The modern reverse shoulder arthroplasty and an updated systematic review for each complication : part II

© 2020 Published by Elsevier Inc. on behalf of American Shoulder and Elbow Surgeons.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 5(2021), 1 vom: 12. Jan., Seite 121-137
1. Verfasser: Shah, Sarav S (VerfasserIn)
Weitere Verfasser: Roche, Alexander M, Sullivan, Spencer W, Gaal, Benjamin T, Dalton, Stewart, Sharma, Arjun, King, Joseph J, Grawe, Brian M, Namdari, Surena, Lawler, Macy, Helmkamp, Joshua, Garrigues, Grant E, Wright, Thomas W, Schoch, Bradley S, Flik, Kyle, Otto, Randall J, Jones, Richard, Jawa, Andrew, McCann, Peter, Abboud, Joseph, Horneff, Gabe, Ross, Glen, Friedman, Richard, Ricchetti, Eric T, Boardman, Douglas, Tashjian, Robert Z, Gulotta, Lawrence V
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Review Reverse shoulder arthroplasty acromial fracture complications glenoid fracture heterotopic ossification humeral fracture instability
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100 1 |a Shah, Sarav S  |e verfasserin  |4 aut 
245 1 4 |a The modern reverse shoulder arthroplasty and an updated systematic review for each complication  |b part II 
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520 |a BACKGROUND: Globally, reverse shoulder arthroplasty (RSA) has moved away from the Grammont design to modern prosthesis designs. The purpose of this study was to provide a focused, updated systematic review for each of the most common complications of RSA by limiting each search to publications after 2010. In this part II, the following were examined: (1) instability, (2) humerus/glenoid fracture, (3) acromial/scapular spine fractures (AF/SSF), and (4) problems/miscellaneous 
520 |a METHODS: Four separate PubMed database searches were performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Overall, 137 studies for instability, 94 for humerus/glenoid fracture, 120 for AF/SSF, and 74 for problems/miscellaneous were included in each review, respectively. Univariate analysis was performed with chi-square and Fisher exact tests 
520 |a RESULTS: The Grammont design had a higher instability rate vs. all other designs combined (4.0%, 1.3%; P < .001), and the onlay humerus design had a lower rate than the lateralized glenoid design (0.9%, 2.0%; P = .02). The rate for intraoperative humerus fracture was 1.8%; intraoperative glenoid fracture, 0.3%; postoperative humerus fracture, 1.2%; and postoperative glenoid fracture, 0.1%. The rate of AF/SSF was 2.6% (371/14235). The rate for complex regional pain syndrome was 0.4%; deltoid injury, 0.1%; hematoma, 0.3%; and heterotopic ossification, 0.8% 
520 |a CONCLUSIONS: Focused systematic reviews of recent literature with a large volume of shoulders demonstrate that using non-Grammont modern prosthesis designs, complications including instability, intraoperative humerus and glenoid fractures, and hematoma are significantly reduced compared with previous studies. As the indications continue to expand for RSA, it is imperative to accurately track the rate and types of complications in order to justify its cost and increased indications 
650 4 |a Journal Article 
650 4 |a Review 
650 4 |a Reverse shoulder arthroplasty 
650 4 |a acromial fracture 
650 4 |a complications 
650 4 |a glenoid fracture 
650 4 |a heterotopic ossification 
650 4 |a humeral fracture 
650 4 |a instability 
700 1 |a Roche, Alexander M  |e verfasserin  |4 aut 
700 1 |a Sullivan, Spencer W  |e verfasserin  |4 aut 
700 1 |a Gaal, Benjamin T  |e verfasserin  |4 aut 
700 1 |a Dalton, Stewart  |e verfasserin  |4 aut 
700 1 |a Sharma, Arjun  |e verfasserin  |4 aut 
700 1 |a King, Joseph J  |e verfasserin  |4 aut 
700 1 |a Grawe, Brian M  |e verfasserin  |4 aut 
700 1 |a Namdari, Surena  |e verfasserin  |4 aut 
700 1 |a Lawler, Macy  |e verfasserin  |4 aut 
700 1 |a Helmkamp, Joshua  |e verfasserin  |4 aut 
700 1 |a Garrigues, Grant E  |e verfasserin  |4 aut 
700 1 |a Wright, Thomas W  |e verfasserin  |4 aut 
700 1 |a Schoch, Bradley S  |e verfasserin  |4 aut 
700 1 |a Flik, Kyle  |e verfasserin  |4 aut 
700 1 |a Otto, Randall J  |e verfasserin  |4 aut 
700 1 |a Jones, Richard  |e verfasserin  |4 aut 
700 1 |a Jawa, Andrew  |e verfasserin  |4 aut 
700 1 |a McCann, Peter  |e verfasserin  |4 aut 
700 1 |a Abboud, Joseph  |e verfasserin  |4 aut 
700 1 |a Horneff, Gabe  |e verfasserin  |4 aut 
700 1 |a Ross, Glen  |e verfasserin  |4 aut 
700 1 |a Friedman, Richard  |e verfasserin  |4 aut 
700 1 |a Ricchetti, Eric T  |e verfasserin  |4 aut 
700 1 |a Boardman, Douglas  |e verfasserin  |4 aut 
700 1 |a Tashjian, Robert Z  |e verfasserin  |4 aut 
700 1 |a Gulotta, Lawrence V  |e verfasserin  |4 aut 
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