Trends in operative duration of total shoulder arthroplasty from 2008 to 2018: a national database study

Abstract

Background As total shoulder arthroplasty has emerged as the fastest growing joint replacement performed, optimizing surgical efficiency and patient outcomes is essential. The goals of the current study were to identify trends and factors affecting the operative time of total shoulder arthroplasty over a 10-year period. Methods The National Surgical Quality Improvement Program database was analyzed to determine the operative time and 30-day complications of total shoulder arthroplasty from 2008 to 2018. Factors affecting total shoulder arthroplasty operative time were also assessed. Multivariable linear regression was used to analyze operative time over years studied while controlling for patient demographics and comorbidities. Results A total of 20,587 total shoulder arthroplasty cases from 2008 to 2018 were included. Mean operative time in 2008 was 139.0 min, while in 2018, mean operative time decreased to 105.6 min (P < .001). Male sex, outpatient surgery, increased body mass index, and low preoperative hematocrit were associated with longer operative times, while elevated international normalized ratio, resident involvement, and elective surgeries were associated with decreased operative duration. Discussion Operative time for total shoulder arthroplasty has decreased from 2008 to 2018. Patient factors and comorbidities are associated with operative time, and such factors are important to consider in operative planning to ensure appropriate patient and surgeon expectations.

Computer-Assisted Navigation in Reverse Shoulder Arthroplasty: Surgical Experience and Clinical Outcomes

“…As regards surgical time, our study pointed out a mean surgical time of 102 min, in line with what is reported in the literature for conventional RSA [15]. The length of hospital stay was 3.2 days on average, which is higher than that reported in the literature but coherent with the management of prosthesis hospitalization in our center [13,17].…”

“…The recent literature has seen studies advocating for GPS navigation in surgical procedures [11,[13][14][15][16]. However, the body of literature on intraoperative navigation in shoulder prosthetics remains relatively limited due to its recent emergence as a topic of interest.…”