Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting
Background Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a successful bone-preserving treatment for glenohumeral arthritis. This study aimed to describe the 90-day complication profile of TSA with this prosthesis and compare major and minor complic...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2023-12-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2023-00479.pdf |
| _version_ | 1797306988033474560 |
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| author | Andrew D. Posner Michael C. Kuna Jeremy D. Carroll Eric M. Perloff Matthew J. Anderson Ian D. Hutchinson Joseph P. Zimmerman |
| author_facet | Andrew D. Posner Michael C. Kuna Jeremy D. Carroll Eric M. Perloff Matthew J. Anderson Ian D. Hutchinson Joseph P. Zimmerman |
| author_sort | Andrew D. Posner |
| collection | DOAJ |
| description | Background Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a successful bone-preserving treatment for glenohumeral arthritis. This study aimed to describe the 90-day complication profile of TSA with this prosthesis and compare major and minor complication and readmission rates between inpatient- and outpatient-procedure patients. Methods A retrospective review was performed of a consecutive cohort of patients undergoing TSA with a nonspherical humeral head and inlay glenoid in the inpatient and outpatient settings by a single surgeon between 2017 and 2022. Age, sex, body mass index, American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), and 90-day complication and readmission rates were compared between inpatient and outpatient groups. Results One hundred eighteen TSAs in 111 patients were identified. Mean age was 64.9 years (range, 39–90) and 65% of patients were male. Ninety-four (80%) and 24 (20%) patients underwent outpatient and inpatient procedures, respectively. Four complications (3.4%) were recorded: axillary nerve stretch injury, isolated ipsilateral arm deep venous thrombosis (DVT), ipsilateral arm DVT with pulmonary embolism requiring readmission, and gastrointestinal bleed requiring readmission. There were no reoperations or other complications. Outpatients were younger with lower ASA and CCI scores than inpatients; however, there was no difference in complications (1/24 vs. 3/94, P=1.00) or readmissions (1/24 vs. 1/94, P=0.37) between these two groups. Conclusions TSA with a nonspherical humeral head and inlay glenoid can be performed safely in both inpatient and outpatient settings. Rates of early complications and readmissions were low with no difference according to surgical setting. Level of evidenceIV. |
| first_indexed | 2024-03-08T00:50:49Z |
| format | Article |
| id | doaj.art-42cd94de76e1404d8c684477da3b2da8 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T00:50:49Z |
| publishDate | 2023-12-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-42cd94de76e1404d8c684477da3b2da82024-02-15T04:40:54ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212023-12-0126438038910.5397/cise.2023.00479944Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient settingAndrew D. PosnerMichael C. Kuna0Jeremy D. Carroll1Eric M. Perloff2Matthew J. Anderson3Ian D. Hutchinson4Joseph P. Zimmerman5 Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USA Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USA Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USA Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USA Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USA Department of Orthopedic Surgery, Albany Medical Center, Albany, NY, USABackground Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a successful bone-preserving treatment for glenohumeral arthritis. This study aimed to describe the 90-day complication profile of TSA with this prosthesis and compare major and minor complication and readmission rates between inpatient- and outpatient-procedure patients. Methods A retrospective review was performed of a consecutive cohort of patients undergoing TSA with a nonspherical humeral head and inlay glenoid in the inpatient and outpatient settings by a single surgeon between 2017 and 2022. Age, sex, body mass index, American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), and 90-day complication and readmission rates were compared between inpatient and outpatient groups. Results One hundred eighteen TSAs in 111 patients were identified. Mean age was 64.9 years (range, 39–90) and 65% of patients were male. Ninety-four (80%) and 24 (20%) patients underwent outpatient and inpatient procedures, respectively. Four complications (3.4%) were recorded: axillary nerve stretch injury, isolated ipsilateral arm deep venous thrombosis (DVT), ipsilateral arm DVT with pulmonary embolism requiring readmission, and gastrointestinal bleed requiring readmission. There were no reoperations or other complications. Outpatients were younger with lower ASA and CCI scores than inpatients; however, there was no difference in complications (1/24 vs. 3/94, P=1.00) or readmissions (1/24 vs. 1/94, P=0.37) between these two groups. Conclusions TSA with a nonspherical humeral head and inlay glenoid can be performed safely in both inpatient and outpatient settings. Rates of early complications and readmissions were low with no difference according to surgical setting. Level of evidenceIV.http://www.cisejournal.org/upload/pdf/cise-2023-00479.pdftotal shoulder arthroplastynonspherical humeral headinlay glenoidoutpatientcomplications |
| spellingShingle | Andrew D. Posner Michael C. Kuna Jeremy D. Carroll Eric M. Perloff Matthew J. Anderson Ian D. Hutchinson Joseph P. Zimmerman Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting Clinics in Shoulder and Elbow total shoulder arthroplasty nonspherical humeral head inlay glenoid outpatient complications |
| title | Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting |
| title_full | Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting |
| title_fullStr | Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting |
| title_full_unstemmed | Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting |
| title_short | Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting |
| title_sort | anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid 90 day complication profile in the inpatient versus outpatient setting |
| topic | total shoulder arthroplasty nonspherical humeral head inlay glenoid outpatient complications |
| url | http://www.cisejournal.org/upload/pdf/cise-2023-00479.pdf |
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