Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Abstract Background The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared...

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Bibliographic Details
Published in:Journal of orthopaedics 2018-12, Vol.15 (4), p.922-926
Main Authors: Kim, Kelvin, Elbuluk, Ameer, Jia, Nathan, Osmani, Feroz, Levieddin, Joseph, Zuckerman, Joseph, Virk, Mandeep
Format: Article
Language:English
Subjects:
Infection
Orthopedics
Patient-reported outcomes
Reverse shoulder arthroplasty
Revision shoulder arthroplasty
Rotator cuff tear
Total shoulder arthroplasty
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Summary:Abstract Background The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication. Results EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES. Conclusions Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.
ISSN:0972-978X
0972-978X
DOI:10.1016/j.jor.2018.08.030