Functional outcomes after shoulder resection: the patient's perspective

J Shoulder Elbow Surg. 2015 Sep;24(9):e247-54. doi: 10.1016/j.jse.2015.03.027. Epub 2015 May 7.


Background: Resection arthroplasty is a salvage procedure used for the treatment of deep-seated infections after total shoulder arthroplasty, hemiarthroplasty, and reverse total shoulder arthroplasty. Previous studies have reported a 50% to 66% rate of pain relief after resection arthroplasty but with significant functional limitations. Our study aimed to qualify the perspective of the patients on their limitations and satisfaction with resection arthroplasty.

Methods: A retrospective record review of resection arthroplasties performed between September 2003 and December 2012 yielded 14 patients, and 7 completed the survey. The patients completed surveys with the focus on the "patient perspective." Functional scores, including American Shoulder and Elbow Surgeons, Simple Shoulder Test, Disabilities of the Arm, Shoulder, and Hand (DASH), DASH work, and DASH sports, were determined.

Results: Pain reduction and functional outcomes were similar to past reports of resection arthroplasty. Five of the 7 patients (71%) reported satisfaction with their resection arthroplasty, and 6 of the 7 patients (86%) would undergo the procedure again if given the choice. Five of the 7 patients (71%) were able to most of activities of daily living.

Conclusions: Patients in our study were generally satisfied with their resection arthroplasty. Resection arthroplasty is a reasonable option for treatment of deep-seated periprosthetic infections or for patients with multiple previous failed procedures for total shoulder arthroplasty, hemiarthroplasty. and reverse shoulder arthroplasty.

Keywords: Shoulder arthroplasty; patient perspectives; periprosthetic infections; resection arthroplasty.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Arthralgia / etiology
  • Arthralgia / surgery
  • Arthroplasty / methods*
  • Arthroplasty, Replacement / adverse effects*
  • Humans
  • Joint Diseases / surgery*
  • Middle Aged
  • Patient Satisfaction
  • Prosthesis-Related Infections / etiology
  • Prosthesis-Related Infections / surgery*
  • Recovery of Function
  • Reoperation
  • Retrospective Studies
  • Salvage Therapy
  • Shoulder / surgery*
  • Shoulder Joint / surgery*
  • Treatment Outcome