Shoulder Arthroplasty After Previous Nonarthroplasty Surgery: A Systematic Review and Meta-Analysis of Clinical Outcomes and Complications.
Journal
JBJS reviews
ISSN: 2329-9185
Titre abrégé: JBJS Rev
Pays: United States
ID NLM: 101674872
Informations de publication
Date de publication:
01 Mar 2024
01 Mar 2024
Historique:
medline:
20
3
2024
pubmed:
20
3
2024
entrez:
20
3
2024
Statut:
epublish
Résumé
Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023. Based on 9,279 records reviewed, 26 comparative studies were included in the meta-analysis consisting of 5,431 shoulders with prior nonarthroplasty procedures (cases) and 55,144 shoulders without previous surgery (controls). Variables such as functional scores, complications, and range of motion were compared between cases and controls using Review Manager Software. In addition, subgroup analysis was conducted based on prior surgery type (rotator cuff repair [RCR], open reduction and internal fixation [ORIF], soft tissue repairs, and not specified) and type of SA (hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty [RTSA]). The results were presented as odds ratios (ORs) or standardized mean differences (SMDs). Except for a higher rate of periprosthetic joint infection (PJI) in patients who had undergone previous arthroscopic surgery (OR, 2.58; 95% confidence interval [CI], 1.66-4.01; p < 0.01), a higher rate of complications was only observed in patients with previous ORIF. These complications included aseptic loosening (OR, 3.43; 95% CI, 2.14-5.50; p < 0.01), shoulder dislocation (OR, 2.25; 95% CI, 1.05-4.84; p = 0.04), overall complication (OR, 3.95; 95% CI, 2.38-6.55; p < 0.01), and revision (OR, 2.52; 95% CI, 1.28-4.97; p = 0.01). Patients with a history of previous surgery demonstrated inferior functional outcomes in comparison with the control group, including American Shoulder and Elbow Surgeons (SMD, -0.39; 95% CI, -0.51 to -0.27; p < 0.01; I2 = 36%), Constant-Murley score (SMD, -0.34; 95% CI, -0.44 to -0.24; p < 0.01; I2 = 0%), abduction (SMD, -0.26; 95% CI, -0.45 to -0.08; p = 0.01; I2 = 54%), and flexion (SMD, -0.33; 95% CI, -0.46 to -0.21; p < 0.01; I2 = 40%). Subgroup analysis by previous type of surgery was not possible regarding functional outcomes. Patients who have had prior fracture surgery are at a higher risk of complications, reoperations, and revisions after SA than controls. The normal shoulder anatomy may be disrupted by prior surgery, which makes arthroplasty technically challenging, particularly when it comes to soft tissue balance. On the other hand, RCR before SA did not negatively affect clinical outcomes after RTSA and did not have a higher rate of overall complications (except PJI). Level III (Treatment Studies). See Instructions for Authors for a complete description of levels of evidence.
Sections du résumé
BACKGROUND
BACKGROUND
Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder.
METHODS
METHODS
We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023. Based on 9,279 records reviewed, 26 comparative studies were included in the meta-analysis consisting of 5,431 shoulders with prior nonarthroplasty procedures (cases) and 55,144 shoulders without previous surgery (controls). Variables such as functional scores, complications, and range of motion were compared between cases and controls using Review Manager Software. In addition, subgroup analysis was conducted based on prior surgery type (rotator cuff repair [RCR], open reduction and internal fixation [ORIF], soft tissue repairs, and not specified) and type of SA (hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty [RTSA]). The results were presented as odds ratios (ORs) or standardized mean differences (SMDs).
RESULTS
RESULTS
Except for a higher rate of periprosthetic joint infection (PJI) in patients who had undergone previous arthroscopic surgery (OR, 2.58; 95% confidence interval [CI], 1.66-4.01; p < 0.01), a higher rate of complications was only observed in patients with previous ORIF. These complications included aseptic loosening (OR, 3.43; 95% CI, 2.14-5.50; p < 0.01), shoulder dislocation (OR, 2.25; 95% CI, 1.05-4.84; p = 0.04), overall complication (OR, 3.95; 95% CI, 2.38-6.55; p < 0.01), and revision (OR, 2.52; 95% CI, 1.28-4.97; p = 0.01). Patients with a history of previous surgery demonstrated inferior functional outcomes in comparison with the control group, including American Shoulder and Elbow Surgeons (SMD, -0.39; 95% CI, -0.51 to -0.27; p < 0.01; I2 = 36%), Constant-Murley score (SMD, -0.34; 95% CI, -0.44 to -0.24; p < 0.01; I2 = 0%), abduction (SMD, -0.26; 95% CI, -0.45 to -0.08; p = 0.01; I2 = 54%), and flexion (SMD, -0.33; 95% CI, -0.46 to -0.21; p < 0.01; I2 = 40%). Subgroup analysis by previous type of surgery was not possible regarding functional outcomes.
