BACKGROUND The aim of this study was to provide nationwide shoulder arthroplasty rates in Germany based on the national hospitalization file and to estimate the revision burden for shoulder arthroplasty and its determinants. METHODS We analyzed the nationwide, population-based, German diagnosis-related groups data from the years 2005 and 2006. Procedure codes and diagnosis were analyzed for e...

BACKGROUND As shoulder arthroplasty becomes more common, the number of failed arthroplasties requiring revision is expected to increase. When revision arthroplasty is not feasible, resection arthroplasty has been used in an attempt to restore function and relieve pain. Although outcomes data for resection arthroplasty exist, studies comparing the outcomes after the removal of different primary ...

BACKGROUND Hemiarthroplasty continues to be a common surgical treatment for glenohumeral arthritis. Unfortunately, some patients will develop painful glenoid arthrosis necessitating revision to total shoulder arthroplasty. Previously reported results of revision have demonstrated variability in results and difficulty. The purpose of this study was to determine the difficulty and results of revi...

Background: The purpose of this study was to evaluate the value of perioperative tests for the diagnosis of infectionin revision shoulder arthroplasty.Methods: A retrospective analysis was performed on 537 shoulder arthroplasties (429 patients) that underwent revisionshoulder arthroplasty at our institution. Periprosthetic tissue cultures were positive in 169/537 surgeries.Results: White-blood ...

HYPOTHESIS Revision shoulder arthroplasty represents a complex and difficult problem for the treating surgeon, with multiple potential complications. In the setting of a well-fixed humeral component, removal can lead to fractures and compromise the outcome of the revision. The current study describes and evaluates the results of a novel vertical humeral osteotomy (VHO) for stem extraction. We h...

Eighty-six reverse shoulder arthroplasty (RSA) cases performed through a deltopectoral (DP) approach were reviewed at an average of 17.2 months after surgery. All procedures were performed by 2 fellowship-trained shoulder surgeons who perform a high volume of shoulder arthroplasty. We describe the surgical technique for the DP approach for primary and revision RSA, preliminary results, intraope...

BACKGROUND The Nordic Arthroplasty Register Association was initiated in 2007, and several papers about hip and knee arthroplasty have been published. Inspired by this, we aimed to examine the feasibility of merging data from the Nordic national shoulder arthroplasty registries by defining a common minimal data set. METHODS A group of surgeons met in 2014 to discuss the feasibility of merging...

Management of an infected shoulder arthroplasty remains challenging. Treatment goals include resolution of the infection, improvement in pain, and restoration of function. Two-stage revision with an antibiotic spacer and subsequent revision has shown variable success in achieving these goals. The practice of using a hemiarthroplasty and coating the stem with antibiotic cement without cementing ...