Outcome and value of reverse shoulder arthroplasty for treatment of glenohumeral osteoarthritis: a matched cohort

Journal of Shoulder and Elbow Surgery
Brandon M SteenMark Frankle

Abstract

Total shoulder arthroplasty (TSA) is commonly used to treat glenohumeral osteoarthritis (GHOA) with an intact rotator cuff. Recently, reverse shoulder arthroplasty (RSA) has been used for GHOA patients who are elderly or have eccentric glenoid wear. We evaluated patients with GHOA scheduled to have TSA but who were changed to RSA because of intraoperative difficulties with the glenoid component or instability and compared them with a cohort that underwent TSA to determine if the groups had similar outcomes. We identified 24 consecutive GHOA patients who underwent RSA and matched them to 96 patients who underwent TSA. Glenoid wear and rotator cuff musculature were assessed with preoperative computed tomography scans. Direct hospital costs of the procedure were collected. Postoperative American Shoulder and Elbow Surgeons score, Simple Shoulder Test score, and range of motion were similar between the 2 groups. Five TSA patients had radiographic glenoid loosening, whereas no RSA patients did. Neither group required a revision. One RSA patient required surgery for treatment of a periprosthetic fracture. RSA was $7274 more costly than TSA, related mainly to implant cost. Patients with GHOA who were converted intraoperatively to RSA ...Continue Reading

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Jan 25, 2016·Current Reviews in Musculoskeletal Medicine·Peter N Chalmers, Jay D Keener
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Jan 25, 2020·The Journal of Bone and Joint Surgery. American Volume·Kevin X FarleyEric R Wagner
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Aug 1, 2020·International Orthopaedics·Emil-George HaritinianLaurent Nové-Josserand
Dec 14, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Jordan D WaltersThomas W Throckmorton
Nov 17, 2020·Journal of Shoulder and Elbow Surgery·Atticus C CosciaBrian M Grawe
May 14, 2021·The Journal of Bone and Joint Surgery. American Volume·Teja S PolisettyJonathan C Levy
Jul 23, 2021·Journal of Shoulder and Elbow Surgery·John J HeifnerEric R Wagner
Aug 20, 2021·Journal of Shoulder and Elbow Surgery·Julianne M ForlizziJacob M Kirsch

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