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Revision shoulder hemiarthroplasty and total shoulder arthroplasty a systematic review and meta-analysis.
File(s)
Author(s)
Davies, Andrew
Selmi, Hussain
Sabharwal, Sanjeeve
Vella-Baldacchino, Martinique
Liddle, Alex D
Type
Journal Article
Abstract
The number of shoulder replacements performed each year continues to increase, and the need for revision replacements has grown accordingly. The outcome of a revision replacement may influence which primary implant is selected and the timing of primary surgery, particularly in younger patients. The aim of this study was to establish the expected improvement in shoulder function and implant survival following revision of a hemiarthroplasty and revision of an anatomical total shoulder arthroplasty (TSA). A systematic review and meta-analysis were performed of all studies reporting shoulder scores or implant survival following revision hemiarthroplasty or revision TSA. MEDLINE, EMBASE, CENTRAL, The Cochrane Database of Systematic Reviews and National Joint Registry reports were searched. 15 studies were included, reporting on 593 revision anatomical shoulder replacements. There was large variation in the magnitude of improvement in shoulder scores following revision surgery. Over 80% of revision replacements last 5 years and over 70% last 10 years. There was no significant difference in shoulder scores or implant survival according to the type of primary implant. The belief that revision of a shoulder hemiarthroplasty may lead to improved outcomes compared to revision of a TSA is not supported by the current literature.
Date Issued
2022-04-26
Date Acceptance
2022-04-02
Citation
Journal of Shoulder and Elbow Arthroplasty, 2022, 6, pp.1-8
URI
URL
DOI
ISSN
2471-5492
Publisher
SAGE Publications
Start Page
1
End Page
8
Journal / Book Title
Journal of Shoulder and Elbow Arthroplasty
Volume
6
Copyright Statement
© The Author(s) 2022. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution
of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/enus/nam/open-access-at-sage).
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35692902
PII: 10.1177_24715492221095991
Subjects
arthroplasty
patient reported outcome measures
replacement
revision
shoulder
shoulder scores
survival
Publication Status
Published online
Coverage Spatial
United States
Date Publish Online
2022-04-26