Saturday, February 13, 2016

Shoulder arthroplasty complications - total and reverse.

Complication rate and implant survival for reverse shoulder arthroplasty versus total shoulder arthroplasty: results during the initial 2 years.

These authors eviewed 6,658 total shoulders (TSAs) and 4,186 reverse total shoulders (RTSAs) in the California Office of Statewide Health Planning and Development patient database to investigate complication rates and implant survival.

The all-cause complication rate at 90 days and 2 years postoperatively was significantly higher for RTSA. RTSA patients had a significantly increased risk of infection and dislocation in the early and midterm postoperative course. 

Workers' compensation, male sex, preoperative anemia, and those aged younger than 65 years had a significantly higher risk for complications.

Comment: What was particularly interesting about the data is that the combined rates of complications for TSA and RTSA continued to climb with time with no plateau in sight for the four most prevalent.


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