Study reveals early complication-based learning curve for reverse shoulder arthroplasty
Kempton LB. Clin Orthop Relat Res. 2011;doi:10.007/s11999-011-1811-4.
A recently published study indicates a 40-case learning curve for reverse total shoulder arthroplasty based on early complication rates.
Researchers studied 200 reverse total shoulder arthroplasties (TSAs) performed by a single surgeon during a 4-year period. Forty revision arthroplasties and 152 primary cases were available for a minimum follow-up of 6 months.
Overall, the study revealed that 19 shoulders had local complications, and nine sustained perioperative systemic complications. The researchers discovered a local complication rate of 23.1% in the first 40 cases compared with a 6.5% rate in the last 160 cases. A comparison of primary and revision cases showed a higher rate of local complications (17.5% vs. 7.9%) and nerve palsies (9.8% vs. .06%) in the revision group.