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Functional outcomes after shoulder resection: the patient's perspective.

Nicole M Stevens1, H Mike Kim1, April D Armstrong1

  • 1Department of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.

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Resection arthroplasty offers patient satisfaction for shoulder infections, despite functional limitations. Most patients were satisfied and would repeat the procedure for deep-seated infections or failed shoulder replacements.

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Area of Science:

  • Orthopedic Surgery
  • Patient-Reported Outcomes
  • Infectious Disease Management

Background:

  • Resection arthroplasty is a salvage procedure for deep-seated infections following shoulder replacements.
  • Previous studies indicate significant pain relief but functional limitations post-procedure.
  • This study focuses on patient perspectives regarding limitations and satisfaction.

Purpose of the Study:

  • To evaluate patient satisfaction with resection arthroplasty.
  • To assess patient-perceived limitations after resection arthroplasty.
  • To understand the patient perspective on this salvage procedure.

Main Methods:

  • Retrospective review of 14 patients undergoing resection arthroplasty (2003-2012).
  • 7 patients completed patient-reported outcome surveys.
  • Functional scores assessed included ASES, SST, and DASH.

Main Results:

  • Pain reduction and functional outcomes aligned with previous reports.
  • 71% of patients reported satisfaction with the procedure.
  • 86% would undergo the procedure again; 71% could perform most daily activities.

Conclusions:

  • Patients generally expressed satisfaction with resection arthroplasty.
  • This procedure is a viable option for deep-seated periprosthetic infections.
  • It is also a reasonable choice for patients with multiple failed shoulder arthroplasty procedures.