CONCLUSION
CONCLUSIONS
Patients who have had prior fracture surgery are at a higher risk of complications, reoperations, and revisions after SA than controls. The normal shoulder anatomy may be disrupted by prior surgery, which makes arthroplasty technically challenging, particularly when it comes to soft tissue balance. On the other hand, RCR before SA did not negatively affect clinical outcomes after RTSA and did not have a higher rate of overall complications (except PJI).
LEVEL OF EVIDENCE
METHODS
Level III (Treatment Studies). See Instructions for Authors for a complete description of levels of evidence.
Identifiants
pubmed: 38507516
doi: 10.2106/JBJS.RVW.23.00239
pii: 01874474-202403000-00012
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B81).
Références
Nolte PC, Elrick BP, Arner JW, Ridley TJ, Woolson TE, Tross AK, Midtgaard KS, Millett PJ. Total shoulder arthroplasty after previous arthroscopic surgery for glenohumeral osteoarthritis: a case-control matched cohort study. Am J Sports Med. 2021;49(7):1839-46.
Farley KX, Wilson JM, Kumar A, Gottschalk MB, Daly C, Sanchez-Sotelo J, Wagner ER. Prevalence of shoulder arthroplasty in the United States and the increasing burden of revision shoulder arthroplasty. JB JS Open Access. 2021;6(3):e20.00156.
Malik AT, Morris J, Bishop JY, Neviaser AS, Khan SN, Cvetanovich GL. Undergoing an arthroscopic procedure prior to shoulder arthroplasty is associated with greater risk of prosthetic joint infection. Arthroscopy. 2021;37(6):1748-54.e1.
Werthel JD, Hatta T, Schoch B, Cofield R, Sperling JW, Elhassan BT. Is previous nonarthroplasty surgery a risk factor for periprosthetic infection in primary shoulder arthroplasty? J Shoulder Elbow Surg. 2017;26(4):635-40.
Wright-Chisem J, Apostolakos JM, Dines JS, Dines DM, Gulotta LV, Taylor SA, Werner BC. The impact of prior ipsilateral arthroscopy on infection rates after shoulder arthroplasty. J Shoulder Elbow Surg. 2021;30(7):1596-602.
Ode GE, Ling D, Finocchiaro A, Lai EY, Taylor SA, Dines J, Dines D, Warren R, Gulotta L. Clinical characteristics and patient-reported outcomes of total shoulder arthroplasty after anterior stabilization: a retrospective matched control study. J Shoulder Elbow Surg. 2020;29(7s):S59-66.
Rosas S, Law TY, Kurowicki J, Formaini N, Kalandiak SP, Levy JC. Trends in surgical management of proximal humeral fractures in the Medicare population: a nationwide study of records from 2009 to 2012. J Shoulder Elbow Surg. 2016;25(4):608-13.
Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. National utilization of reverse total shoulder arthroplasty in the United States. J Shoulder Elbow Surg. 2015;24(1):91-7.
Sadoghi P, Vavken P, Leithner A, Hochreiter J, Weber G, Pietschmann MF, Müller PE. Impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2011;20(7):1138-46.
Boileau P, Gonzalez JF, Chuinard C, Bicknell R, Walch G. Reverse total shoulder arthroplasty after failed rotator cuff surgery. J Shoulder Elbow Surg. 2009;18(4):600-6.
Shields EJW, Koueiter DM, Maerz T, Schwark A, Wiater JM. Previous rotator cuff repair is associated with inferior clinical outcomes after reverse total shoulder arthroplasty. Orthop J Sports Med. 2017;5(10):2325967117730311.
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA; PRISMA-P Group. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350:g7647.
Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomized Studies in Meta-Analyses. 2000. Accessed February 27, 2024. http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm.
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25(9):603-5.
Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Moschetti I, Phillips B, Thornton H. The 2011 Oxford CEBM Levels of Evidence (Introductory Document). Oxford Centre for Evidence-Based Medicine; https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence 2011. Accessed December 29, 2023.
Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539-58.
Frank RM, Lee S, Sumner S, Griffin J, Leroux T, Verma NN, Cole BJ, Nicholson GP, Romeo AA. Shoulder arthroplasty outcomes after prior non-arthroplasty shoulder surgery. JB JS Open Access. 2018;3(3):e0055.
Marigi EM, Tams C, King JJ, Crowe MM, Werthel JD, Eichinger J, Wright T, Friedman RJ, Schoch BS. Reverse shoulder arthroplasty after prior rotator cuff repair: a matched cohort analysis. J Am Acad Orthop Surg. 2022;30(3):e395-404.
Marigi EM, Tams C, King JJ, Crowe MM, Werthel JD, Eichinger JK, Wright TW, Friedman RJ, Schoch BS. Shoulder arthroplasty after prior anterior shoulder instability surgery: a matched cohort analysis. Eur J Orthop Surg Traumatol. 2023;33(4):961-9.
Erickson BJ, Ling D, Wong A, Eno JJ, Dines JS, Dines DM, Gulotta LV. Does having a rotator cuff repair prior to reverse total shoulder arthroplasty influence the outcome? Bone Joint J. 2019;101-B(1):63-7.
Bender MJ, Morris BJ, Sheth MM, Laughlin MS, Budeyri A, Le RK, Elkousy HA, Edwards TB. Outcomes of total shoulder arthroplasty for instability arthropathy with a prior coracoid transfer procedure: a retrospective review and matched cohort. J Shoulder Elbow Surg. 2020;29(7):1316-22.
Dezfuli B, King JJ, Farmer KW, Struk AM, Wright TW. Outcomes of reverse total shoulder arthroplasty as primary versus revision procedure for proximal humerus fractures. J Shoulder Elbow Surg. 2016;25(7):1133-7.
Linkous N, Wright JO, Koueiter DM, Marcantonio D, Wiater JM, Wiater BP. Outcomes for reverse total shoulder arthroplasty after failed open reduction internal fixation versus primary reverse total shoulder arthroplasty for proximal humerus fractures. Semin Arthroplasty JSES. 2020;30(2):111-6.
Bender MJ, Morris BJ, Laughlin MS, Sheth MM, Budeyri A, Le RK, Elkousy HA, Edwards TB. Early complication rates following total shoulder arthroplasty for instability arthropathy with a prior coracoid transfer procedure. Orthopedics. 2021;44(4):e482-6.
Patel MK, Stone WZ, Schoch BS, Struk AM, Farmer KW, Wright TW, King JJ. Does having prior rotator cuff repair affect outcomes in reverse shoulder arthroplasty? A matched cohort study. Orthop Traumatol Surg Res. 2020;106(4):661-5.
Schiffman CJ, Hannay WM, Whitson AJ, Neradilek MB, Matsen FA III, Hsu JE. Impact of previous non-arthroplasty surgery on clinical outcomes after primary anatomic shoulder arthroplasty. J Shoulder Elbow Surg. 2020;29(10):2056-64.
Schoch BS, Tams C, Eichinger J, Wright TW, King JJ, Friedman RJ. Anatomic total shoulder arthroplasty after healed rotator cuff repair: a matched cohort. J Shoulder Elbow Surg. 2020;29(11):2221-8.
Shannon SF, Wagner ER, Houdek MT, Cross WW III, Sánchez-Sotelo J. Reverse shoulder arthroplasty for proximal humeral fractures: outcomes comparing primary reverse arthroplasty for fracture versus reverse arthroplasty after failed osteosynthesis. J Shoulder Elbow Surg. 2016;25(10):1655-60.
Mulieri P, Dunning P, Klein S, Pupello D, Frankle M. Reverse shoulder arthroplasty for the treatment of irreparable rotator cuff tear without glenohumeral arthritis. J Bone Joint Surg Am. 2010;92(15):2544-56.
Erickson BJ, Ling D, Wong A, Dines JS, Dines DM, Gulotta LV. Does having a rotator cuff repair before total shoulder arthroplasty influence outcomes? Orthop J Sports Med. 2020;8(8):2325967120942773.
Vervaecke AJ, Carbone AD, Zubizarreta N, Poeran J, Parsons BO, Verborgt O, Galatz LM, Cagle PJ. Reverse shoulder arthroplasty for rotator cuff tears with and without prior failed rotator cuff repair: a large-scale comparative analysis. J Orthop. 2022;31:1-5.
