Reverse shoulder arthroplasty for rotator cuff tears with and without prior failed rotator cuff repair: A large-scale comparative analysis

Vervaecke, Alexander J.; Carbone, Andrew; Zubizarreta, Nicole; Poeran, Jashvant; Parsons, Bradford O.; Verborgt, Olivier; Galatz, Leesa M.; Cagle, Paul J.

doi:10.1016/j.jor.2022.03.002

Cited by 3 publications

(10 citation statements)

References 21 publications

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“…The types of SA across study groups included: hemiarthroplasty (HA) (n = 7) 3-5,33,35,37,38 , anatomical total shoulder arthroplasty (aTSA) (n = 14) 1,3-6,17,19,21,24,26,27,30,37,38 , and reverse total shoulder arthroplasty (RTSA) (n = 20) 3-5,9,11,17-20,22,23,25,28,29,31,32,34-36,39 . Types of previous shoulder procedures were rotator cuff repair (RCR) (n = 8) 11,18,20,25,27,29-31 , fracture fixation or osteosynthesis (n = 8) 22,23,28,33-36,39 , other soft tissue repairs (STRs) (n = 10) 1,3,5,6,9,19,21,24,37,38 , and not specified (n = 4) 4,17,26,32 .…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in the United States (n 5 21) 1,[3][4][5][6]11,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] , Denmark (n 5 2) 32,33 , Germany (n 5 2) 9,34 , Canada 35 , Spain 36 , France 37 , Italy 38 , and Croatia 39 (each n 5 1). The design of most studies was retrospective cohort, except for 4 case-control studies 3,5,9,36 .…”

Section: Demography and Study Characteristicsmentioning

confidence: 99%

“…Previous RCR Surgery RCR has been used to treat repairable tear patterns, and conversion rates to RTSA remain low at about 1.3% 31,45 . Choosing the optimal surgical treatment for elderly patients with RCTs can be challenging.…”

Section: Previous Orif Surgerymentioning

confidence: 99%

“…Repair may not be possible where tissue quality is poor, fatty atrophy is present, or significant retraction occurs. When such situations arise, RTSA is a reliable and effective alternative treatment, particularly for elderly and with irreparable injuries 31 . However, there is no conclusive evidence regarding the impact of prior RCR on subsequent SA surgery.…”

Section: Previous Orif Surgerymentioning

confidence: 99%

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Shoulder Arthroplasty After Previous Nonarthroplasty Surgery

Mirghaderi,

Azarboo,

Ghaseminejad-Raeini

et al. 2024

JBJS Reviews

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Background: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023. Based on 9,279 records reviewed, 26 comparative studies were included in the meta-analysis consisting of 5,431 shoulders with prior nonarthroplasty procedures (cases) and 55,144 shoulders without previous surgery (controls). Variables such as functional scores, complications, and range of motion were compared between cases and controls using Review Manager Software. In addition, subgroup analysis was conducted based on prior surgery type (rotator cuff repair [RCR], open reduction and internal fixation [ORIF], soft tissue repairs, and not specified) and type of SA (hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty [RTSA]). The results were presented as odds ratios (ORs) or standardized mean differences (SMDs). Results: Except for a higher rate of periprosthetic joint infection (PJI) in patients who had undergone previous arthroscopic surgery (OR, 2.58; 95% confidence interval [CI], 1.66-4.01; p < 0.01), a higher rate of complications was only observed in patients with previous ORIF. These complications included aseptic loosening (OR, 3.43; 95% CI, 2.14-5.50; p < 0.01), shoulder dislocation (OR, 2.25; 95% CI, 1.05-4.84; p = 0.04), overall complication (OR, 3.95; 95% CI, 2.38-6.55; p < 0.01), and revision (OR, 2.52; 95% CI, 1.28-4.97; p = 0.01). Patients with a history of previous surgery demonstrated inferior functional outcomes in comparison with the control group, including American Shoulder and Elbow Surgeons (SMD, −0.39; 95% CI, −0.51 to −0.27; p < 0.01; I2 = 36%), Constant–Murley score (SMD, −0.34; 95% CI, −0.44 to −0.24; p < 0.01; I2 = 0%), abduction (SMD, −0.26; 95% CI, −0.45 to −0.08; p = 0.01; I2 = 54%), and flexion (SMD, −0.33; 95% CI, −0.46 to −0.21; p < 0.01; I2 = 40%). Subgroup analysis by previous type of surgery was not possible regarding functional outcomes. Conclusion: Patients who have had prior fracture surgery are at a higher risk of complications, reoperations, and revisions after SA than controls. The normal shoulder anatomy may be disrupted by prior surgery, which makes arthroplasty technically challenging, particularly when it comes to soft tissue balance. On the other hand, RCR before SA did not negatively affect clinical outcomes after RTSA and did not have a higher rate of overall complications (except PJI). Level of Evidence: Level III (Treatment Studies). See Instructions for Authors for a complete description of levels of evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Demography and Study Characteristicsmentioning

