Primary reverse total shoulder arthroplasty for fractures requires more revisions than for degenerative conditions 1 year after surgery: an analysis from the Dutch Arthroplasty Register

• Published in: Journal of shoulder and elbow surgery 2023-12, Vol.32 (12), p.2508-2518
• Main Authors: Spek, Reinier W.A., Spekenbrink-Spooren, Anneke, Vanhommerig, Joost W., Jonkman, Nini, Doornberg, Job N., Jaarsma, Ruurd L., Jutte, Paul C., van der Veen, Hugo C., van Noort, Arthur, van den Bekerom, Michel P.J.
• Format: Article
• Language: English
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1016/j.jse.2023.05.013

BACKGROUNDAlthough reverse total shoulder arthroplasty (RTSA) is considered a viable treatment strategy for proximal humeral fractures, there is an ongoing discussion of how its revision rate compares with indications performed in the elective setting. First, this study evaluated whether RTSA for fractures conveyed a higher revision rate than RTSA for degenerative conditions (osteoarthritis, rotator cuff arthropathy, rotator cuff tear, or rheumatoid arthritis). Second, this study assessed whether there was a difference in patient-reported outcomes between these 2 groups following primary replacement. Finally, the results of conventional stem designs were compared with those of fracture-specific designs within the fracture group.MATERIALS AND METHODSThis was a retrospective comparative cohort study with registry data from the Netherlands, generated prospectively between 2014 and 2020. Patients (aged ≥ 18 years) were included if they underwent primary RTSA for a fracture (