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Title

Failure of Anatomic Total Shoulder Arthroplasty with Revision to Another Anatomic Total Shoulder Arthroplasty

Year: 1398
COI: JR_TABO-7-1_005
Language: EnglishView: 164
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Authors

Mihir Sheth - Sidney Kimmel Medical College, Thomas Jefferson University Hospitals. Philadelphia, PA, USA
Daniel Sholder - Rothman Institute, Thomas Jefferson University Hospitals, Philadelphia, PA, USA
Eric M. Padegimas - Department of Orthopaedic Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA, USA
Thema A. Nicholson - Rothman Institute, Thomas Jefferson University Hospitals, Philadelphia, PA, USA

Abstract:

Background: While outcomes of primary anatomic total shoulder arthroplasty (aTSA) are generally favorable, resultsafter revision procedures are less reliable. This study examines the functional outcomes, complications, and implantsurvival in patients who underwent revision of aTSA to aTSA.Methods: Patients who underwent revision aTSA were identified from 2008-2015. Demographic, clinical, surgical,and outcomes data were analyzed. Patient-reported outcomes including the American Shoulder and Elbow SurgeonsScore (ASES), Single Assessment Numerical Evaluation (SANE), Visual Analog Scale for pain (VAS), the Short Form-12 Health Survey (SF-12), and patient satisfaction were recorded.Results: Twenty patients underwent revision from a primary aTSA to aTSA (55% male, 62.0±6.8 years-old). RevisionaTSA occurred at 2.5±3.4 years after index surgery. Seven (35%) required future revision at 1.8±1.9 years after revisionaTSA. Among the 13 patients who did not undergo revision, twelve (92.3%) had over two-year follow-up (4.0±2.4years). Average ASES score was 70.1±23.5, SANE 66.0±29.4, VAS 2.7±3.0, SF-12 Mental 52.4±10.5, SF-12 Physical36.8±8.9, and satisfaction of 3.6±1.2.Conclusion: Results of revision aTSA to aTSA were unpredictable and the revision rate was high. The cases that donot undergo revision had satisfactory, but inconsistent functional results. Reverse arthroplasty may be more reliable inthis patient population.Level of evidence: IV

Keywords:

Anatomic Total Shoulder Arthroplasty , Complications , Reoperations , Revision Shoulder Arthroplasty

Paper COI Code

This Paper COI Code is JR_TABO-7-1_005. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/891209/

How to Cite to This Paper:

If you want to refer to this Paper in your research work, you can simply use the following phrase in the resources section:
Sheth, Mihir and Sholder, Daniel and Padegimas, Eric M. and Nicholson, Thema A.,1398,Failure of Anatomic Total Shoulder Arthroplasty with Revision to Another Anatomic Total Shoulder Arthroplasty,https://civilica.com/doc/891209

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