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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Reverse shoulder arthroplasty has a higher risk of revision due to infection than anatomical shoulder arthroplasty: 17 730 primary shoulder arthroplasties from the Nordic Arthroplasty Register Association

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AIMS: The aim of this study was to use national registry database information to estimate cumulative rates and relative risk of revision due to infection after reverse shoulder arthroplasty.

PATIENTS AND METHODS: We included 17 730 primary shoulder arthroplasties recorded between 2004 and 2013 in The Nordic Arthroplasty Register Association (NARA) data set. With the Kaplan-Meier method, we illustrated the ten-year cumulative rates of revision due to infection and with the Cox regression model, we reported the hazard ratios as a measure of the relative risk of revision due to infection.

RESULTS: In all, 188 revisions were reported due to infection during a mean follow-up of three years and nine months. The ten-year cumulative rate of revision due to infection was 1.4% overall, but 3.1% for reverse shoulder arthroplasties and 8.0% for reverse shoulder arthroplasties in men. Reverse shoulder arthroplasties were associated with an increased risk of revision due to infection also when adjusted for sex, age, primary diagnosis, and year of surgery (relative risk 2.41 (95% confidence interval 1.26 to 5.59); p = 0.001).

CONCLUSION: The overall incidence of revision due to infection was low. The increased risk in reverse shoulder arthroplasty must be borne in mind, especially when offering it to men. Cite this article: Bone Joint J 2019;101-B:702-707.

Original languageEnglish
JournalThe bone & joint journal
Volume101-B
Issue number6
Pages (from-to)702-707
Number of pages6
ISSN2049-4394
DOIs
Publication statusPublished - Jun 2019

    Research areas

  • Aged, Arthroplasty, Replacement, Shoulder/methods, Denmark/epidemiology, Female, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Norway/epidemiology, Prosthesis Failure, Prosthesis-Related Infections/epidemiology, Registries, Reoperation/statistics & numerical data, Risk Factors, Sweden/epidemiology

ID: 59152923