Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan

• Published in: JSES international 2023-07, Vol.7 (4), p.642-647
• Main Authors: Inagaki, Kenta, Ochiai, Nobuyasu, Hashimoto, Eiko, Hattori, Fumiya, Hiraoka, Yu, Ise, Shohei, Shimada, Yohei, Kajiwara, Daisuke, Akimoto, Koji, Sasaki, Yasuhito, Sasaki, Yu, Takahashi, Norimasa, Fujita, Koji, Ohtori, Seiji
• Format: Article
• Language: English
• Subjects: Acromial fracture; Complication; Neurological disorder; Reverse total shoulder arthroplasty; Scapular otching; Shoulder; Survival rate
• ISSN: 2666-6383; 2666-6383
• DOI: 10.1016/j.jseint.2023.04.002

Reverse total shoulder arthroplasty (RSA) has been approved since 2014 in Japan, and the number of RSA cases has been accumulating. However, only short-to medium-term outcomes have been reported, with a small number of case series, because of its short history in Japan. This study aimed to evaluate complications after RSA in hospitals affiliated with our institute, with comparison to those in other countries. A multicenter retrospective study was performed at 6 hospitals. In total, 615 shoulders (mean age: 75.7 ± 6.2 years; mean follow-up: 45.2 ± 19.6 months) with at least 24 months of follow-up were included in this study. The active range of motion was assessed pre-and postoperatively. The 5-year survival rate was evaluated for reoperation for any reason in 137 shoulders with at least 5 years of follow-up using Kaplan–Meier analysis. Postoperative complications were evaluated, including dislocation; prosthesis failure; deep infection; periprosthetic, acromial, scapular spine, and clavicle fractures; neurological disorders; and reoperation. Furthermore, imaging assessments, including scapular notching, prosthesis aseptic loosening, and heterotopic ossification were evaluated on postoperative radiography at the final follow-up. All range of motion parameters were significantly improved postoperatively (P