ArticleBone & joint open2021
Outcome and complications following revision shoulder arthroplasty : a systematic review and meta-analysis.
Article in Bone & joint open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Implant breakage after shoulder arthroplasty: a systematic review of data from worldwide arthroplasty registries and clinical trials.BMC musculoskeletal disorders · 2023Pooled it
- Low bone density and post-operative outcomes following revision total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Clinical and radiographic outcomes of the SMR TT system - a novel convertible all-polyethylene glenoid with hybrid fixation in anatomic total shoulder arthroplasty: minimum 5-year follow-up.Journal of shoulder and elbow arthroplasty · 2026Article
- Outpatient revision shoulder arthroplasty can Be safe and effective: a matched analysis.Journal of shoulder and elbow arthroplasty · 2026Article
- Functional and radiographic outcomes of allograft reconstruction for contained glenoid defects in revision reverse total shoulder arthroplasty: a case series.Journal of shoulder and elbow arthroplasty · 2026Article
- Long-term survival outcomes following total shoulder arthroplasty: An implant-level systematic review and meta-analysis of case series and registry data with more than 13 years follow-up.Shoulder & elbow · 2026Review
- Total shoulder arthroplasty versus hemiarthroplasty for humeral head avascular necrosis: a meta-analysis.Clinics in shoulder and elbow · 2026Article
- Unique convertible shoulder modular replacement trabecular titanium hybrid glenoid component in anatomic shoulder arthroplasty: 5-7 year outcome data.Journal of shoulder and elbow arthroplasty · 2026Article
- Re-revision rate after anatomic-to-anatomic revision of total shoulder arthroplasty: a descriptive study of the Dutch national registry.Clinics in shoulder and elbow · 2026Article
- [Surgical revision for instability following reverse shoulder arthroplasty].Operative Orthopadie und Traumatologie · 2026Article
- Association between preoperative anemia and revision risk after total shoulder arthroplasty: a multi-institutional cohort study.Scientific reports · 2026Article
- Leukopenia and leukocytosis are associated with early postoperative complications following aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Dehydration independently predicts prolonged hospital stay following aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Current concepts in patient specific implants for reverse shoulder arthroplasty.JSES international · 2025Review
- Clinical and radiological results of reverse total shoulder arthroplasty with or without lateralization as revision procedure for failed arthroplasty.JSES international · 2025Article
- Is there a difference in thresholds for revision between shoulder arthroplasty types? A National Joint Registry Study.PloS one · 2025Article
- Non-vascularized coracoid process autograft for glenoid reconstruction in revision shoulder arthroplasty.International orthopaedics · 2024Article
- Reverse shoulder arthroplasty with an inverted-bearing prosthesis as revision procedure for failed anatomic and reverse shoulder arthroplasty: a long-term multicenter study.JSES international · 2024Article
- The association of hyponatremia and early postoperative complications in aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Functional outcomes and survivorship following aseptic revision shoulder arthroplasty.Journal of orthopaedics · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsIt is important to understand the rate of complications associated with the increasing burden of revision shoulder arthroplasty. Currently, this has not been well quantified. This review aims to address that deficiency with a focus on complication and reoperation rates, shoulder outcome scores, and comparison of anatomical and reverse prostheses when used in revision surgery.
methodsA Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) systematic review was performed to identify clinical data for patients undergoing revision shoulder arthroplasty. Data were extracted from the literature and pooled for analysis. Complication and reoperation rates were analyzed using a meta-analysis of proportion, and continuous variables underwent comparative subgroup analysis.
resultsA total of 112 studies (5,379 shoulders) were eligible for inclusion, although complete clinical data was not ubiquitous. Indications for revision included component loosening 20% (601/3,041), instability 19% (577/3,041), rotator cuff failure 17% (528/3,041), and infection 16% (490/3,041). Intraoperative complication and postoperative complication and reoperation rates were 8% (230/2,915), 22% (825/3,843), and 13% (584/3,843) respectively. Intraoperative and postoperative complications included iatrogenic humeral fractures (91/230, 40%) and instability (215/825, 26%). Revision to reverse total shoulder arthroplasty (TSA), rather than revision to anatomical TSA from any index prosthesis, resulted in lower complication rates and superior Constant scores, although there was no difference in American Shoulder and Elbow Surgeons scores.
conclusionSatisfactory improvement in patient-reported outcome measures are reported following revision shoulder arthroplasty; however, revision surgery is associated with high complication rates and better outcomes may be evident following revision to reverse TSA. Cite this article:
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