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Revision after shoulder replacement for acute fracture of the proximal humerus

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Brorson, Stig ; Salomonsson, Björn ; Jensen, Steen L ; Fenstad, Anne Marie ; Demir, Yilmaz ; Rasmussen, Jeppe V. / Revision after shoulder replacement for acute fracture of the proximal humerus. I: Acta Orthopaedica (Print Edition). 2017 ; Bind 88, Nr. 4. s. 446-450.

Bibtex

@article{d78857acdde84df383065c67b257106c,
title = "Revision after shoulder replacement for acute fracture of the proximal humerus",
abstract = "Background and purpose - For more than half a century, stemmed hemiarthroplasty (SHA) has been used in the treatment of comminuted and displaced fractures of the proximal humerus. Reverse shoulder arthroplasty (RSA) has been increasingly popular in cases where it is difficult to obtain satisfactory fixation of the tuberosities. We report revision rates and reasons for revision after shoulder arthroplasty for acute fractures of the proximal humerus. Patients and methods - This study was based on a common dataset from the Nordic Arthroplasty Register Association (NARA), which includes data reported to the national shoulder arthroplasty registries in Denmark, Sweden, and Norway. We included 6,756 shoulder arthroplasties performed for acute fractures between 2004 and 2013. Results - There were 6,112 SHAs (90{\%}) and 565 RSAs (8.4{\%}). The cumulative arthroplasty survival rate after 5 years was 0.96 for both SHA and RSA. The relative risk of revision of RSA was 1.4 (95{\%} CI: 0.9-2.2) with SHA as reference. For both types of arthroplasty, the most common reason for revision was infection (SHA 0.8{\%}, RSA 2.1{\%}). The relative risk of revision due to infection was 3.1 (95{\%} CI: 1.6-5.9) for RSA with SHA as reference. The relative risk of revision for patients who were less than 75 years of age was 2.8 (95{\%} CI: 2.0-3.8) compared to older patients. Interpretation - Revision after shoulder arthroplasty for acute fractures was rare. Survival rates were similar between SHA and RSA, but RSA had a statistically significant and clinically relevant higher risk of revision because of infection.",
keywords = "Age Factors, Aged, Arthroplasty, Replacement, Shoulder, Denmark, Female, Humans, Male, Norway, Prosthesis Failure, Prosthesis-Related Infections, Registries, Reoperation, Risk Factors, Shoulder Fractures, Sweden, Journal Article",
author = "Stig Brorson and Bj{\"o}rn Salomonsson and Jensen, {Steen L} and Fenstad, {Anne Marie} and Yilmaz Demir and Rasmussen, {Jeppe V}",
year = "2017",
month = "8",
doi = "10.1080/17453674.2017.1307032",
language = "English",
volume = "88",
pages = "446--450",
journal = "Acta Orthopaedica (Print Edition)",
issn = "1745-3674",
publisher = "Taylor & Francis Ltd",
number = "4",

}

RIS

TY - JOUR

T1 - Revision after shoulder replacement for acute fracture of the proximal humerus

AU - Brorson, Stig

AU - Salomonsson, Björn

AU - Jensen, Steen L

AU - Fenstad, Anne Marie

AU - Demir, Yilmaz

AU - Rasmussen, Jeppe V

PY - 2017/8

Y1 - 2017/8

N2 - Background and purpose - For more than half a century, stemmed hemiarthroplasty (SHA) has been used in the treatment of comminuted and displaced fractures of the proximal humerus. Reverse shoulder arthroplasty (RSA) has been increasingly popular in cases where it is difficult to obtain satisfactory fixation of the tuberosities. We report revision rates and reasons for revision after shoulder arthroplasty for acute fractures of the proximal humerus. Patients and methods - This study was based on a common dataset from the Nordic Arthroplasty Register Association (NARA), which includes data reported to the national shoulder arthroplasty registries in Denmark, Sweden, and Norway. We included 6,756 shoulder arthroplasties performed for acute fractures between 2004 and 2013. Results - There were 6,112 SHAs (90%) and 565 RSAs (8.4%). The cumulative arthroplasty survival rate after 5 years was 0.96 for both SHA and RSA. The relative risk of revision of RSA was 1.4 (95% CI: 0.9-2.2) with SHA as reference. For both types of arthroplasty, the most common reason for revision was infection (SHA 0.8%, RSA 2.1%). The relative risk of revision due to infection was 3.1 (95% CI: 1.6-5.9) for RSA with SHA as reference. The relative risk of revision for patients who were less than 75 years of age was 2.8 (95% CI: 2.0-3.8) compared to older patients. Interpretation - Revision after shoulder arthroplasty for acute fractures was rare. Survival rates were similar between SHA and RSA, but RSA had a statistically significant and clinically relevant higher risk of revision because of infection.

AB - Background and purpose - For more than half a century, stemmed hemiarthroplasty (SHA) has been used in the treatment of comminuted and displaced fractures of the proximal humerus. Reverse shoulder arthroplasty (RSA) has been increasingly popular in cases where it is difficult to obtain satisfactory fixation of the tuberosities. We report revision rates and reasons for revision after shoulder arthroplasty for acute fractures of the proximal humerus. Patients and methods - This study was based on a common dataset from the Nordic Arthroplasty Register Association (NARA), which includes data reported to the national shoulder arthroplasty registries in Denmark, Sweden, and Norway. We included 6,756 shoulder arthroplasties performed for acute fractures between 2004 and 2013. Results - There were 6,112 SHAs (90%) and 565 RSAs (8.4%). The cumulative arthroplasty survival rate after 5 years was 0.96 for both SHA and RSA. The relative risk of revision of RSA was 1.4 (95% CI: 0.9-2.2) with SHA as reference. For both types of arthroplasty, the most common reason for revision was infection (SHA 0.8%, RSA 2.1%). The relative risk of revision due to infection was 3.1 (95% CI: 1.6-5.9) for RSA with SHA as reference. The relative risk of revision for patients who were less than 75 years of age was 2.8 (95% CI: 2.0-3.8) compared to older patients. Interpretation - Revision after shoulder arthroplasty for acute fractures was rare. Survival rates were similar between SHA and RSA, but RSA had a statistically significant and clinically relevant higher risk of revision because of infection.

KW - Age Factors

KW - Aged

KW - Arthroplasty, Replacement, Shoulder

KW - Denmark

KW - Female

KW - Humans

KW - Male

KW - Norway

KW - Prosthesis Failure

KW - Prosthesis-Related Infections

KW - Registries

KW - Reoperation

KW - Risk Factors

KW - Shoulder Fractures

KW - Sweden

KW - Journal Article

U2 - 10.1080/17453674.2017.1307032

DO - 10.1080/17453674.2017.1307032

M3 - Journal article

VL - 88

SP - 446

EP - 450

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 4

ER -

ID: 51616821