Effect of prior mastectomy on outcomes following total shoulder arthroplasty
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Mastectomy and its associated treatments may alter shoulder biomechanics and soft-tissue integrity, yet their impact on total shoulder arthroplasty (TSA) outcomes remains unclear. This study evaluated short- and long-term complications following TSA in patients with a history of mastectomy. METHODS: A retrospective cohort analysis was performed using the TriNetX Research Network, including patients who underwent primary TSA. Individuals with a history of mastectomy were identified using procedural and diagnostic coding, and those with contralateral mastectomy and TSA were excluded. Propensity score matching 1:1 was performed to balance demographics and comorbidities. Ninety-day and two-year outcomes were compared between matched cohorts. RESULTS: After matching, 1,865 patients with prior mastectomy were compared with 1,865 controls. Patients with a history of mastectomy had a significantly higher incidence of postoperative lymphedema (3.48% vs. 0.67%; RR 5.15; P < .0001). They also demonstrated increased risk of venous thromboembolism (4.56% vs. 3.11%; RR 1.47; P = .018). Overall postoperative infection rates were higher in the mastectomy cohort (3.96% vs. 2.70%; RR 1.47; P = .0378), including higher rates of cellulitis (2.81% vs. 1.72%; RR 1.63; P = .031). No significant differences were observed for 2-year outcomes. CONCLUSION: Patients with a history of mastectomy undergoing TSA are at increased risk of perioperative postoperative lymphedema, thromboembolic events, and cellulitis. These findings highlight the importance of heightened perioperative surveillance.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Effect of prior mastectomy on outcomes following total shoulder arthroplasty
- Date Crossref
- 12/02/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Rothman Orthopaedics pays non établi dans la noticeInstitution
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Hoag Orthopedic Institute pays non établi dans la noticeÉtablissement de santé
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Colorado Permanente Medical Group pays non établi dans la noticeÉtablissement de santé
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University of Pennsylvania pays non établi dans la noticeUniversité ou école supérieure
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Philadelphia University pays non établi dans la noticeUniversité ou école supérieure
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Palm Beach Gardens Medical Center pays non établi dans la noticeÉtablissement de santé
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Southern California Permanente Medical Group pays non établi dans la noticeInstitution
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Palm Beach Orthopaedic Institute pays non établi dans la noticeStructure de recherche
Rothman Orthopaedics, Hoag Orthopedic Institute et Colorado Permanente Medical Group, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.