Abstract
Background: Thus, the purpose of the present study was to (1) characterize common postoperative complications (e.g., neurologic injury, deep surgical site infections (SSI), hardware loosening/prosthetic instability, postoperative fractures), and (2) quantify the rates of revision in patients undergoing HA to RTSA revisional surgery. We hypothesize that hardware loosenings will be the most common complication to occur in the sample, with the humeral component being the most common loosening. We also hypothesize that revision rates of RTSA following failed HA will be higher than primary RTSA.
Methods: This systematic review and meta-analysis adhered to PRISMA reporting guideline. For our inclusion criteria, we included any study that contained intraoperative and/or postoperative complication data, and reintervention rates on patients who had undergone revision RTSA due to a failed hemiarthroplasty of the shoulder. Our primary outcome for the study was to quantify the complication and re-operation rates for patients after having gone revision RTSA due to failed hemiarthroplasty. Complications include, neurologic injury, deep surgical site infections (SSI), hardware loosening/prosthetic instability, postoperative fractures (acromion, glenoid, and humeral fractures).
Results: The study contained 22 studies that assessed complications from shoulders that had revision RTSA from a hemiarthroplasty, with a total sample of 925 shoulders. As a result, we found the most common complication to occur was hardware loosenings (5.3%), and of the hardware loosenings, humeral loosenings (3.8%) were the most common compared to baseplate loosenings (1.5%). The revision rate was found to be 10.7%.
Conclusion: This systematic review found that revision RTSA for failed hemiarthroplasty has a high overall complication and re-intervention rates, specifically for hardware loosening and revision rates.
Methods: This systematic review and meta-analysis adhered to PRISMA reporting guideline. For our inclusion criteria, we included any study that contained intraoperative and/or postoperative complication data, and reintervention rates on patients who had undergone revision RTSA due to a failed hemiarthroplasty of the shoulder. Our primary outcome for the study was to quantify the complication and re-operation rates for patients after having gone revision RTSA due to failed hemiarthroplasty. Complications include, neurologic injury, deep surgical site infections (SSI), hardware loosening/prosthetic instability, postoperative fractures (acromion, glenoid, and humeral fractures).
Results: The study contained 22 studies that assessed complications from shoulders that had revision RTSA from a hemiarthroplasty, with a total sample of 925 shoulders. As a result, we found the most common complication to occur was hardware loosenings (5.3%), and of the hardware loosenings, humeral loosenings (3.8%) were the most common compared to baseplate loosenings (1.5%). The revision rate was found to be 10.7%.
Conclusion: This systematic review found that revision RTSA for failed hemiarthroplasty has a high overall complication and re-intervention rates, specifically for hardware loosening and revision rates.
| Original language | American English |
|---|---|
| Pages | 79 |
| State | Published - 22 Feb 2021 |
| Event | Oklahoma State University Center for Health Sciences Research Days 2021: Poster presentation - Oklahoma State University Center for Health Sciences Campus, Tulsa, United States Duration: 22 Feb 2021 → 26 Feb 2021 |
Conference
| Conference | Oklahoma State University Center for Health Sciences Research Days 2021 |
|---|---|
| Country/Territory | United States |
| City | Tulsa |
| Period | 22/02/21 → 26/02/21 |
Keywords
- Revision
- Reverse Total Shoulder Arthroplasty
- Complication Rates
- Hemiarthroplasty