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Revision shoulder hemiarthroplasty and total shoulder arthroplasty a systematic review and meta-analysis.

Title: Revision shoulder hemiarthroplasty and total shoulder arthroplasty a systematic review and meta-analysis.
Authors: Davies, A
Selmi, H
Sabharwal, S
Vella-Baldacchino, M
Liddle, AD
Reilly, P
Item 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.
Issue Date: 26-Apr-2022
Date of Acceptance: 2-Apr-2022
URI: http://hdl.handle.net/10044/1/101136
DOI: 10.1177/24715492221095991
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).
Publication Status: Published online
Conference Place: United States
Online Publication Date: 2022-04-26
Appears in Collections:Bioengineering

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