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Review
. 2022 Apr 26:6:24715492221095991.
doi: 10.1177/24715492221095991. eCollection 2022.

Revision Shoulder Hemiarthroplasty and Total Shoulder Arthroplasty A Systematic Review and Meta-Analysis

Andrew Davies  1 , Hussain Selmi  2 , Sanjeeve Sabharwal  2 , Martinique Vella-Baldacchino  3 , Alex D Liddle  2 , Peter Reilly  1
Affiliations
Review

Revision Shoulder Hemiarthroplasty and Total Shoulder Arthroplasty A Systematic Review and Meta-Analysis

Andrew Davies et al. J Shoulder Elb Arthroplast. .

Abstract

The number of shoulder replacements performed each year continues to increase, and the need for revision replacements has grown accordingly. The outcome of a revision replacement may influence which primary implant is selected and the timing of primary surgery, particularly in younger patients. The aim of this study was to establish the expected improvement in shoulder function and implant survival following revision of a hemiarthroplasty and revision of an anatomical total shoulder arthroplasty (TSA). A systematic review and meta-analysis were performed of all studies reporting shoulder scores or implant survival following revision hemiarthroplasty or revision TSA. MEDLINE, EMBASE, CENTRAL, The Cochrane Database of Systematic Reviews and National Joint Registry reports were searched. 15 studies were included, reporting on 593 revision anatomical shoulder replacements. There was large variation in the magnitude of improvement in shoulder scores following revision surgery. Over 80% of revision replacements last 5 years and over 70% last 10 years. There was no significant difference in shoulder scores or implant survival according to the type of primary implant. The belief that revision of a shoulder hemiarthroplasty may lead to improved outcomes compared to revision of a TSA is not supported by the current literature.

Keywords: arthroplasty; patient reported outcome measures; replacement; revision; shoulder; shoulder scores; survival.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA study flow diagram.
Figure 2.
Figure 2.
Revision of a TSA. SMD in perioperative shoulder scores.
Figure 3.
Figure 3.
Revision of a hemiarthroplasty. SMD in perioperative shoulder scores.
Figure 4.
Figure 4.
5 year survival following revision from a TSA.
Figure 5.
Figure 5.
Implant survival following revision of a TSA and HA.
See this image and copyright information in PMC

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