J Orthop. 2018 Dec; 15(4): 922–926.

Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Kelvin Kim, Ameer Elbuluk, Nathan Jia, Feroz Osmani, Joseph Levieddin, Joseph Zuckerman, and Mandeep Virk∗

Shoulder

Background

The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology.

Methods

Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication.

Results

EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES.

Conclusions

Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.

Keywords: Revision shoulder arthroplasty, Reverse shoulder arthroplasty, Patient-reported outcomes, Infection, Rotator cuff tear, Total shoulder arthroplasty

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