Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Kelvin Kim; Ameer Elbuluk; Nathan Jia; Feroz Osmani; Joseph Levieddin; Joseph Zuckerman; Mandeep Virk

doi:10.1016/j.jor.2018.08.030

Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

J Orthop. 2018 Aug 24;15(4):922-926. doi: 10.1016/j.jor.2018.08.030. eCollection 2018 Dec.

Authors

Kelvin Kim¹, Ameer Elbuluk¹, Nathan Jia¹, Feroz Osmani¹, Joseph Levieddin¹, Joseph Zuckerman¹, Mandeep Virk¹

Affiliation

¹ Department of Orthopaedic Surgery, NYU Langone Medical Center, Langone Orthopedic Hospital, 301 E 17th St, New York, NY, 10003, United States.

Abstract

Background: The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology.

Methods: Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication.

Results: EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES.

Conclusions: Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.

Keywords: Infection; Patient-reported outcomes; Reverse shoulder arthroplasty; Revision shoulder arthroplasty; Rotator cuff tear; Total shoulder arthroplasty.