Evidence map›Paper›PMID 40077876›Full record

ArticleClinics in shoulder and elbow2025

Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture.

Chase T Nelson, Isabel Shaffrey, James Satalich, Haleigh Hopper, Conor O'Neill, Carl Edge, Brady Ernst, Jennifer L Vanderbeck

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Article in Clinics in shoulder and elbow, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Chase T NelsonDepartment of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Isabel ShaffreyDepartment of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA.
James SatalichDepartment of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA.
Haleigh HopperDepartment of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Conor O'NeillDepartment of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA.
Carl EdgeDepartment of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA.
Brady ErnstDepartment of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA.
Jennifer L VanderbeckDepartment of Orthopaedic Surgery, Virginia Commonwealth University Hospital, Richmond, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReverse total shoulder arthroplasty (RTSA) has become increasingly popular in recent years, and this trend is expected to continue. However, differences in outcomes of RTSA for fractures compared with other indications are poorly understood. This study aimed to identify the compare the incidences of adverse events during RTSA to treat cuff tear arthropathy (CTA) versus RTSA to treat fractures, as well as identify risk factors for any adverse event.

methodsPatients who underwent RTSA from 2010 to 2020 in the National Surgical Quality Improvement Program database were included. Matched cohorts were created using nearest-neighbor matching. Independent sample t-tests and chi-square tests were used to determine differences between groups, and binary logistic regression was performed to determine odds ratios and 95% CIs.

resultsIn total, 27,607 CTA patients (94.5%) and 1,537 fracture patients (5.3%) underwent RTSA. Adverse events occurred in 1,088 CTA patients (3.9%) and 192 fracture patients (12.4%). Incidences of adverse events, postoperative transfusions, and returns to an operating room were all significantly higher in the fracture cohort compared with CTA patients.

conclusionsFollowing surgery, higher rates of adverse events were observed in the CTA patients compared with those in the fracture cohort. These findings improve our understanding of the effectiveness of an increasingly popular surgical intervention due to the use of a large database analysis to identify short-term complications and risk factors. Level of evidence: III.

Indexed as

National Surgical Quality Improvement ProgramProximal humeral fractureProximal humerus fractureReverse total shoulder arthroplastyShoulder cuff tear arthropathy

Identifiers

PMID40077876
PMCPMC11938926

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