Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan
Background: Reverse total shoulder arthroplasty (RSA) has been approved since 2014 in Japan, and the number of RSA cases has been accumulating. However, only short-to medium-term outcomes have been reported, with a small number of case series, because of its short history in Japan. This study aimed...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S266663832300107X |
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| author | Kenta Inagaki, MD Nobuyasu Ochiai, PhD Eiko Hashimoto, PhD Fumiya Hattori, MD Yu Hiraoka, MD Shohei Ise, MD Yohei Shimada, PhD Daisuke Kajiwara, PhD Koji Akimoto, PhD Yasuhito Sasaki, PhD Yu Sasaki, PhD Norimasa Takahashi, PhD Koji Fujita, PhD Seiji Ohtori, PhD |
| author_facet | Kenta Inagaki, MD Nobuyasu Ochiai, PhD Eiko Hashimoto, PhD Fumiya Hattori, MD Yu Hiraoka, MD Shohei Ise, MD Yohei Shimada, PhD Daisuke Kajiwara, PhD Koji Akimoto, PhD Yasuhito Sasaki, PhD Yu Sasaki, PhD Norimasa Takahashi, PhD Koji Fujita, PhD Seiji Ohtori, PhD |
| author_sort | Kenta Inagaki, MD |
| collection | DOAJ |
| description | Background: Reverse total shoulder arthroplasty (RSA) has been approved since 2014 in Japan, and the number of RSA cases has been accumulating. However, only short-to medium-term outcomes have been reported, with a small number of case series, because of its short history in Japan. This study aimed to evaluate complications after RSA in hospitals affiliated with our institute, with comparison to those in other countries. Methods: A multicenter retrospective study was performed at 6 hospitals. In total, 615 shoulders (mean age: 75.7 ± 6.2 years; mean follow-up: 45.2 ± 19.6 months) with at least 24 months of follow-up were included in this study. The active range of motion was assessed pre-and postoperatively. The 5-year survival rate was evaluated for reoperation for any reason in 137 shoulders with at least 5 years of follow-up using Kaplan–Meier analysis. Postoperative complications were evaluated, including dislocation; prosthesis failure; deep infection; periprosthetic, acromial, scapular spine, and clavicle fractures; neurological disorders; and reoperation. Furthermore, imaging assessments, including scapular notching, prosthesis aseptic loosening, and heterotopic ossification were evaluated on postoperative radiography at the final follow-up. Results: All range of motion parameters were significantly improved postoperatively (P < .001). The 5-year survival rate was 93.4% (95% confidence interval: 87.8%-96.5%) for reoperation. Complications occurred in 256 shoulders (42.0%), with reoperation in 45 (7.3%), acromial fracture in 24 (3.9%), neurological disorders in 17 (2.8%), deep infection in 16 (2.6%), periprosthetic fracture in 11 (1.8%), dislocation in 9 (1.5%), prosthesis failure in 9 (1.5%), clavicle fracture in 4 (0.7%), and scapular spine fracture in 2 (0.3%). Regarding imaging assessments, scapular notching was observed in 145 shoulders (23.6%), heterotopic ossification in 80 (13.0%), and prosthesis loosening in 13 (2.1%). Conclusion: This is the first large case series to investigate the complications after RSA in Japan, and the overall frequency of complications after RSA was similar to that in other countries. |
| first_indexed | 2024-03-13T03:28:13Z |
| format | Article |
| id | doaj.art-472dfbb9caee46c5b0647d069b3cc73d |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-03-13T03:28:13Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-472dfbb9caee46c5b0647d069b3cc73d2023-06-25T04:44:00ZengElsevierJSES International2666-63832023-07-0174642647Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in JapanKenta Inagaki, MD0Nobuyasu Ochiai, PhD1Eiko Hashimoto, PhD2Fumiya Hattori, MD3Yu Hiraoka, MD4Shohei Ise, MD5Yohei Shimada, PhD6Daisuke Kajiwara, PhD7Koji Akimoto, PhD8Yasuhito Sasaki, PhD9Yu Sasaki, PhD10Norimasa Takahashi, PhD11Koji Fujita, PhD12Seiji Ohtori, PhD13Department of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, Japan; Corresponding author: Kenta Inagaki, MD, Department of Orthopaedic Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuou-ku, Chiba-city, Chiba 