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Early revision in anatomic total shoulder arthroplasty in osteoarthritis: a cross-registry comparison

journal contribution
posted on 2020-12-01, 00:00 authored by Mark T Dillon, Richard PageRichard Page, Stephen E Graves, Michelle F Lorimer, Heather A Prentice, Jessica E Harris, Elizabeth W Paxton, Ronald A Navarro
Background
We evaluated anatomic total shoulders undergoing early revision (less than two years) in the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) and the Kaiser Permanente Shoulder Arthroplasty Registry (KPSAR).

Methods
A cross-sectional comparison of both registries was performed between the years of 2009 and 2012. Only patients who underwent anatomic total shoulder arthroplasty for a primary diagnosis of osteoarthritis were included. Aggregate-level data of patients undergoing early revisions done within two years of index arthroplasty were evaluated, and descriptive analysis was conducted.

Results
During the study period, 4614 patients were identified in the AOANJRR compared to 2036 in the KPSAR. Rotator cuff pathology, component loosening, and prosthetic instability were among the most common reasons for revision in both registries. A higher rate of revision in the AOANJRR was found to be secondary to the failure of one specific prosthesis, which has since been discontinued

Discussion
Comparing reasons for early revision in total shoulder arthroplasty revealed several similarities between the AOANJRR and KPSAR. Differences were also noted, and this study served to highlight the importance prosthesis selection can play in determining outcomes. Cooperation among registries may allow for earlier identification of risk factors for failure in shoulder arthroplasty.

History

Journal

Shoulder and elbow

Volume

12

Issue

1

Season

Supplement

Pagination

81 - 87

Publisher

Sage

Location

London, Eng.

ISSN

1758-5732

eISSN

1758-5740

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

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