasty was degenerative osteoarthritis (58.1%; n = 882), followed by acute proximal humerus fracture in 15.11% (n = 245), and rotator cuff arthropathy in 14.18% (n = 220). The overall rate of revision was 7.7% (2.8% to 11.2%). The number of TSAs and reverse shoulder arthroplasties (RSAs) has been increasing since 2016. The amount of revision cases is proportional to the number of operations performed in the same year throughout the study period.ConclusionThe incidence of shoulder arthroplasty in the Maritime Provinces has increased over the last 16 years. Revision rates are similar the those found in other large database registries. Reverse shoulder arthroplasty prevalence has increased since 2016.Cite this article: Bone Jt Open 2023;4(8):567–572.

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“…The incidence of reverse total shoulder arthroplasty (RTSA) has been increasing since 2012 [1]. With this increase, indications to perform RTSA have expanded, and patients under 60 years old may have failed rotator cuff repair or degenerative joint disease with glenoid deformity where RTSA may be indicated [2,3]. Overall, it has been shown that younger patients who undergo RTSA show greater improvements in postoperative measurements of range of motion (ROM), American Shoulder and Elbow Surgeons Shoulder Score (ASES), simple shoulder test (SST), and overall satisfaction and function compared to patients older than 65 [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…A recently published review pointed out that younger patients may experience less satisfaction in clinical outcomes following RTSA, possibly due to expectations of higher functional levels post-operatively [9]. Guy et al described how patients had similar ROM post-operatively regardless of age; however, younger patients in their cohort had lower ASES and SST scores [3]. Additionally, it has been shown that various risk factors have predicted worse outcomes following RTSA, including opioid use prior to surgery, history of depression, proximal humerus fracture, and history of prior ipsilateral shoulder surgery [10,11].…”

Section: Introductionmentioning

confidence: 99%

Reverse Shoulder Arthroplasty Patients Younger Than 60 Years Old Exhibit Lower Clinically Significant Single Assessment Numeric Evaluation (SANE) Scores Compared to Older Patients

Stewart,

Hawthorne,

Dorsey

et al. 2023

Cureus

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Introduction: The incidence of reverse shoulder arthroplasty (RTSA) in the United States has increased. Patients under 60 years old with failed rotator cuff repairs or degenerative joint disease with glenoid deformity may be candidates for RTSA and contribute to this increase. The single assessment numeric evaluation (SANE) score is a reliable post-operative scoring technique when compared with other postoperative measures. This study aimed to compare the effect of age on the likelihood of reaching clinically significant SANE scores following RTSA.Methods: A multicenter retrospective review was performed with a consecutive series of RTSA from December 2015 to September 2021. Patients were stratified into groups based on their age at the time of operation: (1) less than 60 years old, (2) 60-69 years old, (3) 70-79 years old, and (3) greater than 80 years old. The proportions of patients in all cohorts reaching and surpassing clinically significant thresholds at each visit were determined. Likelihood ratios were determined for each age cohort to compare the likelihood of reaching clinically significant SANE scores.Results: A total of 292 of 885 (33%) patients had completed survey data over two years and were included in the study. The 70-79-year-old group was 3.152 (p=.035) times more likely to achieve minimal clinically important difference (MCID) and 2.125 (p=.048) times more likely to achieve patient-acceptable symptomatic state (PASS) compared with patients <60 years old. The cohort who was 80+ years old was also 4.867 (p=.045) times more likely to achieve MCID compared to the <60-year-old cohort. The <60 cohort had the lowest proportion of all patient cohorts achieving MCID.Conclusion: A lower proportion of patients younger than 60 years old undergoing RTSA achieved clinically significant post-operative SANE scores. The 70-79-year-old age group was more likely to reach MCID and PASS, and the patients who were 80+ years old were more likely to reach MCID compared to patients younger than 60 years old.

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Revision reverse total shoulder arthroplasty in patients 65 years old and younger: outcome comparison with older patients

Cited by 11 publications

References 57 publications

Indications for reverse total shoulder arthroplasty in chronic locked shoulder dislocation: A case report and review of literature

Indications for reverse total shoulder arthroplasty in chronic locked shoulder dislocation: A case report and review of literature

Trends in prevalence and implant types in the Nova Scotia Joint Database Registry between 2005 and 2021

Reverse Shoulder Arthroplasty Patients Younger Than 60 Years Old Exhibit Lower Clinically Significant Single Assessment Numeric Evaluation (SANE) Scores Compared to Older Patients

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