PMID- 35870805
OWN - NLM
STAT- MEDLINE
DCOM- 20221024
LR  - 20221024
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 31
IP  - 11
DP  - 2022 Nov
TI  - Outcomes and complications of primary reverse shoulder arthroplasty with minimum 
      of 2 years' follow-up: a systematic review and meta-analysis.
PG  - e534-e544
LID - S1058-2746(22)00569-9 [pii]
LID - 10.1016/j.jse.2022.06.005 [doi]
AB  - BACKGROUND: Primary reverse shoulder arthroplasty (rTSA) is an effective 
      treatment option for reducing pain and improving function for patients with 
      rotator cuff tear arthropathy, irreparable rotator cuff tears, glenoid deformity, 
      and other challenging clinical scenarios, including fracture sequelae and 
      revision shoulder arthroplasty. There has been a wide range of reported outcomes 
      and postoperative complication rates reported in the literature. The purpose of 
      this systematic review and meta-analysis is to provide an updated review of the 
      clinical outcomes and complication rates following primary rTSA. METHODS: A 
      systematic review and meta-analysis was performed to evaluate outcomes and 
      complications following primary rTSA according to the Preferred Reporting Items 
      for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Demographics, range 
      of motion, patient-reported outcome measures (American Shoulder and Elbow 
      Surgeons Standardized Shoulder Assessment Form [ASES] and Constant scores), 
      number of complications, and revisions were extracted, recorded, and analyzed 
      from the included articles. RESULTS: Of the 1415 studies screened, 52 studies met 
      the inclusion criteria comprising a total of 5824 shoulders. The mean age at the 
      time of surgery was 72 years (range: 34-93), and the mean follow-up was 3.9 years 
      (range: 2-16). Patients demonstrated a mean improvement of 56 degrees  in active flexion, 
      50 degrees  in active abduction, and 14 degrees  in active external rotation. Regarding 
      functional outcome scores, rTSA patients demonstrated a mean clinically 
      significant improvement of 37 in Constant score (minimal clinically important 
      difference [MCID] = 5.7) and ASES score (42.0; MCID = 13.6). The overall 
      complication rate for rTSA was 9.4% and revision rate of 2.6%. Complications were 
      further subdivided into major medical complications (0.07%), shoulder- or 
      surgical-related complications (5.3%), and infections (1.2%). The most frequently 
      reported shoulder- or surgical-related complications were scapular notching 
      (14.4%), periprosthetic fracture (0.8%), glenoid loosening (0.7%), and prosthetic 
      dislocation (0.7%). DISCUSSION: Primary rTSA is a safe and reliable procedure 
      with low complication, revision, infection, and scapular notching rates. 
      Additionally, patients demonstrated clinically significant improvements in both 
      range of motion and clinical outcome scores.
CI  - Copyright (c) 2022 Journal of Shoulder and Elbow Surgery Board of Trustees. All 
      rights reserved.
FAU - Galvin, Joseph W
AU  - Galvin JW
AD  - Madigan Medical Center, Tacoma, WA, USA.
FAU - Kim, Ryan
AU  - Kim R
AD  - Boston University School of Medicine, Boston, MA, USA.
FAU - Ment, Alexander
AU  - Ment A
AD  - The University of Connecticut School of Medicine, Farmington, CT, USA.
FAU - Durso, Joseph
AU  - Durso J
AD  - Madigan Medical Center, Tacoma, WA, USA.
FAU - Joslin, Patrick M N
AU  - Joslin PMN
AD  - Boston University School of Medicine, Boston, MA, USA.
FAU - Lemos, Jacie L
AU  - Lemos JL
AD  - Stanford University, Stanford, CA, USA.
FAU - Novikov, David
AU  - Novikov D
AD  - Boston University School of Medicine, Boston, MA, USA.
FAU - Curry, Emily J
AU  - Curry EJ
AD  - Boston University School of Medicine, Boston, MA, USA.
FAU - Alley, Maxwell C
AU  - Alley MC
AD  - Boston University School of Medicine, Boston, MA, USA.
FAU - Parada, Stephen A
AU  - Parada SA
AD  - Medical College of Georgia, Augusta, GA, USA.
FAU - Eichinger, Josef K
AU  - Eichinger JK
AD  - Medical University of South Carolina, Charleston, SC, USA.
FAU - Li, Xinning
AU  - Li X
AD  - Boston University School of Medicine, Boston, MA, USA. Electronic address: 
      Xinning.li@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20220721
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - Aged, 80 and over
MH  - *Arthroplasty, Replacement, Shoulder/adverse effects
MH  - *Shoulder Joint/surgery
MH  - *Rotator Cuff Injuries
MH  - *Joint Prosthesis
MH  - Range of Motion, Articular
MH  - Treatment Outcome
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Reverse or total shoulder
OT  - arthroplasty
OT  - complications
OT  - meta-analysis
OT  - outcomes
OT  - systematic review
EDAT- 2022/07/24 06:00
MHDA- 2022/10/25 06:00
CRDT- 2022/07/23 19:29
PHST- 2022/02/22 00:00 [received]
PHST- 2022/05/26 00:00 [revised]
PHST- 2022/06/05 00:00 [accepted]
PHST- 2022/07/24 06:00 [pubmed]
PHST- 2022/10/25 06:00 [medline]
PHST- 2022/07/23 19:29 [entrez]
AID - S1058-2746(22)00569-9 [pii]
AID - 10.1016/j.jse.2022.06.005 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2022 Nov;31(11):e534-e544. doi: 10.1016/j.jse.2022.06.005. 
      Epub 2022 Jul 21.