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Updated: Oct 8, 2025

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Gender Influences on Shoulder Arthroplasty
Nicole J Hung1, Stephanie E Wong2
1School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Current Reviews in Musculoskeletal Medicine
|January 4, 2022
Summary
Gender influences shoulder arthroplasty outcomes, with women often experiencing different preoperative factors, complications, and postoperative results than men. Further research is needed to understand these gender-based differences in shoulder replacement.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Patient Outcomes Research
Background:
- The incidence of shoulder arthroplasty is rising globally.
- Patient-based factors influencing outcomes are increasingly studied.
- Existing research shows gender disparities in hip and knee arthroplasty.
Purpose of the Study:
- To review current literature on gender's influence on shoulder arthroplasty.
- To identify gender-based differences in preoperative parameters.
- To examine gender's impact on perioperative complications and postoperative outcomes.
Main Methods:
- Systematic review of recent literature.
- Analysis of studies comparing male and female patients undergoing shoulder arthroplasty.
- Focus on preoperative, perioperative, and postoperative data.
Main Results:
- Female patients are older at surgery, with higher preoperative disability and different expectations.
- Women may face increased risks of longer hospital stays, thromboembolic events, and transfusions.
- Postoperative outcomes show potential for lower functional scores and range of motion in females, with differing complication risks (fracture/loosening in females; infection/revision in males).
Conclusions:
- Gender appears to influence various aspects of shoulder arthroplasty.
- Current literature is limited and sometimes conflicting.
- Further research is essential to clarify gender-specific effects and optimize patient care.
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