کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4073948 1266995 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Complication rates comparing primary with revision reverse total shoulder arthroplasty
ترجمه فارسی عنوان
مقادیر عوارض در مقایسه اولیه با آرتروپلاستی شانه بازو معکوس
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

BackgroundComplication rates after reverse total shoulder arthroplasty (RTSA) have, in previous series, been reported to be high. The purpose of this study was to describe the complication rates, types, timing, and risk factors after revision RTSA, as compared with primary RTSA.MethodsWe performed a retrospective review of patients who underwent primary or revision RTSA to determine early (within 90 days) complication rates. Complications were subdivided into medical versus surgical and minor versus major.ResultsOne hundred thirty-seven patients met the inclusion criteria. Of these, 111 underwent primary RTSA and 26 underwent RTSA as a revision from a previous arthroplasty. The overall complication rates were 25% after primary RTSA and 69% after revision RTSA. Minor complications accounted for 80% of the complications after primary RTSA and 94% after revision RTSA. Surgical complications were more frequent than medical complications in revision patients, occurring in 18% of primary cases and 62% of revisions. Revision patients more frequently required transfusions, with rates of 5% and 31% for primary cases and revisions, respectively. Overall, minor, surgical, intraoperative, perioperative, and postoperative complications were all significantly more frequent after revision RTSA. Multivariate logistic regression showed that revision status was the most significant predictor of overall (P < .001), minor (P < .001), surgical (P < .001), intraoperative (P = .002), and postoperative (P < .001) complication rates. Medical complications were predicted by body mass index (P < .001).ConclusionRevision RTSA has a significantly higher rate of complications than primary RTSA. These patients are significantly more likely to require transfusions. Patients should be aware that minor complications are frequent after revision RTSA and should be counseled accordingly.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 23, Issue 11, November 2014, Pages 1647–1654
نویسندگان
, , , , ,