260-8677, Japan.Department of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Seirei Sakura Citizen Hospital, Sakura-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba Rosai Hospital, Ichihara-city, Chiba, JapanDepartment of Orthopaedic Surgery, Sanmu Medical Center, Sanmu-city, Chiba, JapanFunabashi Orthopedic Hospital, Funabashi-city, Chiba, JapanFunabashi Orthopedic Hospital, Funabashi-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba Medical Center, Chuou-ku, Chiba-city, Chiba, JapanDepartment of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, JapanBackground: Reverse total shoulder arthroplasty (RSA) has been approved since 2014 in Japan, and the number of RSA cases has been accumulating. However, only short-to medium-term outcomes have been reported, with a small number of case series, because of its short history in Japan. This study aimed to evaluate complications after RSA in hospitals affiliated with our institute, with comparison to those in other countries. Methods: A multicenter retrospective study was performed at 6 hospitals. In total, 615 shoulders (mean age: 75.7 ± 6.2 years; mean follow-up: 45.2 ± 19.6 months) with at least 24 months of follow-up were included in this study. The active range of motion was assessed pre-and postoperatively. The 5-year survival rate was evaluated for reoperation for any reason in 137 shoulders with at least 5 years of follow-up using Kaplan–Meier analysis. Postoperative complications were evaluated, including dislocation; prosthesis failure; deep infection; periprosthetic, acromial, scapular spine, and clavicle fractures; neurological disorders; and reoperation. Furthermore, imaging assessments, including scapular notching, prosthesis aseptic loosening, and heterotopic ossification were evaluated on postoperative radiography at the final follow-up. Results: All range of motion parameters were significantly improved postoperatively (P < .001). The 5-year survival rate was 93.4% (95% confidence interval: 87.8%-96.5%) for reoperation. Complications occurred in 256 shoulders (42.0%), with reoperation in 45 (7.3%), acromial fracture in 24 (3.9%), neurological disorders in 17 (2.8%), deep infection in 16 (2.6%), periprosthetic fracture in 11 (1.8%), dislocation in 9 (1.5%), prosthesis failure in 9 (1.5%), clavicle fracture in 4 (0.7%), and scapular spine fracture in 2 (0.3%). Regarding imaging assessments, scapular notching was observed in 145 shoulders (23.6%), heterotopic ossification in 80 (13.0%), and prosthesis loosening in 13 (2.1%). Conclusion: This is the first large case series to investigate the complications after RSA in Japan, and the overall frequency of complications after RSA was similar to that in other countries.http://www.sciencedirect.com/science/article/pii/S266663832300107XReverse total shoulder arthroplastyComplicationScapular otchingSurvival rateAcromial fractureNeurological disorder |
| spellingShingle | Kenta Inagaki, MD Nobuyasu Ochiai, PhD Eiko Hashimoto, PhD Fumiya Hattori, MD Yu Hiraoka, MD Shohei Ise, MD Yohei Shimada, PhD Daisuke Kajiwara, PhD Koji Akimoto, PhD Yasuhito Sasaki, PhD Yu Sasaki, PhD Norimasa Takahashi, PhD Koji Fujita, PhD Seiji Ohtori, PhD Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan JSES International Reverse total shoulder arthroplasty Complication Scapular otching Survival rate Acromial fracture Neurological disorder |
| title | Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan |
| title_full | Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan |
| title_fullStr | Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan |
| title_full_unstemmed | Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan |
| title_short | Postoperative complications of reverse total shoulder arthroplasty: a multicenter study in Japan |
| title_sort | postoperative complications of reverse total shoulder arthroplasty a multicenter study in japan |
| topic | Reverse total shoulder arthroplasty Complication Scapular otching Survival rate Acromial fracture Neurological disorder |
| url | http://www.sciencedirect.com/science/article/pii/S266663832300107X |
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