Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions

Abstract Background Several modifications to the original Grammont reverse shoulder arthroplasty (RSA) design have been proposed to prevent distinctive issues, such as both glenoid and humeral lateralization. The aim of this systematic review was to determine rates of problems, complications, reoper...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Francesco Ascione, Alfredo Schiavone Panni, Adriano Braile, Katia Corona, Giuseppe Toro, Nicola Capuano, Alfonso M. Romano
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Grammont Results Revision Humeral offset Dislocation Infection Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/608d8f336e0040cea2d66ba20196973b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:608d8f336e0040cea2d66ba20196973b
record_format	dspace
spelling	oai:doaj.org-article:608d8f336e0040cea2d66ba20196973b2021-11-28T12:30:43ZProblems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions10.1186/s10195-021-00613-81590-99211590-9999https://doaj.org/article/608d8f336e0040cea2d66ba20196973b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s10195-021-00613-8https://doaj.org/toc/1590-9921https://doaj.org/toc/1590-9999Abstract Background Several modifications to the original Grammont reverse shoulder arthroplasty (RSA) design have been proposed to prevent distinctive issues, such as both glenoid and humeral lateralization. The aim of this systematic review was to determine rates of problems, complications, reoperations, and revisions after onlay lateralized humeral stem RSA, hypothesizing that these are design related. Methods This systematic review was performed in accordance with the PRISMA statement guidelines. A literature search was conducted (1 January 2000 to 14 April 2020) using PubMed, Cochrane Reviews, Scopus, and Google Scholar, employing several combinations of keywords: “reverse shoulder arthroplasty,” “reverse shoulder prosthesis,” “inverse shoulder arthroplasty,” “inverse shoulder prosthesis,” “problems,” “complications,” “results,” “outcomes,” “reoperation,” and “revision.” Results Thirty-one studies with 4893 RSA met inclusion criteria. The 892 postoperative problems and 296 postoperative complications represented overall problem and complication rates of 22.7% and 7.5%, respectively. Forty-one reoperations and 63 revisions resulted, with overall reoperation and revision rates of 1.7% and 2.6%, respectively. Conclusions Problem, complication, and reintervention rates proved acceptable when implanting a high humeral lateralization stem RSA. The most frequent problem was scapular notching (12.6%), and the most common postoperative complication was scapular stress fracture (1.8%). An overall humeral complication rate of 1.9% was identified, whereas no humeral fractures or stem loosening were reported with short stems. Infections (1.3%) were the most common reason for component revision, followed by instability (0.8%). Level of evidence Systematic review IV.Francesco AscioneAlfredo Schiavone PanniAdriano BraileKatia CoronaGiuseppe ToroNicola CapuanoAlfonso M. RomanoSpringerOpenarticleGrammontResultsRevisionHumeral offsetDislocationInfectionOrthopedic surgeryRD701-811ENJournal of Orthopaedics and Traumatology, Vol 22, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Grammont Results Revision Humeral offset Dislocation Infection Orthopedic surgery RD701-811
spellingShingle	Grammont Results Revision Humeral offset Dislocation Infection Orthopedic surgery RD701-811 Francesco Ascione Alfredo Schiavone Panni Adriano Braile Katia Corona Giuseppe Toro Nicola Capuano Alfonso M. Romano Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
description	Abstract Background Several modifications to the original Grammont reverse shoulder arthroplasty (RSA) design have been proposed to prevent distinctive issues, such as both glenoid and humeral lateralization. The aim of this systematic review was to determine rates of problems, complications, reoperations, and revisions after onlay lateralized humeral stem RSA, hypothesizing that these are design related. Methods This systematic review was performed in accordance with the PRISMA statement guidelines. A literature search was conducted (1 January 2000 to 14 April 2020) using PubMed, Cochrane Reviews, Scopus, and Google Scholar, employing several combinations of keywords: “reverse shoulder arthroplasty,” “reverse shoulder prosthesis,” “inverse shoulder arthroplasty,” “inverse shoulder prosthesis,” “problems,” “complications,” “results,” “outcomes,” “reoperation,” and “revision.” Results Thirty-one studies with 4893 RSA met inclusion criteria. The 892 postoperative problems and 296 postoperative complications represented overall problem and complication rates of 22.7% and 7.5%, respectively. Forty-one reoperations and 63 revisions resulted, with overall reoperation and revision rates of 1.7% and 2.6%, respectively. Conclusions Problem, complication, and reintervention rates proved acceptable when implanting a high humeral lateralization stem RSA. The most frequent problem was scapular notching (12.6%), and the most common postoperative complication was scapular stress fracture (1.8%). An overall humeral complication rate of 1.9% was identified, whereas no humeral fractures or stem loosening were reported with short stems. Infections (1.3%) were the most common reason for component revision, followed by instability (0.8%). Level of evidence Systematic review IV.
format	article
author	Francesco Ascione Alfredo Schiavone Panni Adriano Braile Katia Corona Giuseppe Toro Nicola Capuano Alfonso M. Romano
author_facet	Francesco Ascione Alfredo Schiavone Panni Adriano Braile Katia Corona Giuseppe Toro Nicola Capuano Alfonso M. Romano
author_sort	Francesco Ascione
title	Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
title_short	Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
title_full	Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
title_fullStr	Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
title_full_unstemmed	Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions
title_sort	problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part ii—problems and reinterventions
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/608d8f336e0040cea2d66ba20196973b
work_keys_str_mv	AT francescoascione problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT alfredoschiavonepanni problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT adrianobraile problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT katiacorona problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT giuseppetoro problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT nicolacapuano problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions AT alfonsomromano problemscomplicationsandreinterventionsin4893onlayhumerallateralizedreverseshoulderarthroplastiesasystematicreviewpartiiproblemsandreinterventions
_version_	1718407956499791872

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II—problems and reinterventions

Ejemplares similares