Universität zu Köln

Knowles, Nikolas K., Columbus, Melanie P., Wegmann, Kilian, Ferreira, Louis M. and Athwal, George S. (2020). Revision shoulder arthroplasty: a systematic review and comparison of North American vs. European outcomes and complications. J. Shoulder Elbow Surg., 29 (5). S. 1071 - 1083. NEW YORK: MOSBY-ELSEVIER. ISSN 1058-2746

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Abstract

Background: Joint registries provide invaluable data on primary arthroplasties with revision as the endpoint; however, the revision outcomes are often excluded. Therefore, a PROSPERO registered review (CRD42015032531) of all revision studies in North America and Europe was conducted to evaluate demographics, etiologies and indications, implant manufacturer, and complications by geographic region. Methods: The MEDLINE, EMBASE, and CENTRAL databases were searched for revision arthroplasty clinical studies with a minimum mean 24-month follow-up. There were no language exclusions. Articles published in German, French, and Italian were reviewed by research personnel proficient in each language. Results: The mean age at revision was 66 +/- 5 years (male = 759, female = 1123). The male-female ratio in North American and Europeans studies was 43:57 and 34:66, respectively. The most common etiology for primary surgery in both regions was osteoarthritis or glenoid arthrosis (38%). The most common revision indication overall was rotator cuff tear, deficiency, or arthropathy (26%). The most common implant type used in revisions was a reverse shoulder arthroplasty (54%). The complication rate for all revisions was 17%. There were a total of 465 complications, and of those, 74% lead to a reoperation. Conclusion: Generally, shoulder arthroplasties are designed to last 10-15 years; however, revisions are being performed at a mean 3.9 years from the primary procedure, based on the published studies included in this systematic review. Additionally, of the complications, a large number (74%) went on to a reoperation. Further insight into the reasons for early revisions and standardized reporting metrics and data collection on revisions is needed. (C) 2019 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Knowles, Nikolas K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Columbus, Melanie P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferreira, Louis M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Athwal, George S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-335963
DOI:	10.1016/j.jse.2019.12.015
Journal or Publication Title:	J. Shoulder Elbow Surg.
Volume:	29
Number:	5
Page Range:	S. 1071 - 1083
Date:	2020
Publisher:	MOSBY-ELSEVIER
Place of Publication:	NEW YORK
ISSN:	1058-2746
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PAINFUL GLENOID ARTHROSIS; HUMERAL HEAD REPLACEMENT; SINGLE-STAGE REVISION; BONE LOSS; FAILED HEMIARTHROPLASTY; COMPONENT REMOVAL; SALVAGE PROCEDURE; REVERSE; FAILURE; CONVERSION Multiple languages Orthopedics; Sport Sciences; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33596