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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_16 | Pages 72 - 72
1 Dec 2021
Komperla S Giles W Flatt E Gandhi MJ Eyre-Brook AE Jones V Papanna M Eves T Thyagarajan D
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Abstract

Shoulder replacements have evolved and current 4th generation implants allow intraoperative flexibility to perform anatomic, reverse, trauma, and revision shoulder arthroplasty. Despite high success rates with shoulder arthroplasty, complication rates high as 10–15% have been reported and progressive glenoid loosening remains a concern.

Objectives

To report medium term outcomes following 4th generation VAIOS® shoulder replacement.

Methods

We retrospectively analysed prospectively collected data following VAIOS® shoulder arthroplasty performed by the senior author between 2014–2020. This included anatomical (TSR), reverse(rTSR), revision and trauma shoulder replacements. The primary outcome was implant survival (Kaplan-Meier analysis). Secondary outcomes were Oxford Shoulder Scores (OSS), radiological outcomes and complications.


Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_16 | Pages 71 - 71
1 Dec 2021
Giles W Komperla S Flatt E Gandhi M Eyre-Brook A Jones V Papanna M Eves T Thyagarajan D
Full Access

Abstract

Background/Objectives

The incidence of reverse total shoulder replacement (rTSR) implantation is increasing globally, but apprehension exists regarding complications and associated challenges. We retrospectively analysed the senior author's series of rTSR from a tertiary centre using the VAIOS shoulder system, a modular 4th generation implant. We hypothesised that the revision rTSR cohort would have less favourable outcomes and more complications.

Methods

114 patients underwent rTSR with the VAIOS system, over 7 years. The primary outcome was implant survival. Secondary outcomes were Oxford shoulder scores (OSS), radiographic analysis (scapular notching, tuberosity osteolysis, and periprosthetic radiolucent lines) and complications.