Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture
Background Reverse total shoulder arthroplasty (RTSA) has become increasingly popular in recent years, and this trend is expected to continue. However, differences in outcomes of RTSA for fractures compared with other indications are poorly understood. This study aimed to identify the compare the in...
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| Format: | Article |
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Korean Shoulder and Elbow Society
2025-02-01
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| Series: | Clinics in Shoulder and Elbow |
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| Online Access: | http://cisejournal.org/upload/pdf/cise-2024-00766.pdf |
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| author | Chase T. Nelson Isabel Shaffrey James Satalich Haleigh Hopper Conor O’Neill Carl Edge Brady Ernst Jennifer L Vanderbeck |
| author_facet | Chase T. Nelson Isabel Shaffrey James Satalich Haleigh Hopper Conor O’Neill Carl Edge Brady Ernst Jennifer L Vanderbeck |
| author_sort | Chase T. Nelson |
| collection | DOAJ |
| description | Background Reverse total shoulder arthroplasty (RTSA) has become increasingly popular in recent years, and this trend is expected to continue. However, differences in outcomes of RTSA for fractures compared with other indications are poorly understood. This study aimed to identify the compare the incidences of adverse events during RTSA to treat cuff tear arthropathy (CTA) versus RTSA to treat fractures, as well as identify risk factors for any adverse event. Methods Patients who underwent RTSA from 2010 to 2020 in the National Surgical Quality Improvement Program database were included. Matched cohorts were created using nearest-neighbor matching. Independent sample t-tests and chi-square tests were used to determine differences between groups, and binary logistic regression was performed to determine odds ratios and 95% CIs. Results In total, 27,607 CTA patients (94.5%) and 1,537 fracture patients (5.3%) underwent RTSA. Adverse events occurred in 1,088 CTA patients (3.9%) and 192 fracture patients (12.4%). Incidences of adverse events, postoperative transfusions, and returns to an operating room were all significantly higher in the fracture cohort compared with CTA patients. Conclusions Following surgery, higher rates of adverse events were observed in the CTA patients compared with those in the fracture cohort. These findings improve our understanding of the effectiveness of an increasingly popular surgical intervention due to the use of a large database analysis to identify short-term complications and risk factors. Level of evidence III. |
| format | Article |
| id | doaj-art-320367b71eaf4238952262d8f3e4fbe5 |
| institution | DOAJ |
| issn | 2288-8721 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj-art-320367b71eaf4238952262d8f3e4fbe52025-08-20T03:07:58ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212025-02-01281778410.5397/cise.2024.007661022Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fractureChase T. Nelson0Isabel Shaffrey1James Satalich2Haleigh Hopper3Conor O’Neill4Carl Edge5Brady Ernst6Jennifer L Vanderbeck7 Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA Department of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA Department of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA Department of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA Department of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USABackground Reverse total shoulder arthroplasty (RTSA) has become increasingly popular in recent years, and this trend is expected to continue. However, differences in outcomes of RTSA for fractures compared with other indications are poorly understood. This study aimed to identify the compare the incidences of adverse events during RTSA to treat cuff tear arthropathy (CTA) versus RTSA to treat fractures, as well as identify risk factors for any adverse event. Methods Patients who underwent RTSA from 2010 to 2020 in the National Surgical Quality Improvement Program database were included. Matched cohorts were created using nearest-neighbor matching. Independent sample t-tests and chi-square tests were used to determine differences between groups, and binary logistic regression was performed to determine odds ratios and 95% CIs. Results In total, 27,607 CTA patients (94.5%) and 1,537 fracture patients (5.3%) underwent RTSA. Adverse events occurred in 1,088 CTA patients (3.9%) and 192 fracture patients (12.4%). Incidences of adverse events, postoperative transfusions, and returns to an operating room were all significantly higher in the fracture cohort compared with CTA patients. Conclusions Following surgery, higher rates of adverse events were observed in the CTA patients compared with those in the fracture cohort. These findings improve our understanding of the effectiveness of an increasingly popular surgical intervention due to the use of a large database analysis to identify short-term complications and risk factors. Level of evidence III.http://cisejournal.org/upload/pdf/cise-2024-00766.pdfreverse total shoulder arthroplastyshoulder cuff tear arthropathyproximal humerus fractureproximal humeral fracturenational surgical quality improvement program |
| spellingShingle | Chase T. Nelson Isabel Shaffrey James Satalich Haleigh Hopper Conor O’Neill Carl Edge Brady Ernst Jennifer L Vanderbeck Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture Clinics in Shoulder and Elbow reverse total shoulder arthroplasty shoulder cuff tear arthropathy proximal humerus fracture proximal humeral fracture national surgical quality improvement program |
| title | Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| title_full | Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| title_fullStr | Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| title_full_unstemmed | Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| title_short | Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| title_sort | acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture |
| topic | reverse total shoulder arthroplasty shoulder cuff tear arthropathy proximal humerus fracture proximal humeral fracture national surgical quality improvement program |
| url | http://cisejournal.org/upload/pdf/cise-2024-00766.pdf |
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