Universität zu Köln

Leschinger, Tim ORCID: 0000-0003-1319-6949, Raiss, Patric, Loew, Markus and Zeifang, Felix (2017). Total shoulder arthroplasty: risk factors for intraoperative and postoperative complications in patients with primary arthritis. J. Shoulder Elbow Surg., 26 (3). S. E71 - 7. NEW YORK: MOSBY-ELSEVIER. ISSN 1058-2746

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Abstract

Background: This study evaluated and identified risk factors for the development of intraoperative and postoperative surgical complications in total shoulder arthroplasty in patients with primary osteoarthritis. Methods: We evaluated patient-specific factors, including age, sex, body mass index, prior nonarthroplasty surgery, smoking, alcohol consumption, and the American Society of Anesthesiologists (ASA) Physical Status Classification System in 275 patients (76 men, 199 women) with an average age of 68 years (range, 51-85 years). We categorized the number and severity of all complications and correlated these results with the patient-specific factors Results: Twenty-seven complications (9.8%) in 275 shoulder arthroplasties were recorded. We identified 22 patients (8%) with category I complications and 5 (2.8%) with category II complications. Patients with an ASA score of 3 showed an increased likelihood of having a surgical complication compared with the control group withASAscores of 1 and 2 (odds ratio, 4.28; 95% confidence interval, 1.79-10.20; P < 01). Smokers were more prone to surgical complications than nonsmokers (odds ratio, 5.08; 95% confidence interval, 1.96-13.11; P =.02). Conclusion: Surgical complication rates after anatomic total shoulder arthroplasty in patients with primary osteoarthritis correlate with the patient's overall health status and nicotine consumption. This may be useful for predicting the likelihood of surgical complications and may thus prove important for clinicians to better assess and explain possible risks before surgery. Level of evidence: Level IV; Case Series; Treatment Study (C) 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Leschinger, Tim UNSPECIFIED orcid.org/0000-0003-1319-6949 UNSPECIFIED Raiss, Patric UNSPECIFIED UNSPECIFIED UNSPECIFIED Loew, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Zeifang, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-238085
DOI:	10.1016/j.jse.2016.08.001
Journal or Publication Title:	J. Shoulder Elbow Surg.
Volume:	26
Number:	3
Page Range:	S. E71 - 7
Date:	2017
Publisher:	MOSBY-ELSEVIER
Place of Publication:	NEW YORK
ISSN:	1058-2746
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASA PHYSICAL STATUS; HUMERAL HEAD REPLACEMENT; PERIPROSTHETIC FRACTURES; INCREASED REVISION; CIGARETTE-SMOKING; HIP; CLASSIFICATION; OUTCOMES; DISLOCATION; CONSISTENCY Multiple languages Orthopedics; Sport Sciences; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23808