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Considerations for younger patients with shoulder arthritis.


It has been observed that younger patients are using anatomic and reverse total shoulders arthroplasties (see this link).

The authors of Incidence of Primary Anatomic and Reverse Total Shoulder Arthroplasty in Patients Less than 50 Years of Age & High Early Revision Risk sought to investigate the incidence of primary anatomic total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA), rate of revision within one year, and determine the associated economic burden in patients <50 years.

They found that the incidence of shoulder arthroplasty in patients <50 years old increased from 2.21 to 2.5 per 100,000 patients from 2017-2018.

These patients had a 3.9% overall revision rate with a mean revision time of 96.3 Days. For arthroplasties performed in 2017, the revision rate was 3.5% and 2018, respectively, at 4.4%.
Revision rates for procedures in the Midwest (5.6%) or South (4.4%) were higher than those in the Northeast (1.6%) and West (1.4%). 
Revision was a significant risk factor for diabetes and female sex.
Surgeries performed in patients <40 years cost more than those performed in patients aged 40-50 years for…

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