Predictors of success following single-stage revision shoulder arthroplasty: results at a mean of five year follow-up in one hundred and twelve patients

Int Orthop. 2023 Mar;47(3):831-838. doi: 10.1007/s00264-022-05653-1. Epub 2022 Dec 22.

Abstract

Purpose: The objective was to determine factors associated with a successful outcome at a minimum of two years after revision of a failed shoulder arthroplasty.

Methods: We conducted a retrospective study of revision shoulder arthroplasties performed over a ten year period and collected patient-reported outcome data and re-revision data. A successful outcome was defined by improvement greater than the minimal clinically important difference (MCID) for the Simple Shoulder Test (SST).

Results: One hundred twelve patients with average follow-up of five years were included. Improvement of VAS pain scores (6.6 ± 2.3 to 2.9 ± 2.6) and SST scores (2.7 ± 2.6 to 6.6 ± 3.3) were significant (p < 0.001). Males were more likely to have a successful outcome than females (p = 0.01).

Conclusion: Two-thirds of patients experienced clinically significant improvement at a minimum of two years after revision shoulder arthroplasty. Male sex was the strongest independent predictor of a successful outcome.

Keywords: Clinical outcomes; Revision shoulder arthroplasty; Shoulder arthroplasty.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthroplasty, Replacement, Shoulder* / adverse effects
  • Arthroplasty, Replacement, Shoulder* / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Range of Motion, Articular
  • Reoperation
  • Retrospective Studies
  • Shoulder Joint* / surgery
  • Treatment Outcome