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

肩关节翻修术:患者报告的疗效因翻修病因而异

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Abstract

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.

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