Jensen ML, Jensen SL, Bolder M, Hanisch KWJ, Sørensen AKB, Olsen BS, Falstie-Jensen T, Rasmussen JV. Previous rotator cuff repair increases the risk of revision surgery for periprosthetic joint infection after reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2023;32(1):111-20.
Kristensen MR, Rasmussen JV, Elmengaard B, Jensen SL, Olsen BS, Brorson S. High risk for revision after shoulder arthroplasty for failed osteosynthesis of proximal humeral fractures. Acta Orthop. 2018;89(3):345-50.
Katthagen JC, Hesse E, Lill H, Schliemann B, Ellwein A, Raschke MJ, Imrecke J. Outcomes and revision rates of primary vs. secondary reverse total shoulder arthroplasty for proximal humeral fractures. Obere Extremität. 2020;15(1):35-41.
Nowak LL, Hall J, McKee MD, Schemitsch EH. A higher reoperation rate following arthroplasty for failed fixation versus primary arthroplasty for the treatment of proximal humeral fractures: a retrospective population-based study. Bone Joint J. 2019;101-B(10):1272-9.
Sebastia-Forcada E, Lizaur-Utrilla A, Cebrian-Gomez R, Miralles-Muñoz FA, Lopez-Prats FA. Outcomes of reverse total shoulder arthroplasty for proximal humeral fractures: primary arthroplasty versus secondary arthroplasty after failed proximal humeral locking plate fixation. J Orthop Trauma. 2017;31(8):e236-40.
Matsoukis J, Tabib W, Guiffault P, Mandelbaum A, Walch G, Némoz C, Edwards TB. Shoulder arthroplasty in patients with a prior anterior shoulder dislocation. Results of a multicenter study. J Bone Joint Surg Am. 2003;85(8):1417-24.
Merolla G, Cerciello S, Marenco S, Fabbri E, Paladini P, Porcellini G. Comparison of shoulder replacement to treat osteoarthritis secondary to instability surgery and primary osteoarthritis: a retrospective controlled study of patient outcomes. Int Orthop. 2018;42(9):2147-57.
Cicak N, Klobucar H, Medancic N. Reverse shoulder arthroplasty in acute fractures provides better results than in revision procedures for fracture sequelae. Int Orthop. 2015;39(2):343-8.
Antuña SA, Sperling JW, Sánchez-Sotelo J, Cofield RH. Shoulder arthroplasty for proximal humeral malunions: long-term results. J Shoulder Elbow Surg. 2002;11(2):122-9.
Boileau P, Trojani C, Walch G, Krishnan SG, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg. 2001;10(4):299-308.
Martinez AA, Calvo A, Bejarano C, Carbonel I, Herrera A. The use of the Lima reverse shoulder arthroplasty for the treatment of fracture sequelae of the proximal humerus. J Orthop Sci. 2012;17(2):141-7.
Boileau P, Chuinard C, Le Huec JC, Walch G, Trojani C. Proximal humerus fracture sequelae: impact of a new radiographic classification on arthroplasty. Clin Orthop Relat Res. 2006;442:121-30.
Jobin CM. 21. Failed arthroplasty after proximal humerus fracture. In: Greiwe RM, editor. Shoulder and Elbow Trauma and its Complications. Sawston, UK: Woodhead Publishing; 2015:455-72.
Paloneva J, Lepola V, Äärimaa V, Joukainen A, Ylinen J, Mattila VM. Increasing incidence of rotator cuff repairs: a nationwide registry study in Finland. BMC Musculoskelet Disord. 2015;16:189.
Cho NS, Cha SW, Rhee YG. Alterations of the deltoid muscle after open versus arthroscopic rotator cuff repair. Am J Sports Med. 2015;43(12):2927-34.
Makhni EC, Swart E, Steinhaus ME, Mather RC III, Levine WN, Bach BR Jr, Romeo AA, Verma NN. Cost-effectiveness of reverse total shoulder arthroplasty versus arthroscopic rotator cuff repair for symptomatic large and massive rotator cuff tears. Arthroscopy. 2016;32(9):1771-80.
Patel A, Calfee RP, Plante M, Fischer SA, Green A. Propionibacterium acnes colonization of the human shoulder. J Shoulder Elbow Surg. 2009;18(6):897-902.