confidence: 99%

Section: Previous Orif Surgerymentioning

confidence: 99%

Section: Previous Orif Surgerymentioning

confidence: 99%

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Shoulder Arthroplasty After Previous Nonarthroplasty Surgery

Mirghaderi,

Azarboo,

Ghaseminejad-Raeini

et al. 2024

JBJS Reviews

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“…Osteoarthritis (OA) of the glenohumeral joint represents the first cause of joint replacement. Indeed, shoulder arthroplasty is usually performed in patients with OA, complex fractures of the proximal humerus, osteonecrosis, and massive and irreparable tears of the rotator cuff associated with a severe arthropathy (2)(3)(4)(5). The incidence of these diseases is exponentially higher in patients older than 50 years, with greater prevalence in women (2,6).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Shoulder Arthroplasty in a Southern-Italy Region: A Three-Year Registry Study

Romano¹,

Marsilio²,

Cuozzo³

et al. 2023

Muscle Ligaments and Tendons J

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Background. Shoulder pathologies are increasingly common in the worldwide population. Total shoulder replacement procedures grew significantly in the last ten years. Based on the diagnosis, shoulder conditions can be treated with different surgical implants, such as shoulder hemiarthroplasty (HA), total anatomic shoulder arthroplasty (TSA), and reverse shoulder arthroplasty (RSA). Materials and methods. Data from Italian Register of Arthroplasty (RIAP) from 2018 to 2020 of the Campania region were collected to perform this investigation. Results. Between 2018 and 2019 an increase of 18.3% in shoulder replacement surgeries was reported by a total of 35 different hospitals in Campania. However, in 2020 the number of shoulder arthroplasty decreased of 21.3%. Proximal humeral fractures and their sequelae were reported as an indication for shoulder arthroplasty with an increasing rate of +10.3%. While the indication most frequently reported was rotator cuff arthropathy with and increasing of +15.4% between 2018 and 2019. Conclusions. Shoulder interventions are becoming increasingly common. Reverse shoulder arthroplasty has been the most performed in Campania during the last three years in patients with rotator cuff arthropathy.

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Is the impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty clinically relevant? A systematic review of 2879 shoulders

Berk,

Rao,

Obana

et al. 2024

Shoulder & Elbow

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Background Outcomes of reverse shoulder arthroplasty (RSA) in patients with prior rotator cuff repair (RCR) remain inconsistent. The purpose of this study, therefore, was to systematically review the current outcomes literature on RSA in patients with prior RCR and to compare the results with controls without prior RCR. Methods A systematic review of the literature was performed, and outcome studies reporting on functional and clinical outcomes were included. Results A total of 11 studies encompassing 2879 shoulders were included. Improvements in postoperative patient-reported outcomes (PROs) from the baseline were higher in controls including the American Shoulder and Elbow Surgeons score (47.0 vs 39.5), Simple Shoulder Test (6.0 vs 4.9), Constant score (32.6 vs 26.4), and Visual Analog Scale for pain (−5.6 vs −4.9). Improvement in range of motion was greater in the control group, including external rotation (17° vs 11°), anterior elevation (56° vs 43°), and abduction (52° vs 43°). The overall complication rate (8% vs 5%) and revision rate (3% vs 1%) were higher in the RCR group. Discussion Differences in postoperative PROs and improvement from the baseline demonstrate a trend toward lower outcomes in patients with prior RCR but may be below the minimal clinically import difference. Level of evidence IV; systematic review

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Reverse shoulder arthroplasty for rotator cuff tears with and without prior failed rotator cuff repair: A large-scale comparative analysis

Cited by 3 publications

References 21 publications

Shoulder Arthroplasty After Previous Nonarthroplasty Surgery

Shoulder Arthroplasty After Previous Nonarthroplasty Surgery

Epidemiology of Shoulder Arthroplasty in a Southern-Italy Region: A Three-Year Registry Study

Is the impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty clinically relevant? A systematic review of 2879 shoulders

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